Martín Correa-Urquiza

Martín Correa-Urquiza
Universitat Rovira i Virgili | URV · Department of Anthropology, Philosophy and Social Work

Ph.D Medical Anthropology

About

34
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216
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Citations since 2016
21 Research Items
188 Citations
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Introduction
He has a PhD in Medical Anthropology (URV), a degree in Communication Sciences (UBA) and a Masters in Social and Cultural Anthropology (U. Autónoma de Barcelona). He is Co-Director and coordinator of the URV/FCCSM Postgraduate Course in Collective Mental Health. He is a lecturer at the URV/UOC. He has carried out research work in the field of anthropology and applied anthropology, particularly in relation to Madness Studies and Disability Studies.
Additional affiliations
January 2010 - December 2015
Universitat Rovira i Virgili
Position
  • Professor
January 2010 - December 2015
Universitat Rovira i Virgili
Position
  • Professor

Publications

Publications (34)
Chapter
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Cet ouvrage compile des photographies et les articles de chercheurs en sciences humaines et sociales qui ont participé au projet de coopération européenne Fusée de détresse, conçu par Paloma Fernandez Sobrino et coordonné par L'âge de la tortue. Il rend visible une expérience artistique de coopération pluridisciplinaire traitant de l'accueil des pe...
Chapter
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Nuestro objetivo en este texto es analizar las transformaciones en la concepción del mundo vital y el malestar emocional asociado en el tránsito de la adolescencia a la edad adulta apoyándonos en los resultados de una investigación cualitativa y etnográfica que realizamos en Cataluña entre los años 2009 y 2015. Este estudio era parte del proyecto «...
Presentation
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Un diario es un texto libre, quizás desparejo, con cambios en las formas verbales, en las conjugaciones; es un escrito que se abre al relato de lo sucedido paso a paso en un determinado tiempo y espacio, pero a la vez da lugar a las impresiones, sensaciones y reflexiones que sobre un grupo fue dejando lo sucedido. Este diario es fruto de un trabajo...
Article
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Cantos de cisne para una dialógica corporal (De desamparo, distancias y el hábito de extranjerizarnos)
Book
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Soltar amarras. Una introducción a la salud mental colectiva presenta la experiencia del sufrimiento mental como un fenómeno multidimensional que exige, a su vez, una tarea de complementariedad entre disciplinas, una apertura en los marcos conceptuales de referencia y una tendencia al ejercicio hermenéutico permanente. Por ello, analiza los orígene...
Article
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RESUMEN Este artículo, resulta en parte, de una aproximación antropológica a la cuestión de las infancias contemporáneas. Es a la vez, una pequeña contribución al desarrollo de una epistemología de la complejidad en lo que respecta al análisis de este momento vital en los individuos. Partimos de la necesidad de ampliar los marcos de referencia desd...
Article
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El presente artículo expone un análisis lingüístico e interpretativo sobre el uso de la metáfora conceptual en el campo de la salud mental, tomando como campo de observación el uso de Twitter en la primera edición del Día del Orgullo Loco en España, celebrada el 20 de mayo de 2018. El objetivo es dar cuenta de los posicionamientos expresados por lo...
Chapter
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(From Introduction) Ángel Martínez-Hernáez y equipo (Andrea García-Santesmases Fernández, Asun Pié Balaguer, Deborah Bekele, Elisa Alegre-Agís, Martín Correa-Urquiza, Mercedes Serrano-Miguel, Nicolás Morales Sáez y Xavier Cela Bertran) abordan los conflictos entre pacientes, profesionales y cuidadores respecto a la medicación neuroléptica o antipsi...
Article
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This article, in part, is the result of an anthropological approach to the question of childhoods. At the same time, it is a small contribution to the development of an epistemology of complexity in terms of the analysis of this vital moment in individuals. We start from the need to expand the frames of reference from which to think and articulate...
Article
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In light of the broad growth of collectives, entities and federations that are defined as “in the first person”, the intention here is to problematize the question of the so-called profane or lay knowledge, its contexts and circumstances of expression and development, as well as its obstacles and difficulties to acquire a socially legitimized statu...
Article
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The MOMENT project aims to contribute to a better understanding of severe mental disorders by analyzing the discourse of the two main groups involved, affected people and mental health professionals, in the light of the Conceptual Metaphor Theory and Corpus Linguistics methodology. In this framework, a corpus of first-person accounts from both grou...
Article
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Resumo: A relação epistolar entre Antonin Artaud e seu editor, Jacques Rivière, sugere neste artigo a possibilidade de uma outra maneira de se relacionar com a chamada loucura. Propõe uma visão que permite um freio para a patologização constante das identidades sociais no campo da saúde mental. Para Rivière, Artaud era antes poeta do que louco; esc...
Article
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http://madinamerica-hispanohablante.org/salvados-o-la-triste-apologia-del-electrodo-martin-correa-urquiza/
Article
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Collective health is a paradigm with a long history in Latin America. Similarly, collective mental health has had an interesting development in certain Latin American countries, even acting to stimulate psychiatric reform. However, both paradigms appear to be encapsulated in specific times and places, among other reasons because of a hegemonic glob...
Book
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En el presente texto se abordan de manera breve los significados sociales de la locura y las maneras a través de las cuales históricamente la sociedad occidental se ha relacionado con ella. Por otro lado, también se analizan los dispositivos y estrategias que se han articulado desde diferentes perspectivas a la hora de abordar el sufrimiento mental...
Chapter
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Any consideration of the body is absent in clinical approaches to mental suffering. In most cases, the body is seen merely a receptacle for the synthetic compounds prescribed to neutralize symptoms, and the physical territory in which the signs of madness manifest themselves. Gradually, however, following diagnosis and the initiation of psychiatric...
Chapter
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Abstract: From clinical / health perspectives, the historical relationship between cinema and madness is often characterized as a promoter of a certain stigmatization of the suffering associated with mental illness. However, in this article, starting with the analysis of a series of films that deal with these issues, we intend to argue that film pr...
Conference Paper
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Health sector is an important point to attend in this privatized world. Participative researchaction configures itself as an optimum way to face health inequalities, because it allows us to work in a collaborative way joint with general population to improve health, wellbeing and quality of life.
Article
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El consumo de tabaco y los problemas de salud mental de tipo depresivo/ansioso son dos fenomenos que suelen iniciarse en la adolescencia y juventud con cierta co-ocurrencia. Ambos fenomenos guardan una relacion bidireccional que, en el caso de los jovenes, la hipotesis de automedicacion parece explicar de forma mas exhaustiva que otras opciones. El...
Article
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Emotional distress is common in adolescence, and self-care strategies are frequently preferred to address it. The aim of this article is to analyze the self-care strategies among adolescents and young people diagnosed with depression or with self-perceived depressive distress in Catalonia using a qualitative design. We analyzed the self-care strate...
Article
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Background Adolescents and young adults often suffer from depression, but tend to avoid seeking professional help. The aim of this study was to explore the reasons for non-professional-help-seeking in a sample of young adults resident in Catalonia with depressive symptoms through a qualitative study. In addition, the subjects were invited to offer...
Article
Full-text available
Tobacco use and mental health problems in the depression/anxiety spectrum often begin in adolescence as co-occurring phenomena. Epidemiologically, the relationship between them is bidirectional, but in the case of young people it appears to be explained best by the unidirectional self-medication hypothesis. The aim of this study is to explore the r...
Article
Full-text available
La irrupción posible del saber profano. Hacia una construcción colectiva del conocimiento en salud mental Martín Correa-Urquiza * Resumen En este artículo se intenta analizar y evidenciar la importancia de dos elementos substanciales al momento de pensar la salud mental. Por un lado, la existencia de un saber determinado en los sujetos del diagnóst...
Data
http://www.youtube.com/watch?v=MzH0ze17Uts&feature=youtu.be https://vimeo.com/82190200
Chapter
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This paper, based on fieldwork carried out over the past eight years, analyzes the operating dynamics and activities of Radio Nikosia, which is both a radio program in its own right, and a participant in various other radio programs in Barcelona. This programming is produced collectively by a team of 40 persons in psychiatric treatment, with the co...
Chapter
Full-text available
La legitimación del saber profano, propio, local, subjetivo de las personas que han atravesado una experiencia de sufrimiento mental forma parte de las grandes omisiones de la historia de la salud mental. En este artículo intentaremos analizar conceptualmente este tipo de saberes como necesariamente constitutivos del concierto de perspectivas que c...
Book
Tesis doctoral: http://www.tdx.cat/bitstream/handle/10803/8437/Tesi.pdf?sequence=1
Article
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El propósito de este artículo es explorar las posibilidades de la mirada etnográfica en el campo de la llamada “rehabilitación psicosocial de los trastornos mentales severos”. Partiendo de una crítica al individualismo metodológico y epistemológico de algunas aproximaciones “psi” (psiquiatría biológica o neokraepelinismo, terapia cognitivo-conductu...
Article
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"El Libro de Radio Nikosia" (Voces que hablan desde la locura) Autor: Colectivo. Editorial Gedisa - 2005 - Barcelona Radio Nikosia es quizás la primera emisora en España que transmite desde la llamada locura. Es realizada por un grupo de personas que sobrellevan el diagnóstico de distintas problemáticas mentales y buscan comunicar y comunicarse a...

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Projects (5)
Project
Website: http://mentalhealthmetaphors.uoc.edu/ The MOMENT project aims to contribute to a better understanding of severe mental disorders (schizophrenia, bipolar disorder, severe depression and obsessive-compulsive disorder) by analysing the discourse of the two main groups involved: people with a mental health diagnosis and mental health professionals. This analysis uses the Conceptual Metaphor Theory. The two main objectives are: 1) to detect and systematize dominant conceptualizations of the disorders, and 2) to promote changes in discourse in order to improve public health communication and communications between patients and professionals. SPECIFIC GOALS: 1. To build a hand-annotated corpus of first-person testimonies published online (in blogs, on Twitter, etc.) by patients and professionals in Spain. This corpus will be used both for discourse analysis and as a testing ground for automatic metaphor detection. 2. To analyse first-person accounts from people diagnosed with a severe mental disorder and from mental health professionals in order to detect: 1) what kind of metaphors are used by these two groups when talking about the mental disorder and related experiences, and what similarities and differences there are between groups on two levels, intergroup (patients vs. professionals) and intragroup (type of severe mental disorder and professional profile); and 2) what kind of discourses are built upon the uses of these metaphors: biomedical discourses, which tend to disempower affected people, or alternative humanistic discourses, which tend to promote patients’ agency. 3. To improve the methodology for detecting metaphors and codifying them in corpora, with the aim of contributing to solving the methodological problems common to any application of the Conceptual Metaphor Theory. 4. To improve the methodology for automatic metaphor detection, thus contributing to a cutting-edge area of research in the field of computational linguistics. 5. To contribute to the debate on how we should talk about mental disorders. A compendium of metaphors is going to be created based on the results obtained; this is to promote: 1) public communications about mental health that are more useful and respectful, and 2) better awareness of patients’ narratives among professionals. MULTIDISCIPLINARY RESEARCH TEAM The multidisciplinary team conducting this project shares extensive experience in applied linguistics and in several fields relating to mental health (psychology, social education and medical anthropology). As such, MOMENT is a collaborative project aiming to mobilize knowledge combined from various scientific fields to face one of the great challenges of our society: to improve our understanding of severe mental disorders. FUNDING: Spanish National Research Agency (Agencia Estatal de Investigación, AEI) and the European Regional Development Fund, within the National Programme for Research Aimed at the Challenges of Society. Ref. FFI2017-86969-R (AEI/FEDER, UE). DURATION: 2018 – 2021
Project
Project summary Depression among adolescents and young people is a challenge for mental health care in the majority of Western countries, mainly because of its impact on suicide rates and risk of serious mental disorders in adult life, its association with consumption of psychoactive substances, and its effects on the life cycle (low school and job performance). Adolescents and so-called emergent adults (young people between the ages of 18 and 25) are age groups with a high prevalence and incidence of clinical depression (around 15%) and subclinical depression (around 32%), but the majority avoid using mental health care services. According to the literature, it is estimated that only 18-34% of young people with the corresponding symptomatology seek help from a mental health professional. This research project has three principal aims, each associated with a different phase of the project. In Phase 1, we undertook an analysis of the social determinants of depression and negative mood states among Catalan adolescents and young adults by exploiting the data of the Panel de Famílies i Infància (PFI), a longitudinal sociological study of a representative sample of the Catalan adolescent population consisting of approximately 3000 participants. The second aim, linked to Phase 2, was to understand the reasons for avoidance of mental health care services using a mixed-methods (qualitative/quantitative) approach in a sub-sample of 105 participants in the PFI. Finally, in Phase 3 we produced a guide to best practices and an audiovisual documentary with the participation of selected young people interviewed during Phase 2, mental health professionals, and members of the research team, with the aim of promoting forms of treatment better suited to the psychoemotional problems of adolescents and young adults. Results The most significant results of this research project can be grouped into three categories: 1) social profiles of adolescents and young adults with subclinical distress or a diagnosis of depression; 2) processes of avoidance and help-seeking; and 3) the creation of a guide to best practices and other actions to facilitate adolescents’ and young adults’ use of mental health care services. Details on each category are provided below. 1. Social profiles, use of tobacco and other substances, and emotional distress/depression An analysis of the Panel de Famílies i Infància showed that adolescents and young adults with a diagnosis of depression lacked energy and felt sad, nervous, lonely, unhappy and pressured by their parents. Girls and young women with a diagnosis of depression felt more sad, nervous, unhappy, tired and overburdened than boys and young men with a similar diagnosis. The boys and young men with depression, by contrast, felt more bored, lonely and pressured by their parents than their female counterparts in the survey. The survey participants with subclinical distress fell into two groups, which we labeled “socially disaffiliated” and “overwhelmed”. The first group, with a higher representation of participants from lower-middle and lower class backgrounds, felt sad, lonely and bored. The “overwhelmed” group, with a higher representation of participants from middle and upper-middle class backgrounds, felt more nervous, overburdened and under more pressure from their parents. The prevalence of diagnosed depression and/or anxiety was higher among lower-income families. While the percentage of young men and women with a diagnosis was 14.4% among those whose annual family income was below 21,600 euros, it dropped to 8.6% among those whose annual family income was between 21,600 and 36,000 euros, and further to 6.7% among participants whose annual family income was above 36,000 euros. This association was more pronounced among the female survey participants, among whom the prevalence of diagnosed depression and/or anxiety was 17.9% at the lowest annual family income level. Adolescents and young people from single-parent families had a greater risk of being diagnosed with depression or anxiety. This variable affected both male and female survey participants, but differently. Among the boys and young men, the prevalence of diagnosed depression or anxiety was more than double (10%) in single-parent families than in two-parent families (4.3%). The prevalence among girls and young women was significantly higher, 16% in single-parent families and 10% in two-parent families. Among the survey participants whose parents were separated or divorced, a negative perception of the quality of the father’s or mother’s relationship with his or her former spouse or partner was a risk factor for depression. Other risk factors for depression included having an unemployed parent or parent’s partner, and the mother’s time of arrival home from work (the later the hour, the higher the risk). Negative mood states in the depressive spectrum constituted a risk factor for daily tobacco use in adolescence. Feelings of sadness were a risk factor for daily smoking (OR=1.633), although communication with the father canceled out this effect. Parental pressure was a risk factor for daily smoking in both sexes (girls, OR=2.064; boys, OR=1.784). Intergenerational communication at home reduced the risk of daily tobacco use independently of the adolescent’s mood state. Those who had symptoms of depression or anxiety in adolescence gave self-medication for distress as their main reason for smoking against other possible reasons such as habit, pleasure, experimentation, or peer group influence. Chronic feelings of sadness were associated with excessive alcohol consumption (EAC) or binge drinking among boys and young men in the survey (OR=2.7). Feeling pressured by parents was associated with this type of alcohol use in both sexes (boys, OR= 1.8; girls, OR=2.1). Female survey participants from lower-middle and high-income families were likelier to indulge in binge drinking (OR=1.6 and OR=1.7 respectively) than girls from lower-class or middle-class families. Having parents of immigrant origin (OR=0.4) and a weekend curfew hour set by parents (OR=0.6) were factors negatively associated with excessive alcohol consumption among girls. The impact of socioeconomic and family factors on EAC was greater among the female survey participants than among the males. 2. Avoidance of professional help-seeking and lay strategies of self-care We found that Catalan adolescents and young adults avoid seeking professional help for symtoms of depression for a variety of reasons, the most important of which include treating the problem as a “normal” response to distressing events, denial, a preference for relying on their own resources, shame and stigma linked to use of mental health care services, trust in their social network (family and friends) to resolve their distress, lack of information on available services, problems of access to services, fear of receiving a diagnosis, lack of confidence in the efficacy of existing treatments, and a perception of treatment as excessively protocol-driven and insensitive to individuals’ particular situations and needs. Boys and young men showed a greater tendency to avoid seeking professional help for their problems and a greater preference for self-reliance, independently of whether they had received a diagnosis in the past or had negative mood states in the depressive spectrum. Girls and young women with a diagnosis of depression avoided help-seeking because they did not believe treatment would work, were reluctant to risk the social stigma associated with using mental health services, and considered these services insufficiently sensitive to individual concerns. Girls with negative mood states avoided seeking professional help for fear of getting a diagnosis and because they lacked knowledge of how to access services, and girls without either a diagnosis or subclinical distress tended to see depressive mood states as normal responses to distressing life events and not serious enough to warrant medical or psychiatric attention. Both male and female study participants showed a preference for resolving their problems within their social networks. Lack of psychological and/or emotional support, but not a lack of instrumental support, was associated with both clinical and subclinical depressive distress. Loss of friendships over time was associated with persistent depressive symptoms. We found clear gender preferences for the kind of social support adolescents and young adults expected from their social networks. Girls and young women prioritize awareness of their distress as a problem over emotional self-control. For boys and young men, however, it is just the reverse. They prioritize emotional self-control over problematizing their distress, and this explains why they are more likely than their female counterparts to avoid seeking professional help for symptoms of depression. Finally, depressive distress showed important changes in the transition from adolescence into young adulthood as a result of shifts in conceptions of what social scientists call the “lifeworld.” The passage from adolescence to young adulthood involved moving from a lifeworld perceived as socially centripetal to one understood as socially centrifugal; from a sense of lived time as cyclic to a sense of lived time as linear and progressive; from a concept of self anchored in immediacy to a self open to projection; and as a result, from a conception of emotional distress as unending and unresolvable to the idea that distress is finite and resolvable. These changes, among others, should be taken into account in treating persons in this age group. 3. Creation of a guide to best practices and a documentary video The final part of this project consisted in the application of knowledge derived from our research to the development of a guide to best practices and an audiovisual documentary. The guide to best practices is aimed at providing professionals in the fields of medicine, mental health, and teaching with tools to help them rethink approaches to mental health care for adolescents and young adults, and to break the cycle of avoidance in this age group in regard to use of professional mental health care services. What is distinctive about this guide is that it was produced collaboratively in discussion groups that included young people, health professionals, and members of the research team. It is the first such mental health guide to be published in Catalonia or in the Spanish state, and it is available in three languages: Catalan, Castilian, and Italian. The 27-minute documentary video is intended for health care professionals and teachers as a tool to complement the guide to best practices. Produced collaboratively by selected young people interviewed during the second phase of the project, mental health care professionals, and members of the research team, it is spoken in Catalan and Castilian, with subtitles available in English, Italian, and Portuguese. Relevance and possible implications Because of the nature of this study, the implications of our research are not limited to strictly clinical considerations but extend to health care in general and mental heath care in particular, as well as to health care policy and planning, prevention, and health promotion. We have offered an overview of the connections between social profiles, consumption of tobacco and other substances, and negative mood states and depression in adolescents and young adults. Some of the implications of our findings are as follows: 1. It is important that mental health care initiatives targeting this age group take into account the strong influence of social inequalities and gender differences on the prevalence of both negative mood states and of clinical depression and anxiety, as well as the association between depressive symptoms and consumption of tobacco and other substances. For example, girls with chronic feelings of sadness are more likely to use tobacco on a daily basis, while boys similarly affected tend to excessive alcohol consumption. 2. It is vital that smoking cessation programs targeting this age group take into consideration both the psychological dimensions (negative mood states and depressive symptoms) and the social dimensions (family structure, parent-child communication, gender, family income level, social class, and relationships to peer groups). Our research results show that it is strategically important to strengthen the social capital of families, especially parent-child communication and parental authority (not authoritarianism), since they weaken the association between depressive symtoms and substance use or abuse. 3. Adolescents and young adults with a previous diagnosis of depression or anxiety begin consuming legal or illegal psychoactive substances at a later age, but use them more as a form of self-medication than as a leisure activity, for pleasure, or to achieve peer group acceptance. Medical and mental health interventions should be aware of this fact, and both care practices and smoking, alcohol and drug cessation programs should be designed specifically for this age group. This is the only qualitative study carried out in Catalonia or in the Spanish state on avoidance of professional help-seeking by adolescents and young adults with depressive emotional distress. Most severe and recurrent mental health problems appear before the age of 25, and those in the depressive spectrum are of central importance because of their clinical and social implications. While preventive strategies are helpful, they – like the organization of mental health services – are not always appropriate for the needs of this age group, or sensitive to the gender differences uncovered by our research. For this reason, we designed a guide to best practices for the psychosocial care of adolescents and young adults, availavle in Catalan, Castilian, and Italian. Following is the link to the guide to best practices: http://publicacionsurv.cat/llibres-digitals/antropologia-medica/item/397-orientaciones-para-las-buenas-pr%C3%A1cticas-en-la-atenci%C3%B3n-psicosocial-de-j%C3%B3venes-y-adolescentes This guide is complemented by a documentary video available with English, Italian, and Portuguese subtitles at: http://vimeo.com/82190200 Resulting publications To date, this project has generated 47 outputs including scientific articles, books, book chapters and papers at professional conferences.