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Transcultural Psychiatry
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Authority, Dialogue and Polyphony in Psychiatric Consultations: A Latvian Case Study

Vieda Skultans

University of Bristolv.skultans{at}bristol.ac.uk

This article explores the impact of economic liberalization on psychiatric theory and practice in Latvia. Through a close reading of four psychiatric consultations it examines the way in which contradictions between a market economy, its attendant philosophy of unlimited individual opportunity and the implementation of these ideas in the lives of individuals are negotiated by psychiatrists and their patients. It examines the uses of psychological and somatic vocabularies and questions their claimed connections to an enlarged sense of agency or its denial.

Key Words: agency • dialogue • narrative • psychiatric consultations

Transcultural Psychiatry, Vol. 41, No. 3, 337-359 (2004)
DOI: 10.1177/1363461504045644
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This article has been cited by other articles:


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V. Skultans
The Appropriation of Suffering: Psychiatric Practice in the Post-Soviet Clinic
Theory Culture Society, May 1, 2007; 24(3): 27 - 48.
[Abstract] [PDF]