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Record W2065581012 · doi:10.1080/1364847032000122843

Failures of imagination: The refugee's narrative in psychiatry

2003· article· en· W2065581012 on OpenAlexaff
Laurence J. Kirmayer

Bibliographic record

VenueAnthropology and Medicine · 2003
Typearticle
Languageen
FieldPsychology
TopicMigration, Health and Trauma
Canadian institutionsJewish General Hospital
Fundersnot available
KeywordsRefugeeNarrativeIdentity (music)Value (mathematics)PsychologyMental healthExperiential learningPsychiatrySociologyLawAestheticsPolitical scienceLiterature

Abstract

fetched live from OpenAlex

Refugees coming from war-torn areas sometimes face misunderstanding and frank incredulity when they encounter the psychiatric system. This failure of the clinical imagination reflects both reluctance to confront the enormity of patients' loss and cultural differences in self-presentation, self-understanding, memory and identity. This potential for incredulity is redoubled in the formal hearing before the Immigration and Refugee Board (IRB) where the claim for refugee status is adjudicated. Contemporary psychiatric practice is rooted in taking patients' stories at face value as accounts of their experience or reading through them to identify signs and symptoms of psychopathology. From this perspective any account reveals both the narrator's shifting experiential world and the current functioning of their cognitive machinery. Truth is 'experiential truth' and is relative to the narrator's social position, mental health and emotional state. In contrast, the IRB assesses the narrative of asylum seekers against the notion of a truthful story as fixed and isomorphic to a single historical sequence of events. From the perspective of the IRB members, any deviation from this fixed account is evidence of dissimulation designed to claim the valued status of refugee. The conflicting epistemologies of clinical psychiatry and the refugee hearing throw into relief the functions of social imagination in the construction, interpretation and assessment of the truth-value of narratives of identity and affliction.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.000
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesInsufficient payload (model declined to judge)
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Theoretical or conceptual · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.776
Threshold uncertainty score0.998

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.000
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.001
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.015
GPT teacher head0.386
Teacher spread0.371 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

Study designTheoretical or conceptual
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations123
Published2003
Admission routes1
Has abstractyes

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