Search

In this paper, I develop the integrative concept of "shared experience of sense" as a heuristic model to design interventions in multicultural health encounters in the field of mental health promotion. For this purpose, I use extensive ethnographic material from the Mapuche's territory in Chile, analyzing the interactions between an outpatient community mental health center and deinstitutionalized patients in their home settings. The patients and their families navigate the medical pluralism of their domestic settings and make varying use of each of the different therapeutic options that are available to them, offered by the outpatient community mental health center, Indigenous healers, and Pentecostalism. The concept of "shared experience of sense" characterizes a specific form of meaning‐making that may be beneficial to health in mental illness. This "positive" meaning making is made possible by a person's emotional and physical participation in the social events of therapeutic settings. In this regard, I highlight the bridges that the community mental health center builds to the everyday lives of patients and their families. Because of the support and access to resources provided by such therapeutic settings, persons are able to cope with their illness in everyday life, which can mean different things depending on the context. This is what I mean when I refer to "health promotion" in this article. [ABSTRACT FROM AUTHOR]

Copyright of Revista Austral de Ciencias Sociales is the property of Facultad de Filosofia y Humanidades, Intituto de Ciencias Sociales, Universidad Austral de Chile and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

This paper studies how social capital is divided across classes in Chile, one of the most unequal countries in the world. We analyse the extent to which upper-, middle-, and lower class individuals congregate in social networks with similar others, while following Bourdieu and expecting that in particular the networks of the higher social strata are segregated in terms of social capital. We test our argument with large-scale, representative survey data for the Chilean urban population aged 18–75 years (n  = 2,517) and build an integrated indicator of people's social class that combines measures of education, occupational class, and household income. Our regression analyses show that upper-class individuals have larger networks and access to more varied and prestigious social resources than their middle- and lower class counterparts. Interestingly, however, we found a U-shaped relationship between social class and class homogeneity, indicating that network segregation is high at the top as well as at the bottom of the class-based social strata. In contrast, the classes in the middle have more heterogeneous class networks, possibly forming an important bridge between the "edges" of the class structure. These findings demonstrate that whereas social and economic capital cumulates in higher classes, the lower classes are socially deprived next to their economic disadvantage. [ABSTRACT FROM AUTHOR]