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Walter Chair in Psychiatry at the University of California, Los Angeles","id":[{"id":"https:\/\/ror.org\/046rm7j60","id-type":"ROR","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R34DA063431"],"award-info":[{"award-number":["R34DA063431"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Cult Med Psychiatry"],"published-print":{"date-parts":[[2026,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    This article engages F\u00fchrer and Vorh\u00f6lter\u2019s (2025) reinvigoration of Nancy Scheper\u2013Hughes\u2019s utopian call for liberation medicine in their special issue of\n                    <jats:italic>Culture, Medicine, and Psychiatry<\/jats:italic>\n                    . They offer a practical reconceptualization of liberation medicine as \u201cconcrete utopias\u201d in the \u201cmedical undercommons\u201d. Inspired by Scheper\u2013Hughes\u2019s humble call for \u201cgood-enough\u201d ethnographic engagement in her documentation of a successful solidarity movement of single-mother agricultural laborers in Northeastern Brazil, I highlight ethnographically a (fragile) concrete utopian initiative: a peer-support program for inmates with psychosis spectrum conditions who are swept into the Los Angeles County Jail system\u2019s overcrowded mental health units on a daily basis by routinized law enforcement sweeps of homeless individuals. Developed by former gang members (without mental illness) facing capital punishment charges, this remarkable initiative of solidarity, redemption, and anti-racism through radical caregiving in a claustrophobic carceral environment is carving out a temporarily safe space free from abuse and violence. The larger facility remains gang-controlled and is overwhelmed by what colleagues and I have been calling \u201cpredatory accumulation\u201d and \u201cnecrogovernance\u201d processes (Hart et al., 2024, 2025). The inmates are powerless, caught within the \u201ccarceral mesh\u201d of U.S. political-economic corporate and opportunistic special interests. Furthermore, the discretionary power of \u201chyperpunitive\u201d U.S. judges allows them to routinely impose Life Without Parole (LWOP) sentences on redeemed inmates incarcerated as adolescents. Inspired by Scheper\u2013Hughes\u2019s practical political optimism coupled with her love for ethnography and political activism, I end with eight practical suggestions for specific state bureaucratic reforms to foment public transparency about the useless cruelty of mass incarceration and the global rise of authoritarianisms in our perilous moment in global history.\n                  <\/jats:p>","DOI":"10.1007\/s11013-026-10004-5","type":"journal-article","created":{"date-parts":[[2026,9,26]],"date-time":"2026-09-26T07:08:31Z","timestamp":1790406511000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Liberation Medicine in Authoritarian Contexts: The Brutality of U.S. Mass Incarceration"],"prefix":"10.1007","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1600-233X","authenticated-orcid":false,"given":"Philippe","family":"Bourgois","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,26]]},"reference":[{"key":"10004_CR1","unstructured":"ACT UP Oral History Project. 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