Enhancing the Ethical Turn in Prevention and Healthcare Services for Mental Healthcare and HIV-Positive Patients

HIV prevention and healthcare is quite different from mental healthcare because HIV is heavily distributed to the poor Global Southern hemisphere communities whereas mental healthcare issues are significantly more evenly distributed, geographically, culturally and socially. In that sense, what they have in common is not so much social conditioning as communicative patterns. This paper, explores six factors which can enhance prevention and healthcare services for mental healthcare and HIV-positive patients across the Globe, namely, intercultural communication, reciprocal adaptation, hybrid cultures, local traditions of co-existence, future moral concerns, and emotive-cognitive shifters such as re-contextualization, art and states of awe. Intercultural communication skills provide openness for otherness, which enhances ability for adaptive and creative solutions. Reciprocal adaptation is a communicative mechanism, which assures natural alignment of cognitive structures and behaviors (Martinovski 2010). Promotion of hybrid cultures (Dona 2010) such as those in Rwanda enhance communicative flexibility and skills in conflict resolution. Adoption of local traditions of relation to cultural tolerance and otherness are useful resource for better healthcare services. Moral concerns have more effect when projected in the future than when imposed on the present (Agerström 2009) thus development of such promotes better both future and present care. Finally, re-contextualization in conversation, artistic and other states of awe function as emotive-cognitive shifters of attention, which promote integration and openness towards larger contexts, new views and solutions. If applied, these six factors enhance the ethical turn in healthcare services and their acceptance independent of social and cultural differences by balancing the negative effects of the global patriarchal order, dehumanization procedures and implantations of a third party (Martinovski and Linn 2014).