Global mental health expertise favors biomedical explanations of mental disorders that conceive such disorders as stable entities, which can be diagnosed according to universal categories. Following this logic, universal and standardized solutions can also be applied throughout the world, regardless of context. Despite its assumptions and data being contested within the field of psychiatry itself, global mental health expertise has been highly stable. How is such expertise produced? Through what mechanisms are its products, such as reports, studies, or numbers, made and replicated? The article proposes a model of expertise production in global governance that discloses specific mechanisms of circularity and exclusivity in knowledge-making processes, which result in the circular and exclusive character of expertise itself. These include the circulation of profesionals and data across spheres and organizations, as well as the role played by several sites such as boundary expert groups, influential research clusters, and “policy-scientific” journals, which operate as powerful centers of knowledge production at the intersection of the policy, scientific or private spheres. Such sites not only act as loci where people's circulation operates at its best but also as autonomous mechanisms that produce, cement, and perpetuate the circularity and exclusivity of expertise beyond the role of specific individuals.

中文翻译：

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全球治理专业知识生产中的排他性和循环性：“全球心理健康”知识的形成

全球精神卫生专家倾向于对精神障碍进行生物医学解释，将此类疾病视为稳定的实体，可以根据通用类别进行诊断。按照这个逻辑，通用和标准化的解决方案也可以在全球范围内应用，而不管环境如何。尽管其假设和数据在精神病学领域本身存在争议，但全球心理健康专业知识一直非常稳定。这种专业知识是如何产生的？它的产品，例如报告、研究或数字，是通过什么机制制作和复制的？本文提出了一种全球治理中的专业知识生产模型，该模型揭示了知识制造过程中特定的循环性和排他性机制，这导致了专业知识本身的循环和排他性。其中包括跨领域和跨组织的专业人士和数据的流通，以及边界专家组、有影响力的研究集群和“政策科学”期刊等多个站点所发挥的作用，这些站点作为强大的知识生产中心在美国政策、科学或私人领域的交叉点。这些场所不仅充当人们流通处于最佳状态的场所，而且还充当自主机制，产生、巩固和延续专业知识的循环性和排他性，超越特定个人的角色。它们在政策、科学或私人领域的交叉点上作为强大的知识生产中心运作。这些场所不仅充当人们流通处于最佳状态的场所，而且还充当自主机制，产生、巩固和延续专业知识的循环性和排他性，超越特定个人的角色。它们在政策、科学或私人领域的交叉点上作为强大的知识生产中心运作。这些场所不仅充当人们流通处于最佳状态的场所，而且还充当自主机制，产生、巩固和延续专业知识的循环性和排他性，超越特定个人的角色。