Cultura

Psychoanalysis Across Cultures: A Personal Journey of a Saudi Arabian Analysand through Egypt, Canada, and the United States

VOLUME 22, 2025

The Role of Targeted Infra-popliteal Endovascular Angioplasty to Treat Diabetic Foot Ulcers Using the Angiosome Model: A Systematic Review

VOLUME 6, 2023

Sultan Mousa S. Al-Owidha, Ph.D
Professor Emeritus and Consultant of Counseling Psychology, King Saud University, Riyadh, Saudi Arabia

Abstract

This autoethnographic study explores the shaping and interaction of selfhood with psychoanalytic practices across the cultural landscapes of Saudi Arabia, Egypt, Canada, and the United States through the 40-year journey of a Saudi Arabian analysand. The study aims to investigate the impact of cultural beliefs, particularly those influenced by Quranic interpretations and Sufism, on the understanding of psychoanalytic concepts and the formation of selfhood. Utilizing thematic analysis of personal notes and recollections, the study reveals the profound influence of cultural and religious systems on the analysand's sense of self and highlights the challenges and insights that emerge from engaging with Western psychoanalytic institutes as a non-Western analysand. The findings emphasize the need for culturally attuned psychoanalytic models that draw upon indigenous traditions and philosophical frameworks to better serve Arab-Islamic patients. Some important suggestions are to include cultural competency modules in psychoanalytic training programs, find a balance between Western theories and local spiritual traditions, deal with the analyst's unconscious cultural biases, create theoretical models that are based on evidence and can be used in real life, and require psychoanalytic institutes to do cultural sensitivity assessments. This study underscores the importance of cultural competence in psychoanalytic practice and contributes to the understanding of psychoanalysis across cultures.

Keywords : Psychoanalysis, Selfhood, Autoethnography, Arab-Islamic, Cultural Competence, Cross-Cultural Psychoanalysis, Saudi Arabian Analysand.
Erin Saricilar
Lecture in accounting. University of Basrah, College of Administration and Economics, Department of Accounting.

Abstract

Atherosclerotic disease significantly impacts patients with type 2 diabetes, who often present with recalcitrant peripheral ulcers. The angiosome model of the foot presents an opportunity to perform direct angiosome-targeted endovascular interventions to maximise both wound healing and limb salvage. A systematic review was performed, with 17 studies included in the final review. Below-the-knee endovascular interventions present significant technical challenges, with technical success depending on the length of lesion being treated and the number of angiosomes that require treatment. Wound healing was significantly improved with direct angiosome-targeted angioplasty, as was limb salvage, with a significant increase in survival without major amputation. Indirect angioplasty, where the intervention is applied to collateral vessels to the angiosomes, yielded similar results to direct angiosome-targeted angioplasty. Applying the angiosome model of the foot in direct angiosome-targeted angioplasty improves outcomes for patients with recalcitrant diabetic foot ulcers in terms of primary wound healing, mean time for complete wound healing and major amputation-free survival.
Keywords : Diabetic foot ulcer, angiosome, angioplasty