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A Review of Ethnopsychiatric Studies of Depression

机译:抑郁症民族精神研究综述

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摘要

One of the common goals in medical anthropology is to elucidate the significance of culture in determining health and thus clarify the complex biopsychosocial model to provide better, more appropriate care (I). Prominent among environmental influences is the society in which a person develops: and it is his position in this constellation of people, with their shared ethos and world view, which molds experience, cognition, and affect (2). Cultural meanings, norms, and power arrangements shape illness to a great degree by defining the sick role and consequent illness behaviors. Medical anthropology, as a discipline, has among its concerns the cultural content of health and illness behaviors: it includes studies of how social experiences define sickness and shape ideas of disease recognition and therapy (3) . Both physician and patient offer, either unconsciously or consciously, explanatory models of disease and expectations of the health care system which form a continuum ranging from full agreement to mutual disregard (4). These observations spring from a cursory glance at even a single society and accumulate greater power when comparative cultural studies are involved, as is the case in cross-cultural psychiatry.
机译:医学人类学的共同目标之一是阐明文化在确定健康方面的重要性,从而阐明复杂的生物心理社会模型以提供更好,更合适的护理(I)。在环境影响中突出的是一个人的成长所在的社会:正是他在这个具有共同的精神和世界观的人的星座中的地位,塑造了经验,认知和情感(2)。文化含义,规范和权力安排通过定义病人的角色和随之而来的疾病行为,在很大程度上塑造了疾病。医学人类学作为一门学科,其关注的是健康和疾病行为的文化内容:它包括对社会经验如何定义疾病以及塑造疾病识别和治疗观念的研究(3)。医师和患者都无意识地或有意识地提供了疾病的解释模型和对医疗保健系统的期望,这些模型形成了从完全同意到相互漠视的连续性(4)。这些观察甚至来自对单个社会的粗略浏览,并且在涉及比较文化研究时(如跨文化精神病学),其积累了更大的力量。

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