García C
Psychiatrische Klinik des Kreiskrankenhauses Bad Hersfeld.
Pflege. 1999 Oct;12(5):273-7. doi: 10.1024/1012-5302.12.5.273.
The majority of the people from foreign countries who search for help in the national health system are living in poverty and come from the rural areas near the mediterranean sea. They are here either as refugees for political reasons or because they are looking for work. Thus they have come to meet accultural processes of different sizes. In a subjective way they react to a failed acculturation by showing off a ruined self-confidence and a false motivation. Their situation towards the national health system is defined by various factors: 1. Original culture influence, 2. Ruined self-confidence and they are therefore prone to health defects, 3. Special form of symptom (pathoplastic), 4. Changed department to institutional things. In comparison with that the cultural situation of the institute's staff shows characteristic symptoms of life in a modern capitalistic society--which appears normal to them. If we compared their situation with the one of the migrants--always keeping the theory of cultural relativism in mind--we have to consider this relation as highly problematic. This lecture wants to critically illustrate the global comparison between the two basic positions of the migrants and the staff working for health institutions and draw conclusions.
在国家卫生系统中寻求帮助的大多数外国人生活贫困，来自地中海附近的农村地区。他们来到这里，要么是出于政治原因的难民，要么是来找工作的。因此，他们面临着不同程度的文化适应过程。从主观上讲，他们因文化适应失败而表现出自信受损和动机虚假。他们与国家卫生系统的关系由多种因素决定：1. 原生文化的影响；2. 自信受损，因此容易出现健康问题；3. 特殊的症状形式（病形塑型）；4. 关注点转向机构事务。相比之下，该机构工作人员的文化状况呈现出现代资本主义社会生活的典型症状——对他们来说这似乎很正常。如果我们将他们的情况与移民的情况进行比较——始终牢记文化相对主义理论——我们不得不认为这种关系极具问题。本次讲座旨在批判性地阐述移民和卫生机构工作人员这两种基本立场之间的全球比较，并得出结论。
