Knobler H Y, Katz S, Poliakova I, Durst R
Jerusalem Mental Health Center, Kfar Shaul Hospital, Jerusalem.
Harefuah. 1998 Feb 15;134(4):249-52, 336.
The importance of understanding the local culture and enhancing cultural sensitivity became evident during supervision of immigrant psychiatrists from the former Soviet Union. The aim of the present study was to describe enhancement of this cultural sensitivity in the supervision of 2 immigrant psychiatrists. In the first, understanding the patient's cultural world helped the immigrant psychiatrist form the therapeutic alliance. In the second, the immigrant psychiatrist's understanding of the patient's cultural background led him to change both diagnosis and treatment. In both cases, development of cultural sensitivity through supervision enabled successful treatment. Enhancement of cultural sensitivity may accelerate absorption of the immigrant psychiatrists themselves. Discussing cultural issues during work may accelerate the absorption of all immigrant physicians.
在前苏联移民精神科医生的督导过程中,理解当地文化并增强文化敏感性的重要性变得显而易见。本研究的目的是描述在对两位移民精神科医生的督导中这种文化敏感性的增强情况。在第一个案例中,理解患者的文化世界有助于移民精神科医生形成治疗联盟。在第二个案例中,移民精神科医生对患者文化背景的理解促使他改变了诊断和治疗方法。在这两个案例中,通过督导培养文化敏感性促成了成功的治疗。文化敏感性的增强可能会加速移民精神科医生自身的融入。工作中讨论文化问题可能会加速所有移民医生的融入。