Lowe Edward D
Center for Culture and Health, University of California, Los Angeles, 90095-1759, USA.
Cult Med Psychiatry. 2003 Jun;27(2):187-219. doi: 10.1023/a:1024274024956.
Comparative studies of the health, well-being, and social functioning of adolescents and youths have, in the past two decades, been focused on young people in developing countries where rapid social, cultural, and economic changes have been associated with dramatic increases in the rates of social problems indicative of poorer mental health. Young people in many Pacific Island societies suffer from some of the highest rates of social problems like suicide and substance abuse in the world. It is generally agreed that the increases in rates of social problems among youths in this region result from increases in psychosocial stress, anger, and frustration surrounding intergenerational conflict within the family. Much less is known about the aspects of everyday experiences of young people in the Pacific that can lead to psychosocial stress and the angry episodes of interpersonal conflict that often precede suicide attempts and binge drinking. This paper examines 40 cases of interpersonal conflict in young men's and women's experiences in the islands of Chuuk of the Federated States of Micronesia to better understand what can lead to elevated levels of psychosocial stress for youths in the Pacific. This study shows that the emotional crises of young people in Chuuk often emerge from the incongruence in their pursuit of valued personal and social identities within the family, the community, and the peer group. Thus youths who experience more incongruity in their engagements across the multiple activity settings of everyday life are at greater risk for stressful experiences.
在过去二十年中,对青少年健康、幸福和社会功能的比较研究主要集中在发展中国家的年轻人身上,这些国家社会、文化和经济的快速变化与表明心理健康状况较差的社会问题发生率急剧上升有关。许多太平洋岛屿社会的年轻人面临着世界上一些最高的社会问题发生率,如自杀和药物滥用。人们普遍认为,该地区青少年社会问题发生率的上升是由于围绕家庭内部代际冲突的心理社会压力、愤怒和挫折感增加所致。对于太平洋地区年轻人日常经历中可能导致心理社会压力以及自杀未遂和酗酒之前经常出现的人际冲突愤怒事件的方面,人们了解得要少得多。本文研究了密克罗尼西亚联邦楚克群岛年轻人经历中的40起人际冲突案例,以更好地了解哪些因素会导致太平洋地区青少年心理社会压力水平升高。这项研究表明,楚克群岛年轻人的情感危机往往源于他们在家庭、社区和同龄人群体中追求有价值的个人和社会身份时的不一致。因此,在日常生活的多种活动环境中经历更多不一致的年轻人面临压力体验的风险更大。