Swartz L
Department of Psychology, University of Cape Town, Rondebosch, South Africa.
Soc Sci Med. 1992 Nov;35(9):1115-22. doi: 10.1016/0277-9536(92)90223-d.
Psychiatry, like other institutions in South Africa, is affected by issues of race. An examination of ward-rounds in a South African psychiatric emergency department, however, revealed that as important to an understanding of this unit is the recognition of the place of psychiatry in biomedicine. A key feature affecting staff in the unit was the fact of psychiatry's marginality relative to general medicine. Race was seldom and obliquely discussed, but played an important contributory role. Work towards the transformation of psychiatric care in a democratic South Africa must consider the institutional level as well as the more obvious question of racial inequality.
与南非的其他机构一样，精神病学也受到种族问题的影响。然而，对南非一家精神病急诊科的查房情况进行调查后发现，要理解这个科室，认识到精神病学在生物医学中的地位同样重要。影响该科室工作人员的一个关键因素是，相对于普通医学而言，精神病学处于边缘地位。种族问题很少被直接讨论，但却起到了重要的促成作用。在民主的南非，推动精神科护理转型的工作必须考虑到机构层面以及更为明显的种族不平等问题。
