Yen Jeffery, Wilbraham Lindy
Psychology Department, Rhodes University, Grahamstown, South Africa.
Transcult Psychiatry. 2003 Dec;40(4):542-61. doi: 10.1177/1363461503404005.
This discourse analytic study explores constructions of culture and illness in the talk of psychiatrists, psychologists and indigenous healers as they discuss possibilities for collaboration in South African mental health care. Versions of 'culture', and disputes over what constitutes 'disorder', are an important site for the negotiation of power relations between mental health practitioners and indigenous healers. The results of this study are presented in two parts. Part I explores discourses about western psychiatric/psychological professionalism, tensions in diagnosis between cultural relativism and psychiatric universalism, and how assertion of 'cultural differences' may be used to resist psychiatric power. Part II explores how discursive constructions of 'African culture' and 'African madness' work to marginalize indigenous healing in South African mental health care, despite repeated calls for collaboration.
这项话语分析研究探讨了精神科医生、心理学家和本土治疗师在讨论南非精神卫生保健合作可能性时对文化和疾病的建构。“文化”的不同版本以及关于什么构成“障碍”的争议，是精神卫生从业者与本土治疗师之间权力关系谈判的重要场所。本研究结果分为两部分呈现。第一部分探讨了关于西方精神科/心理专业主义的话语、文化相对主义与精神科普遍主义在诊断方面的紧张关系，以及“文化差异”的主张如何被用来抵制精神科权力。第二部分探讨了“非洲文化”和“非洲式疯狂”的话语建构如何在南非精神卫生保健中使本土治疗边缘化，尽管人们多次呼吁开展合作。
