Section of Cultural Psychiatry, Institute of Psychiatry, De Crespigny Park, London, UK.
World Psychiatry. 2005 Feb;4(1):18-24.
Migration has contributed to the richness in diversity of cultures, ethnicities and races in developed countries. Individuals who migrate experience multiple stresses that can impact their mental well being, including the loss of cultural norms, religious customs, and social support systems, adjustment to a new culture and changes in identity and concept of self. Indeed, the rates of mental illness are increased in some migrant groups. Mental health practitioners need to be attuned to the unique stresses and cultural aspects that affect immigrants and refugees in order to best address the needs of this increasing and vulnerable population. This paper will review the concepts of migration, cultural bereavement and cultural identity, and explore the interrelationship between these three aspects of the migrant's experience and cultural congruity. The complex interplay of the migration process, cultural bereavement, cultural identity, and cultural congruity, along with biological, psychological and social factors, is hypothesized as playing a major role in the increased rates of mental illness in affected migrant groups.
移民促进了发达国家文化、种族和民族的多样化。移民经历了多种压力,这些压力可能会影响他们的心理健康,包括失去文化规范、宗教习俗和社会支持系统,适应新文化以及身份和自我概念的改变。事实上,一些移民群体的精神疾病发病率有所增加。心理健康从业者需要了解影响移民和难民的独特压力和文化方面,以便更好地满足这个不断增加的弱势群体的需求。本文将回顾移民、文化丧亲和文化认同的概念,并探讨这三个方面与移民经历和文化一致性之间的相互关系。移民过程、文化丧亲、文化认同以及文化一致性的复杂相互作用,以及生物、心理和社会因素,被假设为在受影响的移民群体中精神疾病发病率增加的主要原因。