Knight W D, Fox N C, Rossor M N, Warren J D
Dementia Research Centre, Institute of Neurology, 8-11 Queen Square, London WC1N 3BG, UK.
Postgrad Med J. 2008 Feb;84(988):103-5. doi: 10.1136/pgmj.2007.063727.
Visual hallucinations (VH) are a cardinal neuropsychiatric symptom and often have important diagnostic implications. The interpretation of VH is influenced by the patient's social and cultural milieu, but the impact of socio-cultural factors on the interpretation, presentation and detection of VH has been little studied. When patients exhibit VH and other neuropsychiatric phenomena, appropriate sensitivity to the role of cultural factors is an important determinant of the success of the medical consultation. We discuss this issue using three illustrative cases.
视幻觉(VH)是一种主要的神经精神症状,通常具有重要的诊断意义。视幻觉的解读受患者社会和文化环境的影响,但社会文化因素对视幻觉的解读、表现及检测的影响鲜有研究。当患者出现视幻觉及其他神经精神现象时,对文化因素作用的适当敏感度是医疗咨询成功的重要决定因素。我们通过三个实例来讨论这个问题。