Taggart L, McMillan R, Lawson A
School of Nursing, University of Ulster, Northern Ireland.
J Intellect Disabil. 2008 Sep;12(3):191-211. doi: 10.1177/1744629508095323.
This article examines the literature on women with and without intellectual disability and psychiatric disorders, using a gender social model of health. Relevant empirical studies, international literature reviews and policies between 1980 and 2007 were identified from electronic databases, journals and secondary sources. Three areas were examined: psychiatric disorders, their contextual background, and their clinical presentation. There are minimal levels of research into women with intellectual disability and psychiatric disorders. However, this article hypothesizes that women with intellectual disability have higher rates of psychiatric disorders than women without. This may result from greater vulnerability related both to internal factors (;intra': cognitive deficits, poorer communication skills, limited social skills) and to the external world (;inter': lack of opportunities, stigma, poor social support networks). The article argues that such women require gender-sensitive mental health services. However, more empirical evidence is required to support this claim and to inform development and delivery of services.
本文运用健康的社会性别模式,研究了关于有和没有智力残疾及精神障碍的女性的文献。通过电子数据库、期刊及二手资料,确定了1980年至2007年间的相关实证研究、国际文献综述及政策。研究了三个领域:精神障碍、其背景情况及临床表现。针对有智力残疾和精神障碍的女性的研究极少。然而,本文假设,有智力残疾的女性患精神障碍的比例高于无智力残疾的女性。这可能是由于与内部因素(“内”:认知缺陷、沟通能力较差、社交技能有限)和外部世界(“外”:机会缺乏、污名、社会支持网络不佳)相关的更大脆弱性所致。本文认为,这类女性需要对性别敏感的心理健康服务。然而,需要更多实证证据来支持这一观点,并为服务的开发和提供提供信息。