Kohrt Brandon A, Harper Ian
Department of Anthropology, Emory University, Atlanta, GA 30322, USA.
Cult Med Psychiatry. 2008 Dec;32(4):462-91. doi: 10.1007/s11013-008-9110-6.
Anthropologists and psychiatrists traditionally have used the salience of a mind-body dichotomy to distinguish Western from non-Western ethnopsychologies. However, despite claims of mind-body holism in non-Western cultures, mind-body divisions are prominent in non-Western groups. In this article, we discuss three issues: the ethnopsychology of mind-body dichotomies in Nepal, the relationship between mind-body dichotomies and the hierarchy of resort in a medical pluralistic context, and, finally, the role of mind-body dichotomies in public health interventions (biomedical and psychosocial) aimed toward decreasing the stigmatization of mental illness. We assert that, by understanding mind-body relations in non-Western settings, their implications, and ways in which to reconstitute these relations in a less stigmatizing manner, medical anthropologists and mental health workers can contribute to the reduction of stigma in global mental health care.
人类学家和精神病学家传统上一直利用身心二分法的显著性来区分西方与非西方的民族心理学。然而，尽管非西方文化中有身心整体论的说法，但身心划分在非西方群体中也很突出。在本文中，我们讨论三个问题：尼泊尔身心二分法的民族心理学、医学多元背景下身心二分法与求助等级制度之间的关系，以及最后，身心二分法在旨在减少精神疾病污名化的公共卫生干预措施（生物医学和心理社会干预）中的作用。我们断言，通过理解非西方背景下的身心关系、其影响以及以减少污名化的方式重构这些关系的方法，医学人类学家和心理健康工作者可以为减少全球精神卫生保健中的污名化做出贡献。
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