Kortmann F
Transculturele Psychiatrie aan de Radboud Universiteit Nijmegen.
Tijdschr Psychiatr. 2011;53(6):355-64.
Patients of non-Western origin quite often fail to complete their course of treatment. The reasons are generally unclear. aim To suggest ways of tackling the problems in transcultural psychiatric practice.
A theoretical model is presented, derived from clinical practice. The model provides insight into essentials of transcultural psychiatry. The model is based on the following: two interpretations of the concept of culture, an elaboration of the university-relativity dichotomy and a subdivision of the clinician’s work into three sections. These sections are: building a trusting relationship, making a diagnosis and carrying out treatment suited to the patient’s needs.
The psychiatrist’s attitude to his patient varies according to the phase of treatment, sometimes it is more relativistic, at other times it is more universalistic.
The compliance of non-Western patients will probably increase when the clinician adopts a more relativistic approach during the phase of building a relationship with the patient and probably also during some parts of the treatment phase so that he can come closer to meeting the patient’s expectations.
非西方裔患者常常无法完成其治疗疗程。原因通常不明。目的：提出应对跨文化精神病学实践中问题的方法。
提出一个源自临床实践的理论模型。该模型有助于深入了解跨文化精神病学的要点。该模型基于以下内容：对文化概念的两种解读、对普遍主义与相对主义二分法的阐述以及将临床医生的工作细分为三个部分。这三个部分是：建立信任关系、做出诊断以及实施适合患者需求的治疗。
精神科医生对患者的态度会根据治疗阶段而有所不同，有时更倾向于相对主义，有时更倾向于普遍主义。
当临床医生在与患者建立关系的阶段以及可能在治疗阶段的某些部分采用更相对主义的方法时，非西方患者的依从性可能会提高，这样他就能更接近满足患者的期望。
