Hunter E
New South Wales Institute of Psychiatry.
Aust N Z J Psychiatry. 1990 Jun;24(2):191-8. doi: 10.3109/00048679009077682.
The last two decades have seen rapid changes in many facets of Aboriginal society, including morbidity and mortality. The same period has witnessed a dramatic increase in writing about and by Aborigines and this has necessitated a re-examination of the national "history" to include the indigenous people of Australia. Medical workers in Aboriginal Australia should be alert to the historical forces determining patterns of ill-health. Psychiatry in particular must develop this perspective if it is to participate with Aborigines in addressing emergent patterns of behavioural distress including suicide, parasuicide, ludic behaviour and self-mutilation. This paper demonstrates the importance of the socio-historical frame in the examination of these behaviours from one discrete region in isolated Aboriginal Australia: the Kimberley.
在过去二十年里,澳大利亚原住民社会的诸多方面都发生了迅速变化,包括发病率和死亡率。同一时期,关于原住民以及由原住民撰写的作品急剧增加,这就需要重新审视国家“历史”,将澳大利亚原住民纳入其中。澳大利亚原住民地区的医务工作者应警惕那些决定健康不佳模式的历史力量。尤其是精神病学,如果要与原住民共同应对包括自杀、准自杀、嬉戏行为和自残在内的新出现的行为困扰模式,就必须形成这种视角。本文从澳大利亚偏远原住民地区的一个离散区域——金伯利地区,展示了社会历史框架在研究这些行为中的重要性。