Moghimi Yavar
George Washington University Medical Center, Department ofPsychiatry and Behavioral Sciences, Washington, DC 20037, USA.
J Psychiatr Pract. 2012 Jan;18(1):29-37. doi: 10.1097/01.pra.0000410985.53970.3b.
Posttraumatic stress disorder (PTSD) is a construct that has moved far beyond its origins in Veterans Administration hospitals after the Vietnam War. It is now commonly used in post-conflict societies by humanitarian agencies and researchers. This article looks at the ever-growing expansion of PTSD and reviews medical anthropologists' critiques of this cross-cultural dissemination of Western psychiatric knowledge. The article also reviews post-conflict ethnographies and their results, which often highlight a mismatch between local priorities and the psycho-social services being provided by outside agencies. Finally, the author highlights interventions that are currently being undertaken by humanitarian agencies in an attempt to bridge psychiatric expertise and local forms of healing. Although PTSD is a useful construct for conceptualizing the experience of those who have suffered traumatic events, it does not lend itself to universal cross-cultural application and should be cautiously applied in post-conflict societies.
创伤后应激障碍(PTSD)这一概念已远超出其在越战之后于退伍军人管理局医院起源时的范畴。如今,它在冲突后社会中被人道主义机构和研究人员广泛使用。本文探讨了PTSD不断扩大的影响范围,并审视了医学人类学家对西方精神病学知识这种跨文化传播的批评。文章还回顾了冲突后民族志及其研究结果,这些结果常常凸显出当地优先事项与外部机构所提供的心理社会服务之间的不匹配。最后,作者强调了人道主义机构目前为弥合精神病学专业知识与当地治疗方式之间的差距而正在开展的干预措施。尽管PTSD对于概念化经历过创伤事件者的体验是一个有用的概念,但它并不适用于普遍的跨文化应用,在冲突后社会中应用时应谨慎。