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文化背景下的抑郁:“中国式躯体化”再探。

Depression in cultural context: "Chinese somatization," revisited.

机构信息

Department of Psychology, Concordia University (PY153-2), 7141 Sherbrooke Street West, Montreal, QC H4V 2E7, Canada.

出版信息

Psychiatr Clin North Am. 2012 Mar;35(1):15-36. doi: 10.1016/j.psc.2011.11.006. Epub 2011 Dec 15.

Abstract

We have presented a view of culture and mental health that builds on work in cultural psychiatry, anthropology, and cultural psychology, and applied it to research on culture and depression. In particular, we have returned to the well-known topic of Chinese somatization. A culture–mind–brain approach to these questions helps us think about them in a way that points toward new research. We have applied this approach to thinking about a single set of questions, relevant to a single (DSM-based) diagnosis, in a single cultural group. The potential, however, is to rethink how we conceptualize mental health in ways consistent with cultural psychiatry’s general perspective over the past several decades, while incorporating rather than rejecting the many recent advances in brain and behavior sciences. In so doing, we gain a more expanded and nuanced view of the global landscape of mental health, accompanied by a more expanded and nuanced view of individual patients.

摘要

我们提出了一种文化与心理健康的观点,该观点建立在文化精神病学、人类学和文化心理学的工作基础上,并将其应用于文化与抑郁的研究。特别是,我们重新审视了著名的中国躯体化问题。从文化-思维-大脑的角度来思考这些问题,有助于我们以一种指向新研究的方式来思考它们。我们已经将这种方法应用于思考与单一(基于 DSM 的)诊断相关的单一组问题,适用于单一文化群体。然而,潜力在于重新思考我们如何以与过去几十年文化精神病学的总体观点一致的方式来概念化心理健康,同时纳入而不是拒绝大脑和行为科学的许多最新进展。通过这样做,我们对全球心理健康的全貌有了更广泛和细致的了解,并对个体患者有了更广泛和细致的了解。

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