Eisenbruch M
University of Melbourne, Australia.
Psychiatr Clin North Am. 1990 Dec;13(4):715-35.
The large number of refugees in the world must cope with the loss of family and homeland. This paper proposes a new concept of cultural bereavement and presents a framework for its identification in the clinical interview with refugees. The cultural bereavement interview explores reactions to personal losses and to losses of both the social systems and the cultural meanings. Eleven areas are systematically explored, the first nine are indicators of bereavement and the tenth and eleventh are "antidotes" to cultural bereavement. The cultural bereavement interview can provide a clinical framework for exploring the patient's personal and cultural bereavement, clarify the "structure" of the patient's reactions to loss, complement the currently used psychiatric diagnostic categories, acknowledge the cultural system of meaning held by the patient, and provide information to be used in planning social supports or interventions.
世界上大量的难民必须应对家庭离散和背井离乡之苦。本文提出了文化丧亲之痛这一新概念，并给出了一个在对难民进行临床访谈时识别文化丧亲之痛的框架。文化丧亲之痛访谈探讨对个人损失以及社会系统和文化意义丧失的反应。系统地探究了11个方面，前9个是丧亲之痛的指标，第10个和第11个是文化丧亲之痛的“解药”。文化丧亲之痛访谈可为探究患者的个人和文化丧亲之痛提供临床框架，阐明患者对损失的反应“结构”，补充当前使用的精神科诊断类别，认可患者所持有的文化意义系统，并提供用于规划社会支持或干预措施的信息。
