School of Health and Human Sciences, Southern Cross University, Lismore, New South Wales, Australia.
Int J Ment Health Nurs. 2013 Apr;22(2):106-15. doi: 10.1111/j.1447-0349.2012.00847.x. Epub 2012 Sep 25.
Science can only offer a limited account of, and prescription for, mental health care. Yet the language of science and faith in the universal applicability of particular scientific methods to the craft of mental health care has come to permeate mental health practice communities. In this paper, the argument that many beliefs held by mental health professionals might be considered to be based on faith rather than science is presented, and the view that culture provides a useful lens for understanding mental health services and these paradoxes is proposed. Clearly there is a grand mental health narrative or colonizing influence of biological psychiatry that in various ways affects all mainstream mental health services. Local health services and professional communities might be considered subcultures. Understanding how mental health professions and practice are embedded in culture might be useful in considering how practice changes and why. Culture and caring practices are mutually embedded in localized subcultures. Therefore, a rich description of context and history is necessary in publication, presentation, or other communications to enable genuine understanding by a global audience. Viewing mental health practice in a cultural context highlights the importance of values and differences, and encourages humility in the face of ambiguity.
科学只能对心理健康护理提供有限的解释和处方。然而，科学语言和对特定科学方法普遍适用于心理健康护理的工艺的信仰，已经渗透到心理健康实践社区中。在本文中，提出了这样一种观点，即许多心理健康专业人员所持有的信仰可能被认为是基于信仰而不是科学的，并提出了这样一种观点，即文化为理解心理健康服务和这些悖论提供了一个有用的视角。显然，有一种宏大的心理健康叙事或生物精神病学的殖民影响，以各种方式影响着所有主流的心理健康服务。当地的卫生服务和专业社区可以被视为亚文化。了解心理健康专业人员和实践是如何嵌入文化中的，对于考虑实践的变化以及为什么会发生变化可能是有用的。文化和关怀实践在本地化的亚文化中相互嵌入。因此，在出版、演示或其他交流中，需要对背景和历史进行丰富的描述，以使全球受众能够真正理解。在文化背景下看待心理健康实践，突出了价值观和差异的重要性，并在面对模糊性时鼓励谦逊。
