Li Huijun, Friedman-Yakoobian Michelle, Min Grace, Granato Andréa Gnong, Seidman Larry J
Department of Psychology, College of Arts and Sciences, Florida A & M University, Tallahassee, FL 32307, USA.
J Nerv Ment Dis. 2013 Jun;201(6):484-9. doi: 10.1097/NMD.0b013e3182948084.
The idea of a clinical high risk (CHR) for psychosis has focused attention on early intervention to prevent or attenuate psychosis. However, many clinicians may still not be very familiar with the concept of CHR. Current studies have not allowed for an in-depth examination of the challenges and the strategies of working with youth from the range of racial/ethnic minority families, Asian American families in particular. The purpose of this article was three-fold. First, we critically review Asian cultural values and beliefs about mental illness, psychosis in particular, while highlighting specific challenges that Asian American families encounter. Second, we provide a clinical case to illustrate these challenges and inform clinical practice when working with Asian youth at risk for psychosis and their families. Third, practical and easy-to-follow clinical strategies are provided. Implications for clinical practice and directions for future research are presented.
精神病临床高危（CHR）的概念已将注意力集中在早期干预上，以预防或减轻精神病症状。然而，许多临床医生可能仍对CHR的概念不太熟悉。目前的研究尚未深入探讨与来自不同种族/族裔少数群体家庭，尤其是亚裔美国家庭的青少年合作时所面临的挑战和策略。本文的目的有三个方面。首先，我们批判性地审视亚洲文化中关于精神疾病，尤其是精神病的价值观和信念，同时强调亚裔美国家庭所面临的具体挑战。其次，我们提供一个临床案例来说明这些挑战，并为与有精神病风险的亚裔青少年及其家庭合作时的临床实践提供参考。第三，提供切实可行且易于遵循的临床策略。文中还阐述了对临床实践的启示以及未来研究的方向。
