Blom J D, Poulina I T, van Gellecum T L
Parnassia Groep teDen Haag, Rijksuniversiteit Groningen.
Tijdschr Psychiatr. 2013;55(8):609-18.
Patients from Aruba, Bonaire and Curacao are often inclined to attribute mental problems to brua, the Dutch-Antillean counterpart of voodoo. Because little is known about brua and patients are usually reluctant to talk about it, problems can arise in the communication with biomedically trained health practitioners.
To provide an overview of the literature on brua, and of the ways in which brua may interfere with the diagnosis and treatment of Dutch-Antillean patients with mental health problems.
We searched the literature via PubMed and Embase (up to October 2012) and the historical literature (from 1880 onwards) written in Dutch, English, French, Spanish, and Papiamento.
Brua has its origins in folk medicine and magico-religious rituals, which are regarded both as the cause of and a cure for mental illness. Although Antillean patients generally turn to medically trained professionals when they are confronted with medical problems, they often rely on brua medicine when they face either simpler problems, or problems for which Western medicine cannot provide a solution.
On the basis of the literature, the area of tension between the Western approach to medicine and the brua approach seems to be insignificant, except perhaps in cases where hallucinogens or other psycho-active substances complicate the clinical picture and in cases where the patient’s fear for sorcery dominates clinical symptomatology.
来自阿鲁巴、博内尔和库拉索的患者常常倾向于将心理问题归因于brua，它是伏都教在荷属安的列斯群岛的对应物。由于对brua了解甚少，且患者通常不愿谈论它，因此在与接受过生物医学培训的医疗从业者沟通时可能会出现问题。
概述关于brua的文献，以及brua可能干扰荷属安的列斯群岛有心理健康问题患者的诊断和治疗的方式。
我们通过PubMed和Embase（截至2012年10月）以及用荷兰语、英语、法语、西班牙语和帕皮阿门托语撰写的历史文献（从1880年起）搜索文献。
Brua起源于民间医学和魔法宗教仪式，它们既被视为精神疾病的病因，也被视为一种治疗方法。尽管安的列斯群岛的患者在遇到医疗问题时通常会求助于受过医学培训的专业人员，但当他们面对较简单的问题或西医无法解决的问题时，他们往往会依赖brua疗法。
根据文献，西医方法和brua方法之间的紧张领域似乎并不显著，除非在幻觉剂或其他精神活性物质使临床情况复杂化的情况下，以及患者对巫术的恐惧主导临床症状的情况下。
