Ellis Horace A
Jackson Memorial Hospital, Miami Florida.
Arch Psychiatr Nurs. 2015 Apr;29(2):83-9. doi: 10.1016/j.apnu.2014.11.002. Epub 2014 Nov 20.
In order to provide culturally authentic healthcare, psychiatric-mental health nurses and other professionals must familiarize themselves with the culture-specific syndromes, idioms of distress, beliefs and practices that may present among the diverse patient groups with whom they work. Psychiatric conditions relating to the Jamaican belief in "Obeah" are specific, culturally-interpreted phenomena that psychiatric nurses may encounter among Jamaican patients. This paper describes the phenomenon of Obeah and its influences on the worldview of life, health, illness; psychiatric conditions in the form of culture-bound syndromes; and help-seeking behaviors throughout Jamaican cultural communities. Inability to understand the obeah-illness concept from a culturally-interpreted perspective may be constrictive and result in less-than-optimal care. Armed with the knowledge of the concept of Obeah from a core belief perspective, how it influences psychiatric presentations, and embracing its significance to the Jamaican health belief model will assist in building a workable, caring, best-practice framework aimed toward a clinical and practice paradigm for this unique folk-health belief system.
为了提供符合文化背景的医疗保健服务，精神心理科护士和其他专业人员必须熟悉他们所服务的不同患者群体中可能出现的特定文化综合征、痛苦表达方式、信仰和习俗。与牙买加人对“奥贝巫术”的信仰相关的精神疾病是精神科护士在牙买加患者中可能遇到的特定的、具有文化解释的现象。本文描述了奥贝巫术现象及其对生命、健康、疾病世界观的影响；以文化束缚综合征形式出现的精神疾病；以及牙买加文化社区中的求助行为。无法从文化解释的角度理解奥贝巫术与疾病的概念可能会受到限制，并导致护理效果欠佳。从核心信仰的角度了解奥贝巫术的概念，了解其如何影响精神疾病表现，并认识到其对牙买加健康信仰模式的重要性，将有助于构建一个可行的、关怀性的、最佳实践框架，以建立针对这种独特民间健康信仰体系的临床和实践范式。
