Desai Geetha, Chaturvedi Santosh K
Department of Psychiatry, NIMHANS, Bengaluru, Karnataka, India.
J Neurosci Rural Pract. 2017 Aug;8(Suppl 1):S94-S97. doi: 10.4103/jnrp.jnrp_235_17.
The presentations of psychosocial distress and cultural conflicts are often bodily symptoms, especially in traditional societies and village backgrounds. These might not meet the criteria of the current psychiatric diagnostic systems. Sociocultural milieu contributes to the unique presentations of the stress in the form of idioms of distress. The latter are alternative modes of expressing distress and indicate manifestations of distress in relation to personal and cultural meaning. Health professionals often consider these as hysterical, functional or having functional overlays, and abnormal illness behaviors. Management of idioms of distress would need cultural competence and sensitivity. This article highlights the common idioms of distress in India with specific focus on bodily symptoms.
社会心理困扰和文化冲突的表现形式往往是身体症状，尤其是在传统社会和乡村背景中。这些症状可能不符合当前精神科诊断系统的标准。社会文化环境以痛苦表达方式的形式促成了压力的独特表现。后者是表达痛苦的替代方式，表明与个人和文化意义相关的痛苦表现。卫生专业人员通常将这些视为癔症性、功能性或具有功能性叠加以及异常疾病行为。对痛苦表达方式的管理需要文化能力和敏感性。本文重点介绍了印度常见的痛苦表达方式，特别关注身体症状。
