Higginbotham N, Connor L
Center for Clinical Epidemiology and Biostatistics, University of Newcastle, NSW, Australia.
Int J Health Serv. 1989;19(1):63-78. doi: 10.2190/J3A3-BX0E-LJ26-5ABT.
This article provides a critical examination of the professional ideology associated with the expansion of psychiatric treatment in the ASEAN countries of Southeast Asia. Four components of professional ideology are identified: appeal to "modernization"; medicalization of social problems; integration of psychiatry with primary health care; and panhuman uniformity of mental illness. However, the adoption of psychiatric technology has been a significant factor in the erosion of indigenous systems of social and psychological support since the colonial period. Contemporary psychiatric practices are also shown to exacerbate social inequalities, enhance state control of the populace, and continue to operate without adequate validation of diagnoses and treatments.
本文对东南亚东盟国家精神治疗扩张相关的专业意识形态进行了批判性审视。确定了专业意识形态的四个组成部分:对“现代化”的诉求;社会问题的医学化;精神病学与初级卫生保健的整合;以及精神疾病的全人类一致性。然而,自殖民时期以来,精神科技术的采用一直是本土社会和心理支持系统受到侵蚀的一个重要因素。当代精神科实践还被证明加剧了社会不平等,加强了国家对民众的控制,并且在诊断和治疗缺乏充分验证的情况下继续运作。