Kirmayer Laurence J, Ryder Andrew G
McGill University, Canada.
Concordia University, Canada.
Curr Opin Psychol. 2016 Apr;8:143-148. doi: 10.1016/j.copsyc.2015.10.020. Epub 2015 Dec 17.
Recent work on culture and psychopathology is beginning to unpack the cognitive, developmental and interactional processes through which social contexts shape illness onset, experience, course and outcome. New conceptual models, tools, and technologies, along with better data, lend support to an ecosocial view of mental disorders that emphasizes the way that cultural contexts influence developmental processes and exposure to social adversity to increase risk for specific types of psychopathology. This contextual view has implications for research design and clinical practice. Recognizing the importance of culture, DSM-5 now includes a discussion of cultural concepts of mental disorders as well as a Cultural Formulation Interview to help clinicians explore the context of mental health symptoms and disorders.
近期关于文化与精神病理学的研究开始剖析认知、发展和互动过程,社会环境正是通过这些过程来塑造疾病的发作、体验、病程及转归。新的概念模型、工具和技术,连同更完善的数据,为精神障碍的生态社会观提供了支持,该观点强调文化背景影响发展过程以及接触社会逆境会增加特定类型精神病理学风险的方式。这种背景观点对研究设计和临床实践具有启示意义。认识到文化的重要性,《精神疾病诊断与统计手册》第5版(DSM - 5)现在包含了对精神障碍文化概念的讨论以及文化定式访谈,以帮助临床医生探究心理健康症状和障碍的背景。