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加纳传统和信仰治疗师对智力残疾的解释模型。

Ghanaian traditional and faith healers' explanatory models of intellectual disability.

作者信息

Kpobi Lily, Swartz Leslie

机构信息

Department of Psychology, Stellenbosch University, Stellenbosch, South Africa.

出版信息

J Appl Res Intellect Disabil. 2019 Jan;32(1):43-50. doi: 10.1111/jar.12500. Epub 2018 Jul 11.

Abstract

BACKGROUND

The use of traditional/alternative medicine for health care in Africa has been examined for various conditions. However, there is limited research about traditional/alternative health care for intellectual disability. The present authors explored the explanatory models (EMs) of intellectual disability held by traditional/faith healers in Ghana.

METHODS

Using a case vignette, the present authors conducted semi-structured interviews with 36 traditional/faith healers in Accra, Ghana. Using the EMs of illness framework as a guide, participants were asked questions to examine their beliefs about the nature, causes, course and recommended treatment of intellectual disability.

RESULTS

The healers' causal explanations included maternal negligence during pregnancy and spiritual factors. They also believed that intellectual disability was a congenital, lifelong condition which could not be cured.

CONCLUSIONS

Unlike other conditions which traditional healers claimed to cure, participants admitted that intellectual disability was not curable. The present authors suggest that the findings highlight opportunities that exist for collaboration between biomedicine and traditional medicine.

摘要

背景

在非洲,传统/替代医学用于医疗保健已针对各种病症进行了研究。然而,关于针对智力残疾的传统/替代医疗保健的研究有限。本研究作者探讨了加纳传统/信仰治疗师对智力残疾的解释模型(EMs)。

方法

本研究作者使用病例 vignette,对加纳阿克拉的 36 名传统/信仰治疗师进行了半结构化访谈。以疾病的解释模型框架为指导,向参与者提问,以考察他们对智力残疾的性质、病因、病程和推荐治疗方法的看法。

结果

治疗师的因果解释包括孕期母亲疏忽和精神因素。他们还认为智力残疾是一种先天性的、终身的病症,无法治愈。

结论

与传统治疗师声称能治愈的其他病症不同,参与者承认智力残疾无法治愈。本研究作者建议,这些发现凸显了生物医学与传统医学之间合作的机会。

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