Moleiro Carla
Instituto Universitário de Lisboa (ISCTE-IUL), CIS, Lisbon, Portugal.
Front Psychiatry. 2018 Aug 10;9:366. doi: 10.3389/fpsyt.2018.00366. eCollection 2018.
The present paper discusses the role of culture in understanding and treating psychopathology. It describes new perspectives on the conceptualization of psychopathology and on the definition of culture, and how these are intertwined. The impacts of culture, explicit and implicit discrimination, and minority stress on mental health are reviewed, especially in the current era. Culturally-sensitive assessment practices in psychopathology are emphasized, including addressing the multiple cultural identities of the patient, the explanatory models of the experienced distress, specific psychosocial stressors and strengths, and the cultural features of the practitioner-patient relationship in the clinical encounter. The particular case of psychotherapy in working with culturally diverse patients is explored. Finally, mainstreaming of culture in research and clinical training in psychopathology is highlighted, acknowledging that each clinical interaction is a cultural one.
本文探讨了文化在理解和治疗精神病理学中的作用。它描述了精神病理学概念化和文化定义的新观点，以及它们如何相互交织。回顾了文化、显性和隐性歧视以及少数群体压力对心理健康的影响，尤其是在当前时代。强调了精神病理学中具有文化敏感性的评估实践，包括处理患者的多种文化身份、所经历痛苦的解释模型、特定的心理社会压力源和优势，以及临床接触中医患关系的文化特征。探讨了针对文化多元患者进行心理治疗的特殊情况。最后，强调了文化在精神病理学研究和临床培训中的主流化，承认每一次临床互动都是一种文化互动。
