Kpobi Lily N A, Swartz Leslie, Omenyo Cephas N
Stellenbosch University.
Transcult Psychiatry. 2019 Feb;56(1):250-266. doi: 10.1177/1363461518802981. Epub 2018 Oct 4.
The use of traditional medicine for the treatment of various disorders is not a new practice. Indeed, various categories of traditional healers form a large part of the healthcare workforce in many low- and middle-income countries, and given the paucity of mental health professionals in these countries, traditional and complementary medicine practitioners are utilised even more so for mental disorders. In Ghana, efforts have been made to formalise and standardise the work of traditional medicine practitioners. This goal is still mostly unmet, partly due to the lack of scientific knowledge of their beliefs, methods, and practices in mental healthcare. Very few studies have documented this knowledge. In this article, we report on some of the methods that are used by traditional Ghanaian herbalists in treating mental disorders. Eight herbalists working within the Greater Accra Region, who specialised in mental health, were interviewed through individual semi-structured interviews. Thematic analysis showed that traditional herbalists' work in treating mental disorders revolved around four key themes: the method of diagnosis; the treatment methods used; the mode of administering the treatment; and the purpose of the specific treatment. These themes are discussed with reference to their potential implications for patients' care and outcomes.
使用传统医学治疗各种疾病并非新做法。事实上,在许多低收入和中等收入国家,各类传统治疗师构成了医疗保健劳动力的很大一部分。鉴于这些国家心理健康专业人员匮乏,传统医学和补充医学从业者在治疗精神障碍方面的使用更为普遍。在加纳,人们已努力使传统医学从业者的工作正规化和标准化。这一目标大多仍未实现,部分原因是缺乏对他们在精神卫生保健方面的信念、方法和实践的科学认识。记录这方面知识的研究很少。在本文中,我们报告了加纳传统草药师治疗精神障碍所使用的一些方法。通过个别半结构化访谈,对大阿克拉地区八位专门从事心理健康工作的草药师进行了访谈。主题分析表明,传统草药师治疗精神障碍的工作围绕四个关键主题展开:诊断方法;所使用的治疗方法;治疗的给药方式;以及特定治疗的目的。将结合这些主题对患者护理和治疗结果的潜在影响进行讨论。