Rhuggenaath S N, Blom J D
Tijdschr Psychiatr. 2018;60(11):756-765.
Individuals native to Aruba, Bonaire, and Curaçao, the abc islands of the former Netherlands Antilles, often attribute their complaints to brua, although they seldom discuss this with health professionals. This may have a negative influence on the therapeutic relationship and diagnostic processes.
AIM: To explore the role of brua in the illness perception of psychiatric patients in the Netherlands who were originally from the abc islands.
METHOD: A random sample of patients under treatment at Parnassia Psychiatric Institute in The Hague were interviewed with the aid of a semi-structured questionnaire.
RESULTS: Of the 18 psychiatric patients interviewed, 10 (56%) believed in brua, and 3 (17%) considered it the cause of their disease. Although none of the interviewees admitted to an active involvement in brua, 8 (44%) had been in touch with a traditional healer and 9 (50%) possessed artifacts meant to provide protection against evil. Regarding the usefulness of discussing brua with health professionals, opinions were divided.
CONCLUSION: Psychiatric patients in the Netherlands native to the abc islands are all knowledgeable of brua, with more than half of them believing in it. Despite the fear and shame that people often experience, making brua fit for discussion in clinical practice would improve the relationship between health professional and patient, yielding further opportunities for diagnosis and treatment.
阿鲁巴岛、博内尔岛和库拉索岛（前荷属安的列斯群岛的abc岛屿）的本地人经常将他们的不适归因于brua，尽管他们很少与医疗专业人员讨论此事。这可能会对治疗关系和诊断过程产生负面影响。
探讨brua在荷兰原本来自abc岛屿的精神病患者疾病认知中的作用。
借助半结构化问卷对海牙帕纳西亚精神病学研究所正在接受治疗的患者进行随机抽样访谈。
在接受访谈的18名精神病患者中，10人（56%）相信brua，3人（17%）认为它是自己患病的原因。尽管没有受访者承认积极参与brua，但8人（44%）曾与传统治疗师接触过，9人（50%）拥有用于辟邪的物品。关于与医疗专业人员讨论brua的有用性，意见不一。
荷兰原本来自abc岛屿的精神病患者都知晓brua，其中超过一半的人相信它。尽管人们常常感到恐惧和羞耻，但让brua在临床实践中适合讨论将改善医疗专业人员与患者之间的关系，为诊断和治疗带来更多机会。
