Department of Medicine and Surgery, Division of Psychiatry, University of Insubria, Viale Borri 57, 21100, Varese, Italy.
Centre Family Psychotherapy CMTF, Lugano, Switzerland.
J Immigr Minor Health. 2020 Jun;22(3):588-596. doi: 10.1007/s10903-019-00904-7.
Dissociative experiences are common in traumatized individuals who can use dissociation as a psychological escape from emotional and physical distress associated with overwhelming traumatic events. Traumatic experiences and the cultural interpretation of trauma-related symptoms often serve to explain the wide range of dissociative phenomenology; in fact, dissociation is a complex and ubiquitous construct present in a variety of mental disorders. The Six-Dimensions Model of National Culture has been used as a tool to compare patients' different cultural background that could have accounted for the different clinical manifestations. This paper reports three clinical cases in which the focus of interest is represented by the dissociative alterations of consciousness, as a response to trauma, specifically related to migration, and their correlation with cultural environment. The study shows as Hofstede's model has been used for the first time as a tool to explain how different cultural background could shape clinical manifestations.
分离体验在经历过创伤的个体中很常见,他们可以将分离用作一种心理逃避,以摆脱与压倒性创伤事件相关的情绪和身体痛苦。创伤经历和与创伤相关症状的文化解释往往有助于解释广泛的分离现象学;事实上,分离是一种存在于各种精神障碍中的复杂而普遍的结构。国家文化的六维度模型已被用作工具,用于比较患者不同的文化背景,这些背景可能导致不同的临床表现。本文报告了三个临床案例,其关注的焦点是意识的分离改变,作为对创伤的反应,特别是与移民有关的改变,以及它们与文化环境的关系。研究表明,霍夫斯泰德模型首次被用作工具,以解释不同的文化背景如何塑造临床表现。