Aarhus University.
RWTH Aachen University.
Transcult Psychiatry. 2020 Jun;57(3):387-407. doi: 10.1177/1363461519879515. Epub 2020 Jan 29.
Culture is part of an extensive series of feedback loops, which involve multiple organismic levels including social contexts, cognitive mediations, neural processes, and behavior. Recent studies in neuroscience show that culturally contingent social processes shape some neural pathways. Studying the influence of cultural context on neural processes may yield new insights into psychiatric disorders. New methodologies in the neurosciences offer innovative ways to assess the impact of culture on mental health and illness. However, implementing these methodologies raises important theoretical and ethical concerns, which must be resolved to address patient individuality and the complexity of cultural diversity. This article discusses cultural context as a major influence on (and consequence of) human neural plasticity and advocates a culture-brain-behavior (CBB) interaction model for conceptualizing the relationship between culture, brain, and psychiatric disorders. Recommendations are made for integrating neuroscientific techniques into transcultural psychiatric research by taking a systems approach to evaluating disorders.
文化是一个广泛的反馈回路系统的一部分，其中包括社会背景、认知中介、神经过程和行为等多个有机层次。神经科学的最新研究表明，文化特有的社会过程塑造了一些神经通路。研究文化背景对神经过程的影响可能会为精神疾病提供新的见解。神经科学中的新方法为评估文化对心理健康和疾病的影响提供了创新的方法。然而，实施这些方法提出了重要的理论和伦理问题，必须解决这些问题，以解决患者的个体差异和文化多样性的复杂性。本文讨论了文化背景对人类神经可塑性的主要影响（和结果），并倡导一种文化-大脑-行为（CBB）相互作用模型，用于概念化文化、大脑和精神障碍之间的关系。通过采用系统方法评估障碍，提出了将神经科学技术整合到跨文化精神医学研究中的建议。
