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[探讨哥伦比亚原住民的心理健康概念]

[Approaching the concept of mental health for indigenous peoples in Colombia].

作者信息

Vélez Eliana María Montoya, Ríos Jennifer Marcela López, Marulanda Sergio Cristancho, Franco Marcela Cristina Valencia, Rosa Oscar David Montero de La, Holguín Dora María Hernández

机构信息

Facultad Nacional de Salud Publica, Universidad de Antioquia. Calle 62 #52-59. Medellín, Antioquia, Colômbia.

Facultad de Medicina, Universidad CES. Medellin, Colombia.

出版信息

Cien Saude Colet. 2020 Mar;25(3):1157-1166. doi: 10.1590/1413-81232020253.17832018. Epub 2018 Aug 8.

Abstract

This study sought to perceive the concept of mental health from the perspective of Colombian indigenous peoples. A qualitative survey from a historic-hermeneutical standpoint was conducted by means of interviews with a stratified intentional sample of 10 leaders with experience in indigenous mental health. After being duly transcribed, interview materials were analyzed using a grounded theory approach. Findings were structured around four analytical categories: mental health perspectives, elements, scenarios, and challenges. It was revealed that some indigenous people do not perceive mental health as an indigenous concept. Some perceive it from a morbicentric western perspective and others from an ancestral holistic standpoint. They describe positive elements (good living, spirituality, harmony with mother earth) and negative aspects (acculturation, discrimination, violence, disobedience). Mental health scenarios included the land itself and the health care system, in particular the Intercultural Indigenous Health System (SISPI). Challenges include the need to conduct more research on this topic, consolidating SISPI, and fostering ancestral knowledge.

摘要

本研究旨在从哥伦比亚原住民的视角来理解心理健康的概念。从历史诠释学的角度开展了一项定性调查,通过对10位具有原住民心理健康工作经验的领导者进行分层有意抽样访谈来进行。访谈材料在妥善转录后,采用扎根理论方法进行分析。研究结果围绕四个分析类别展开:心理健康视角、要素、情境和挑战。结果显示,一些原住民并不将心理健康视为一个本土概念。一些人从以疾病为中心的西方视角来理解它,而另一些人则从祖先的整体观点来理解。他们描述了积极要素(良好生活、灵性、与大地母亲和谐相处)和消极方面(文化适应、歧视、暴力、不服从)。心理健康情境包括土地本身和医疗保健系统,特别是跨文化原住民健康系统(SISPI)。挑战包括需要对该主题进行更多研究、巩固SISPI以及传承祖先知识。

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