Thornton C I, Carter J H
J Natl Med Assoc. 1988 Jun;80(6):644-7.
Empirical observations from a decade of treating economically deprived black female alcoholics at the Lincoln Community Health Center in Durham, North Carolina, indicate that recognition of the social and cultural determinants of alcoholism is crucial to treatment. Scrutiny of the approach suggests that the psychopathology of these patients was inextricably intertwined with issues of racism, unemployment, poverty, and substandard housing. It is concluded that a comprehensive health care approach that utilizes the input of a black female therapist as the case manager has distinct advantages.
在北卡罗来纳州达勒姆的林肯社区健康中心，对经济贫困的黑人女性酗酒者进行了十年治疗的经验观察表明，认识到酗酒的社会和文化决定因素对治疗至关重要。对该方法的仔细审查表明，这些患者的精神病理学与种族主义、失业、贫困和住房条件差等问题紧密相连。得出的结论是，采用黑人女性治疗师作为个案管理员的综合医疗保健方法具有明显优势。
