Lee E
Department of Psychiatry, San Francisco General Hospital, California 94110.
J Adolesc. 1988 Jun;11(2):167-79. doi: 10.1016/s0140-1971(88)80051-4.
The purpose of this paper is to present some of the unique socio-political-cultural factors that impact upon the psychological development of Southeast Asian refugee adolescents. As a special group of youngsters, they are confronted with the developmental crisis as adolescents, adjustment problems as refugees, and intercultural conflicts caused by the immense value differences between Eastern and Western cultures. In working with this population, clinicians are urged to take into account the special stressors resulting from the refugee and cultural experiences. Three areas of assessment are recommended: (1) assessment of major stresses (migration stress, acculturation stress, life cycle stress, and family stress); (2) assessment of strengths; and (3) assessment of culturally specific responses to mental health problems. Different treatment modalities are also discussed. It is hoped that the practical suggestions presented in this paper can lead to more culturally relevant care for this group of youths.
本文旨在呈现一些影响东南亚难民青少年心理发展的独特社会政治文化因素。作为青少年中的特殊群体，他们面临着青少年阶段的发展危机、作为难民的适应问题，以及东西方文化巨大价值差异所引发的跨文化冲突。在为这一群体提供服务时，临床医生被敦促要考虑到难民经历和文化体验所带来的特殊压力源。建议从三个方面进行评估：（1）主要压力评估（移民压力、文化适应压力、生命周期压力和家庭压力）；（2）优势评估；（3）对心理健康问题的文化特异性反应评估。文中还讨论了不同的治疗方式。希望本文所提出的实用建议能够为这一群体的青少年带来更具文化相关性的护理。
