De Montfort University, Leicester, UK.
Faculty of Health and Life Sciences, De Montfort University, Leicester, LE1 9BH, UK.
Cult Med Psychiatry. 2023 Sep;47(3):743-765. doi: 10.1007/s11013-022-09800-6. Epub 2022 Jun 30.
The notion of 'mental health literacy' has been proposed as a way of improving mental health problem recognition, service utilisation and reducing stigma. Yet, the idea embodies a number of medical-model assumptions which are often at odds with diverse communities' spiritual traditions and local belief systems. Twenty participants were recruited to this study consisting of mental health service users (N = 7), family carers (N = 8) and community members (N = 5) in a temple town in Kerala, South India participated in semi-structured interviews exploring the variety of beliefs and practices relating to mental health. Our findings indicate that the issue may be better understood in terms of multiple mental health literacies which people deploy in different circumstances. Even those sceptical of traditional and spiritual approaches are knowledgeable about them, and the traditional practices themselves often involve detailed regimes of activities aimed at effecting an improvement in the person's mood or condition. Therefore, we argue it is appropriate to consider mental health literacy not as a unitary universal phenomenon but instead as a mosaic of different literacies which may be deployed in different settings and in line with different experiences and which may operate in synergy with each other to enable treatment but also facilitate a sense of meaning and purpose in life.
“心理健康素养”这一概念的提出，旨在提高人们对心理健康问题的识别能力，促进服务的利用，并减少污名化。然而，这一概念体现了许多医学模式的假设，这些假设往往与不同社区的精神传统和当地信仰体系相冲突。本研究招募了 20 名参与者，他们分别来自印度喀拉拉邦一个寺庙城镇的心理健康服务使用者（N=7）、家庭照顾者（N=8）和社区成员（N=5），他们参加了半结构化访谈，探讨与心理健康相关的各种信仰和实践。我们的研究结果表明，从人们在不同情况下使用的多种心理健康素养的角度来看，这个问题可能会得到更好的理解。即使是对传统和精神方法持怀疑态度的人，也对它们有所了解，而传统的实践本身往往涉及详细的活动方案，旨在改善人的情绪或状况。因此，我们认为，将心理健康素养视为一种单一的普遍现象是不恰当的，而应将其视为一种不同素养的马赛克，这些素养可能会在不同的环境中、根据不同的经验来使用，并且可能会相互协同作用，以促进治疗，同时也为生活赋予意义和目的感。
