Gómez-Carrillo Ana, Kirmayer Laurence J, Aggarwal Neil Krishan, Bhui Kamaldeep S, Fung Kenneth Po-Lun, Kohrt Brandon A, Weiss Mitchell G, Lewis-Fernández Roberto
Division of Social and Transcultural Psychiatry, McGill University, Montreal, QC, Canada.
Division of Social and Transcultural Psychiatry, McGill University, Montreal, QC, Canada; Culture and Mental Health Research Unit, Lady Davis Institute for Medical Research, Jewish General Hospital, Montreal, QC, Canada.
Lancet Psychiatry. 2023 Apr;10(4):296-304. doi: 10.1016/S2215-0366(23)00006-8. Epub 2023 Feb 21.
Psychiatry has increasingly adopted explanations for psychopathology that are based on neurobiological reductionism. With the recognition of health disparities and the realisation that someone's postcode can be a better predictor of health outcomes than their genetic code, there are increasing efforts to ensure cultural and social-structural competence in psychiatric practice. Although neuroscientific and social-cultural approaches in psychiatry remain largely separate, they can be brought together in a multilevel explanatory framework to advance psychiatric theory, research, and practice. In this Personal View, we outline how a cultural-ecosocial systems approach to integrating neuroscience in psychiatry can promote social-contextual and systemic thinking for more clinically useful formulations and person-centred care.
精神病学越来越多地采用基于神经生物学还原论的精神病理学解释。随着对健康差距的认识以及意识到某人的邮政编码可能比其遗传密码更能预测健康结果，人们越来越努力确保精神病学实践中的文化和社会结构能力。尽管精神病学中的神经科学方法和社会文化方法在很大程度上仍然相互独立，但它们可以整合在一个多层次的解释框架中，以推动精神病学理论、研究和实践的发展。在这篇个人观点文章中，我们概述了一种将神经科学融入精神病学的文化生态社会系统方法如何能够促进社会情境和系统思维，以形成更具临床实用性的表述和以患者为中心的护理。
