Goethe University Frankfurt am Main.
Harvard Medical School.
Transcult Psychiatry. 2023 Aug;60(4):690-702. doi: 10.1177/13634615231163986. Epub 2023 Mar 29.
Among the cultural conceptualizations of distress, is defined in the DSM-5 as "a cultural explanation of distress and misfortune in Latin America that refers to an illness attributed to a terrifying event that causes the soul to leave the body and leads to unhappiness and illness, as well as difficulties in performing key social functions" (American Psychiatric Association (APA) (2013). , 5th edition. Washington, DC: APA, p. 836). Thus, represents a cultural explanation that encompasses the symptoms of various mental disorders and physical diseases. We analyzed the descriptions of from different scientific fields and related them to definitions of DSM-5 syndromes. Three syndromic subtypes of show a symptomatic overlap with depression, post-traumatic stress disorder (PTSD) and somatic disorder. However, linguistic metaphors describing symptoms and perceived causes that are specific for Latin American culture support the concept of as a specific idiom of distress (e.g., loss of soul, shadow or ; sunken, closed or white eyes; jumping and screaming in the night; being thrown to the ground). In addition, if diagnostic criteria are met for mental disorders, then describes a perceived cause of psychopathological states (e.g., depressive disorder, PTSD, somatic disorder, panic disorder, generalized anxiety disorder). Future research with people who have experienced is needed to clarify whether precedes the onset of other mental disorders (perceived cause) or whether it is a way of designating distress (idiom of distress).
在对痛苦的文化概念化中,“丧失”在 DSM-5 中被定义为“拉丁美洲对痛苦和不幸的一种文化解释,指的是一种可怕的事件引起的疾病,这种疾病导致灵魂离开身体,导致不快乐和疾病,以及难以履行关键的社会功能”(美国精神病学协会(APA)(2013)。 ,第 5 版。华盛顿特区:APA,第 836 页)。因此,“丧失”代表了一种文化解释,包含了各种精神障碍和身体疾病的症状。我们分析了来自不同科学领域的“丧失”描述,并将其与 DSM-5 综合征的定义相关联。“丧失”的三个综合征亚型与抑郁症、创伤后应激障碍(PTSD)和躯体障碍有症状重叠。然而,描述症状和感知原因的语言隐喻是拉丁美洲文化特有的,支持“丧失”是一种特定的痛苦习语的概念(例如,失去灵魂、阴影或精神;眼睛凹陷、紧闭或苍白;夜间跳跃和尖叫;被扔到地上)。此外,如果符合精神障碍的诊断标准,那么“丧失”描述了一种对心理病理状态的感知原因(例如,抑郁障碍、PTSD、躯体障碍、惊恐障碍、广泛性焦虑障碍)。需要对经历过“丧失”的人进行进一步的研究,以澄清“丧失”是先于其他精神障碍(感知原因)发生,还是它是一种表示痛苦的方式(痛苦习语)。