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精神疾病、犯罪行为与文化的相互作用:阿拉斯加原住民精神病罪犯

The interaction of mental illness, criminal behavior and culture: native Alaskan mentally ill criminal offenders.

作者信息

Phillips M R, Inui T S

出版信息

Cult Med Psychiatry. 1986 Jun;10(2):123-49. doi: 10.1007/BF00156580.

Abstract

The rapid changes experienced by non-Western ethnic groups as they become "acculturated" to Western life-styles are frequently associated with disintegration of the traditional cultures and psychosocial dysfunction of the groups' members. How culture changes lead to maladaptation remains a mystery. As a first step in clarifying this relationship, this paper proposes a method for analyzing the interaction of cultural change and psychosocial maladjustment. It uses Native Alaskans as a paradigmatic example of a group that is undergoing rapid changes and describes in detail a maladjusted subgroup of Native Alaskans--mentally ill criminal offenders. It compares 567 Native Alaskan criminal offenders who were referred to mental health professionals (from 1977 thru 1981) to 939 White Alaskan offenders. We find that alcohol abuse, the dominant social problem for Native Alaskans, is not clearly associated with the degree of sociocultural change. Residence in larger communities and higher educational achievement are associated with greater psychosocial maladjustment. The region of residence (i.e., Native Corporation) has a stronger influence on the rate and type of maladjustment than the ethnic group (i.e., Eskimo, Indian, or Aleut) or the "ethnic density" of the community of residence (i.e., the proportion of Native Alaskans in the population). We emphasize the importance of using such quantitative findings to focus the questions that should be addressed by ethnographic research.

摘要

非西方族裔群体在“适应”西方生活方式过程中所经历的快速变化,常常与传统文化的瓦解以及群体成员的心理社会功能障碍相关联。文化变迁如何导致适应不良仍是个谜。作为厘清这种关系的第一步,本文提出一种分析文化变迁与心理社会调适不良之间相互作用的方法。它以阿拉斯加原住民为例,这是一个正在经历快速变化的群体,并详细描述了阿拉斯加原住民中一个适应不良的亚群体——患有精神疾病的刑事罪犯。它将567名被转介给心理健康专业人员的阿拉斯加原住民刑事罪犯(1977年至1981年期间)与939名阿拉斯加白人罪犯进行了比较。我们发现,酗酒作为阿拉斯加原住民的主要社会问题,与社会文化变化程度并无明显关联。居住在较大社区以及较高的教育成就与更严重的心理社会调适不良相关。居住地区(即原住民公司)对调适不良的发生率和类型的影响,比族裔群体(即爱斯基摩人、印第安人或阿留申人)或居住社区的“族裔密度”(即阿拉斯加原住民在人口中的比例)更为显著。我们强调利用这些定量研究结果来聚焦人种志研究应解决问题的重要性。

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