Quadros Wesley, Ogunwale Adegboyega, Sule Akeem
East and North Hertfordshire NHS Trust, Stevenage, United Kingdom.
Association of Black Psychiatrists (ABP), Derby, United Kingdom.
Front Psychiatry. 2024 Feb 13;15:1343435. doi: 10.3389/fpsyt.2024.1343435. eCollection 2024.
Psychiatry has often had an uneasy relationship with popular culture as depictions of mental health may be stigmatising and inaccurate. A recent critically acclaimed series, Top Boy, set in a crime-filled fictional housing estate in the London Borough of Hackney offers an informed and fairly balanced insight into broad mental health-related themes including racial trauma embodied in social inequities, the syndemic of mental disorder, substance misuse and gang-based crime as well as the psychosocial ramifications of illustrated mental health conditions. From both idiographic and nomothetic perspectives, Top Boy touches on a rich variety of structural determinants of mental health, as well as individual and environmental predisposition to mental disorder and substance misuse. The show offers an opportunity for education for both the broader society and the groups which suffer these syndemics. An understanding of how structural factors epidemiologically affect what psychiatric conditions individuals are likely to suffer, how they can be better reached by psychiatric services, and what interventions can help improve the socioeconomic factors that lead to the behaviours/paths that individuals end up is vital for public mental health policy.
精神病学与流行文化之间的关系常常并不融洽,因为对心理健康的描绘可能带有污名化且不准确。最近一部广受好评的剧集《顶级男孩》,故事设定在伦敦哈克尼区一个充斥着犯罪的虚构住宅区,它对广泛的心理健康相关主题提供了有见地且较为平衡的见解,这些主题包括社会不平等中体现的种族创伤、精神障碍的综合征、药物滥用、帮派犯罪以及所描绘的心理健康状况的心理社会影响。从个案研究和通则研究的角度来看,《顶级男孩》涉及了丰富多样的心理健康结构决定因素,以及个体和环境对精神障碍及药物滥用的易感性。这部剧为更广泛的社会以及遭受这些综合征的群体提供了教育机会。理解结构因素如何在流行病学上影响个体可能患有的精神疾病状况、精神科服务如何能更好地接触到这些个体,以及哪些干预措施有助于改善导致个体最终行为/轨迹的社会经济因素,对于公共心理健康政策至关重要。