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心理健康污名:保守社区医疗从业者面临的难题。

Mental health stigma: a conundrum for healthcare practitioners in conservative communities.

机构信息

University of South Wales, Treforest, United Kingdom.

出版信息

Front Public Health. 2024 May 15;12:1384521. doi: 10.3389/fpubh.2024.1384521. eCollection 2024.

DOI:10.3389/fpubh.2024.1384521
PMID:38813403
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11133673/
Abstract

This paper presents perspectives on the stigma and shame around mental health in conservative communities, and some of the issues faced by health systems in those communities. The various causes of stigma are explored, and how these are often more pronounced in culturally reserved, conservative communities. While health systems are supposed to provide support for mental health sufferers, this stigma sometimes even extends to healthcare workers, which can discourage patients from asking for assistance. Solutions and reforms are needed, for example education programs; addressing gender norms, and the consideration of culture and religion, to form effective solutions. It is also suggested that alternative therapies and support mechanisms, including digital solutions such as artificial intelligence chatbots, may be useful to provide much needed support to individuals with poor mental health. Along with integrating options such as CBT (cognitive behavioral therapy), it may be useful to draw on indigenous psychologies, such as Islamic psychology, as a way of decolonizing approaches. Therefore, when considering solutions, cultural and religious norms must be considered to ensure their efficacy and acceptance.

摘要

本文探讨了保守社区中心理健康污名化和羞耻感的问题,以及这些社区中卫生系统面临的一些问题。文中探讨了污名化的各种原因,以及这些原因在文化保守的社区中如何更为突出。尽管卫生系统应该为精神健康患者提供支持,但这种污名化有时甚至会延伸到医疗保健工作者,这可能会阻碍患者寻求帮助。需要采取解决方案和改革措施,例如教育计划;解决性别规范问题,并考虑文化和宗教因素,以形成有效的解决方案。此外,还建议使用替代疗法和支持机制,包括人工智能聊天机器人等数字解决方案,为心理健康状况不佳的个人提供急需的支持。除了整合 CBT(认知行为疗法)等选择之外,借鉴本土心理学,如伊斯兰心理学,作为一种去殖民化的方法,可能也很有用。因此,在考虑解决方案时,必须考虑文化和宗教规范,以确保其有效性和可接受性。

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PLoS One. 2023 Oct 26;18(10):e0293525. doi: 10.1371/journal.pone.0293525. eCollection 2023.
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Cross-cultural comparison of mental illness stigma and help-seeking attitudes: a multinational population-based study from 16 Arab countries and 10,036 individuals.精神疾病污名与求助态度的跨文化比较:一项基于16个阿拉伯国家10036名个体的多国人口研究。
Soc Psychiatry Psychiatr Epidemiol. 2023 Apr;58(4):641-656. doi: 10.1007/s00127-022-02403-x. Epub 2022 Dec 30.
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Int J Soc Psychiatry. 2021 Aug;67(5):461-466. doi: 10.1177/0020764020961797. Epub 2020 Oct 8.
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