Swartz L
Soc Sci Med. 1985;20(7):725-30. doi: 10.1016/0277-9536(85)90062-0.
Current psychological theories on anorexia nervosa share a common assumption that symptoms of the condition are related to cultural factors. The present article argues that the disorder can be fruitfully understood in the context of one definition of culture-bound syndromes. By way of introduction two contrasting models of the cross-cultural study of psycho-pathology are outlined in order to contextualize the argument in a particular paradigm. Anorexia nervosa is shown to fit the criteria of the Cassidy/Ritenbaugh definition of culture-bound syndromes, and the definition is shown to have some use in elucidating issues. Implications for a more flexible approach to theory development and therapeutic practice are discussed, and suggestions are made for further work demonstrating the negotiated nature of the disorder.
当前关于神经性厌食症的心理学理论有一个共同假设,即该病症的症状与文化因素有关。本文认为,在文化束缚综合征的一种定义背景下,可以有效地理解这种疾病。作为引言,概述了两种相互对比的心理病理学跨文化研究模型,以便将论点置于特定范式中。结果表明,神经性厌食症符合卡西迪/里滕鲍夫对文化束缚综合征的定义标准,且该定义在阐明问题方面有一定作用。讨论了对理论发展和治疗实践采取更灵活方法的意义,并就进一步证明该疾病的协商性质的研究工作提出了建议。