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老挝农村地区对精神疾病的“民间”解释。

"Folk" explanations of mental illness in rural laos.

作者信息

Westermeyer J, Wintrob R

出版信息

Am J Psychiatry. 1979 Jul;136(7):901-5. doi: 10.1176/ajp.136.7.901.

Abstract

To obtain "folk" explanations of specific cases of mental illness the authors interviewed 35 baa(insane) Laotian individuals and their relatives and neighbors. They obtained 54 explanations; 15 focused on supernatural causes, 15 on physical causes, 14 on social problems, and 10 on psychological states. Although 31 theories (57%) focused on etiologic factors familiar to clinical psychiatrists, many self-evident factors (such as familial prevalence) were not mentioned. Except for 3 cases, responsibility for the illness was attributed to factors outside the subject's control. This view of mental illness absolves the baa person from blame and ensures support from the social group.

摘要

为了获取对特定精神疾病案例的“民间”解释,作者采访了35名患有精神疾病的老挝人及其亲属和邻居。他们得到了54种解释;其中15种集中在超自然原因上,15种集中在身体原因上,14种集中在社会问题上,10种集中在心理状态上。尽管31种理论(57%)关注临床精神科医生熟悉的病因因素,但许多显而易见的因素(如家族患病率)并未被提及。除了3个案例外,疾病的责任被归咎于主体无法控制的因素。这种对精神疾病的看法使患有精神疾病的人免于指责,并确保得到社会群体的支持。

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