Kleinman A
Am J Psychiatry. 1978 Apr;135(4):427-31. doi: 10.1176/ajp.135.4.427.
The author presents a method through which findings from anthropological and cross-cultural research can be applied to problems affecting patient care. The clinical social science approach emphasizes the distinction between disease and illness and cultural influences on the ways "clinical reality" is conflictingly construed in the ethnomedical models of patients and the biomedical models of practitioners. The relevance of such research extends beyond special clinical concerns arising from ethnic differences to ubiquitous problems that result from cultural influences on all aspects of health care. Consultation-liaison psychiatry is a particularly appropriate vehicle for introducing clinical social science into medical and psychiatric teaching and practice.
作者提出了一种方法,通过该方法,人类学和跨文化研究的结果可以应用于影响患者护理的问题。临床社会科学方法强调疾病与病患之间的区别,以及文化对患者的民族医学模式和从业者的生物医学模式中“临床现实”相互冲突的建构方式的影响。此类研究的相关性不仅限于因种族差异产生的特殊临床问题,还包括文化对医疗保健各个方面的影响所导致的普遍问题。会诊联络精神病学是将临床社会科学引入医学和精神病学教学及实践的特别合适的载体。