Ananth J
Can J Psychiatry. 1984 Oct;29(6):490-3. doi: 10.1177/070674378402900607.
When immigrant Indian patients develop psychiatric illness, they face many disadvantages such as the lack of family support and shame for becoming sick. In treating them, a knowledge of their cultural values and communication, is necessary. While taking history, reluctance of these patients to discuss sexual and aggressive feelings should be respected. Patients' harmony with the family and significant others is the goal of treatment rather than the patients' growth; interdependence and not independence is favored. Free expression of emotions create a dysphoric milieu. A careful assessment of psychopathology and dynamics and psychotherapy integrating these cultural factors is important to promote changes that are therapeutic.
当印度移民患者患上精神疾病时,他们面临诸多不利因素,比如缺乏家庭支持以及患病带来的羞耻感。在治疗他们时,了解他们的文化价值观和沟通方式是必要的。在问诊时,应尊重这些患者不愿谈论性和攻击性情感的态度。治疗的目标是患者与家庭及重要他人的和谐,而非患者的成长;更倾向于相互依存而非独立。情绪的自由表达会营造出烦躁不安的氛围。仔细评估精神病理学和心理动力学,并将这些文化因素融入心理治疗,对于促进具有治疗作用的改变很重要。