Collins J L, Mathura C B, Risher D L
Hosp Community Psychiatry. 1984 Apr;35(4):372-6. doi: 10.1176/ps.35.4.372.
Cultural and linguistic barriers have long been problems in establishing an effective therapeutic alliance between patients and therapists from different cultural, ethnic, and racial backgrounds. The current emphasis on cultural psychiatry has stimulated the inclusion of culturally relevant material in the curricula of American psychiatric residency programs, such as the program at Howard University Hospital in Washington, D.C. After a preliminary study of foreign patients treated on the psychiatry service, the department of psychiatry established a program of seminars and didactic sessions intended to familiarize staff and trainees with cultural patterns of the largest groups of foreign students attending the university. The department also participated in a transcultural fellowship program for medical students sponsored by the American Psychiatric Association and the National Institute of Mental Health. After describing the programs, the authors briefly discuss such culturally related issues as foreign patients' return to their original language when they develop psychiatric illnesses.
长期以来,文化和语言障碍一直是来自不同文化、族裔和种族背景的患者与治疗师建立有效治疗联盟过程中的问题。当前对文化精神病学的重视促使美国精神病学住院医师培训项目的课程中纳入了与文化相关的内容,比如华盛顿特区霍华德大学医院的项目。在对精神科服务中治疗的外国患者进行初步研究后,精神病学系设立了研讨会和教学课程项目,旨在让工作人员和学员熟悉在该大学就读的最大外国学生群体的文化模式。该系还参与了由美国精神病学协会和国家心理健康研究所赞助的医学生跨文化奖学金项目。在介绍这些项目之后,作者简要讨论了一些与文化相关的问题,比如外国患者患精神疾病时会回归其母语。