Spencer D J
Int J Soc Psychiatry. 1983 Autumn;29(3):208-14. doi: 10.1177/002076408302900306.
Many workers have pointed out that there is a great need for training aboriginal workers to become involved in the psychiatric problems of their community. However, it sometimes occurs that such workers are regarded with suspicion and are often disturbed by the act of working among their own people. It would appear that the principle psychiatric illnesses seen in the rest of mankind are also recognizable in the Australian aborigines, but these currently represent only a minority of the mental health problems encountered. One important role of the psychiatrist, therefore, is to contribute to the understanding of the overall problem. There are several ways in which he can do this. One is to inform the rest of the Australian community that aboriginal problems are not due to stereotyped behaviour--stupidity, laziness or purposeful deliberation--and that aborigines are not basically aggressive and that their problems should be seen as a disorder of adjustment and adaption failure. The psychiatrist should strive to continue educating members of the community for the specialized nature of the task required.
许多工作人员指出，非常需要培训原住民工人，使其参与到解决本社区的精神问题中来。然而，有时这些工作人员会遭到怀疑，而且在与自己的族人一起工作时常常会受到干扰。看起来人类其他群体中常见的主要精神疾病在澳大利亚原住民中也能被识别出来，但目前这些疾病在遇到的心理健康问题中只占少数。因此，精神科医生的一个重要作用是促进对整体问题的理解。他可以通过几种方式做到这一点。一种方式是告知澳大利亚社会其他群体，原住民的问题并非源于刻板行为——如愚蠢、懒惰或蓄意为之——而且原住民本质上并非具有攻击性，他们的问题应被视为适应失调和适应失败。精神科医生应努力继续教育社区成员，让他们了解这项任务所需的专业性。
