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愚人船与神圣容器:精神病院与疯狂,一个案例研究

Ships of fools and vessels of the divine: mental hospitals and madness, a case study.

作者信息

Connor L H

出版信息

Soc Sci Med. 1982;16(7):783-94. doi: 10.1016/0277-9536(82)90231-3.

DOI:10.1016/0277-9536(82)90231-3
PMID:7100997
Abstract

Rural Balinese conceive of madness as a phenomenon which gives men intimations of another reality transcending the everyday world, and which reveals the possibility of more direct communication with the divine. European views of madness became gradually secularized over a period of several centuries, and were finally absorbed by the predominantly medical models of modern psychiatry. In Bali, this transformation is occurring within a much shorter time span, under different socioeconomic conditions. In this paper, I examine the ideas which traditional healers in Bali and their clients invoke about the influence of the supernatural in worldly affairs. I then contrast traditional classifications and treatments of madness with the version of Western psychiatry currently practised in mental hospitals and out-patient clinics on the island. This section of the paper is based on the author's field study of mental health services in Bali, incorporating a survey of mental hospital inpatients and their families. I conclude with a discussion of the genesis, future development and possible effects of the increase in psychiatric facilities on the island.

摘要

巴厘岛农村地区的人们将疯狂视为一种现象,这种现象让人们隐约感受到超越日常世界的另一种现实,并揭示了与神灵进行更直接交流的可能性。在几个世纪的时间里,欧洲对疯狂的看法逐渐世俗化,最终被现代精神病学以医学为主导的模式所吸收。在巴厘岛,这种转变在短得多的时间跨度内,在不同的社会经济条件下发生。在本文中,我研究了巴厘岛传统治疗师及其客户所援引的关于超自然力量对世俗事务影响的观念。然后,我将疯狂的传统分类和治疗方法与该岛精神病院和门诊诊所目前所采用的西方精神病学版本进行对比。本文的这一部分基于作者对巴厘岛心理健康服务的实地研究,其中包括对精神病院住院患者及其家属的调查。最后,我讨论了该岛精神病设施增加的起源、未来发展及其可能产生的影响。

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引用本文的文献

1
The perceived effectiveness of traditional and faith healing in the treatment of mental illness: a systematic review of qualitative studies.传统和信仰疗法治疗精神疾病的效果感知:定性研究的系统评价。
Soc Psychiatry Psychiatr Epidemiol. 2018 Jun;53(6):555-566. doi: 10.1007/s00127-018-1519-9. Epub 2018 Apr 25.
2
The spirits, Ngeb [corrected] and the social suppression of memory: a complex clinical case from Bali.“恩格布”(已修正)神灵与记忆的社会抑制:巴厘岛的一个复杂临床案例
Cult Med Psychiatry. 2006 Sep;30(3):389-413. doi: 10.1007/s11013-006-9026-y.
3
Mental health services and traditional healing in Indonesia: are the roles compatible?
印度尼西亚的心理健康服务与传统疗法:二者的作用是否兼容?
Cult Med Psychiatry. 1983 Dec;7(4):377-412. doi: 10.1007/BF00052239.