Wrigley K M
J Psychiatr Ment Health Nurs. 1995;2(2):97-103. doi: 10.1111/j.1365-2850.1995.tb00149.x.
This paper is an analysis of the position that cultural constructivism is significant to the well-being of psychiatric and mental health discourse and practice. It focusses particularly on the nature of the 'self' as it is perceived from a Western ethnopsychological perspective. Differentiation is made between types of self which can be found in other cultural systems, both within and without Western society. A relationship is explored between the particular definition of the 'self' and discourses on therapeutic relationships, both fundamental tenets of modern mental health nursing practice. This analysis suggests that nurses should endeavour to move beyond the rhetorical, and thus constraining, ideology of individual responsibility, with which mental health practice is now engaged, and move to a basis for practice which depends on understanding clients' lived experiences.
本文分析了文化建构主义对精神科及心理健康话语与实践的福祉具有重要意义这一观点。它特别关注从西方民族心理学视角所感知到的“自我”的本质。对可在其他文化系统中发现的自我类型进行了区分，这些文化系统包括西方社会内部和外部的。探讨了“自我”的特定定义与治疗关系话语之间的关系，这两者都是现代心理健康护理实践的基本信条。该分析表明，护士应努力超越目前心理健康实践所秉持的、具有修辞性且具有局限性的个人责任意识形态，转向基于理解患者生活经历的实践基础。
