Littlewood R
Department of Psychiatry, University College London, UK.
Br J Med Psychol. 1995 Mar;68(1):45-63. doi: 10.1111/j.2044-8341.1995.tb01812.x.
The cultural contribution to psychopathology may become more salient in situations of social change, but it remains difficult to distinguish individual agency among wider social and economic transitions, such as 'modernization' or simply 'culture change', which carry the potential for recourse to new patterns. Eating disorders, a biosocial pattern once identified exclusively with European societies, do occur among South Asian women including those living in the West. This seems not just a simple appropriation of contemporary Western ideals of female morphology--the 'fear of fatness'-but a reassertion of an instrumental strategy of self-renunciation in situations of experienced constraint.
文化对精神病理学的影响在社会变革时期可能会更加显著，但在更广泛的社会和经济转型（如“现代化”或仅仅是“文化变迁”）中，仍难以区分个体能动性，因为这些转型可能会带来采用新模式的可能性。饮食失调这种曾被认为仅存在于欧洲社会的生物社会模式，如今在南亚女性中也有出现，包括那些生活在西方的南亚女性。这似乎不仅仅是对当代西方女性体型理想标准（即“对肥胖的恐惧”）的简单接纳，更是在经历限制的情况下对自我克制这一工具性策略的重新肯定。
