Lewis-Fernández R, Kleinman A
Department of Social Medicine, Harvard Medical School.
J Abnorm Psychol. 1994 Feb;103(1):67-71. doi: 10.1037//0021-843x.103.1.67.
Culture needs to be made more central to the understanding of personality and psychopathology. New anthropological views describe cultural influences on personality and psychopathology by focusing on the effect of social change in local contexts on sociosomatic and sociopsychological processes. This view discloses the cultural biases built into dominant North American professional models of diagnosis and contrasts with past uses of culture in cross-cultural research. Examples from Chinese and Puerto Rican societies illustrate how indigenous interpersonal models of personality and psychopathology that focus on social processes can augment the cross-cultural validity of clinical formulations.
在对人格和精神病理学的理解中,文化需要占据更核心的地位。新的人类学观点通过关注当地社会变革对社会躯体和社会心理过程的影响,来描述文化对人格和精神病理学的影响。这种观点揭示了北美占主导地位的专业诊断模式中所固有的文化偏见,并与跨文化研究中过去对文化的运用形成对比。来自中国和波多黎各社会的例子说明了关注社会过程的本土人格和精神病理学人际模型如何能够增强临床表述的跨文化效度。