Pewzner-Apeloig E
Université de Picardie, Paris.
Ann Med Psychol (Paris). 1994 Apr;152(4):229-34.
The author has written this article as a reflexion on the relation between depression and guilt feelings by comparing her clinical experience-acquired in a western context-to knowledge gained from psychiatric anthropology studies. Manifestations of suffering are different according to different cultural contexts; in the western world the idea of guilt is prevalent, whereas it is somatic troubles and the idea of persecution that are in the foreground in non-western cultures, more particularly in Black Africa and the Maghreb. In the western world melancholy is not only a genuine standard model of depression but is also a cultural fact as witnessed by the numerous references in the literary and pictorial fields. The author asks us to ponder relations between the strength and frequency of guilt feelings on the one hand and the question of the debt and interiority of evil (sin) in the western christian tradition.
作者撰写本文，旨在通过将自己在西方背景下积累的临床经验与从精神科人类学研究中获得的知识进行比较，对抑郁症与内疚感之间的关系进行反思。痛苦的表现因文化背景而异；在西方世界，内疚感的观念盛行，而在非西方文化中，尤其是在黑非洲和马格里布地区，身体上的不适和迫害观念则更为突出。在西方世界，忧郁症不仅是抑郁症的一种真实标准模式，也是一种文化现象，文学和绘画领域中的大量参考文献就是证明。作者要求我们思考一方面内疚感的强度和频率与西方基督教传统中罪恶的债务和内在性问题之间的关系。
