Rogler L H, Cortes D E
Hispanic Research Center, Fordham University, Bronx, NY 10458.
Am J Psychiatry. 1993 Apr;150(4):554-61. doi: 10.1176/ajp.150.4.554.
The authors argue that the concept of help-seeking pathways, defined generically, oriented toward institutional structures, and put at the forefront of research, can help integrate much of what we know about the use of mental health care and how to make such care more accessible and effective among underserved populations. They focus the concept of help-seeking pathways on current issues and research findings pertinent to the onset of psychological distress, the contacting of mental health care facilities, and treatment in such facilities. Pathways are not random; they are structured by the convergence of psychosocial and cultural factors and have sufficient integrity to be studied directly as unfolding processes.
作者们认为,寻求帮助途径这一概念,从广义上定义,以机构结构为导向,并处于研究的前沿,有助于整合我们目前所知的关于心理健康护理的使用情况,以及如何在服务不足的人群中使这种护理更易获得且更有效。他们将寻求帮助途径的概念聚焦于与心理困扰的发生、心理健康护理设施的联系以及此类设施中的治疗相关的当前问题和研究发现。途径并非随机的;它们由心理社会和文化因素的汇聚构建而成,并且具有足够的完整性,可以作为展开的过程直接进行研究。