Ruiz P
Department of Psychiatry and Behavioral Sciences, University of Texas/Houston Health Science Center, USA.
Psychiatr Q. 1995 Winter;66(4):329-41. doi: 10.1007/BF02238753.
Psychiatry has always been influenced by culture. The cultural identity of both providers and consumers, their cultural perceptions of mental illness and its treatment, their psychosocial and socioeconomic environment, all could have a major impact on the psychiatric diagnosis made, on the treatment chosen, and on the ultimate outcome of a therapeutic intervention. Within this context, I will, in this article, examine the most important cultural connotations in today's mental health system. I will define the Hispanic-American population of this country since this ethnic group is the one that I will use as a model. I will also depict the most prominent mental health traits of this population. Additionally, I will review the cultural barriers that impede the access and retention of Hispanic-American patients into the mental health system. Finally, I will advance areas for future research in the field of cultural psychiatry. Hopefully, this article will stimulate investigators to conduct further research in the field of cultural psychiatry and to help improve the mental health care system of culturally diverse individuals residing in this country.
精神病学一直受到文化的影响。医疗服务提供者和患者的文化身份、他们对精神疾病及其治疗的文化认知、他们的社会心理和社会经济环境,所有这些都可能对所做出的精神病学诊断、所选择的治疗方法以及治疗干预的最终结果产生重大影响。在此背景下,在本文中,我将审视当今心理健康系统中最重要的文化内涵。我将界定美国的西班牙裔人口,因为这个族群将作为我的研究模型。我还将描述这个族群最显著的心理健康特征。此外,我将审视阻碍西班牙裔患者进入并留在心理健康系统的文化障碍。最后,我将提出文化精神病学领域未来的研究方向。希望本文能激励研究人员在文化精神病学领域开展进一步研究,并有助于改善居住在该国的文化多元个体的心理健康护理系统。