Nunley M
Department of Anthropology, University of Oklahoma, Norman 73019-0535, USA.
Cult Med Psychiatry. 1998 Sep;22(3):317-53. doi: 10.1023/a:1005351332024.
Ethnographic observations and interviews with psychiatrists at two general hospital psychiatric units in northern India reveal the extent of family involvement in the localized adaptation of biomedical psychiatry that occurs in these settings. By assuming many of the roles filled by auxiliary personnel in the USA, families maintain considerable control over many aspects of the psychiatric process: defining disorder, outpatient consultation, record keeping, admissions, inpatient care, discharge, and continuing care. The implications of these observations are considered in relation to theoretical concerns about biomedical hegemony, advantages and disadvantages of family involvement from an applied perspective, and the methodological adequacy of cross-cultural psychiatric epidemiology with respect to studies of "expressed emotion."
对印度北部两家综合医院精神科病房的人种志观察以及对精神科医生的访谈表明，在这些环境中家庭参与生物医学精神病学本土化适应的程度。通过承担美国辅助人员所扮演的许多角色，家庭在精神病治疗过程的许多方面保持着相当大的控制权：定义疾病、门诊咨询、记录保存、入院、住院护理、出院及持续护理。这些观察结果的意义从生物医学霸权的理论关注点、从应用角度看家庭参与的优缺点以及跨文化精神病流行病学在“表达性情绪”研究方面的方法充分性等方面进行了考量。
