長期的な悲しみの障害の診断:DSM-5-TR基準に対する文化的課題
Brianne S Moore1, João P da Silva2, Miguel Farias3,4,5
1Department of Psychology and Neuroscience, Baylor University, Waco, USA. bshemoore@gmail.com.
Culture, medicine and psychiatry
|August 20, 2025
まとめ
長期的な悲しみの障害 (PGD) の診断は 悲しみの持続時間,感情の強度,認知に関する文化的課題に直面します 伝統的治療法や儀式など 文化に敏感なアプローチは 悲しみの病理を 治療するために不可欠です
科学分野:
- 精神科
- 文化人類学
- 精神 的 な 健康
背景:
- 精神障害の診断と統計マニュアル (DSM-5-TR) は2022年に長期的悲しみの障害 (PGD) を導入しました.
- PGDは病理的な悲しみとして 1年以上持続します
- 悲しみを表現する文化の違いには 微妙な診断方法が必要です
研究 の 目的:
- DSM-5-TRの診断基準を適用する際の文化的課題を調査する.
- 悲しみの病理に対する 文化的に敏感な方法について 議論する
- 異文化的な観点から PGDの関連性と限界を批判的に評価する.
主な方法:
- PGDに関するDSM-5-TR基準の文献レビューと批判的分析.
- 悲しみの表現に影響する文化的側面の検討: 期間,感情的強度,認知.
- 悲しみの管理における伝統的癒しの実践と儀式を探求する.
主要な成果:
- 悲しみの長さ 感情の強さ 異常な認知です 悲しみの長さ 異常な認知です
- DSM-5-TRの基準E (文脈的規範を超えること) は,慎重に文化的解釈を必要とする.
- 文化的な文脈は悲しみの表れや認識に 大きく影響します
結論:
- DSM-5-TRのPGDの診断は,悲しみの文化的な違いのために普遍的に適用されないかもしれません.
- 文化に敏感な介入は 伝統的な癒やしや儀式を組み込むことで 効果的な悲しみの支援に不可欠です
- 多様な文化背景における PGD 診断基準を精密にするためにさらなる研究が必要である.
さらに関連する動画
関連する概念動画
Bonanno's Theory of Grieving
155
Grieving is a complex psychological and emotional process that varies significantly among individuals. George Bonanno's research on bereavement identified four distinct patterns of grieving, offering a nuanced understanding of how people cope with significant loss, such as the death of a spouse, over extended periods. These patterns — resilience, recovery, chronic dysfunction, and delayed grief — highlight the diversity in emotional responses and adaptive mechanisms.
Resilience
Resilience
155
Diagnostic and Statistical Manual of Mental Disorders (DSM)
147
The Diagnostic and Statistical Manual of Mental Disorders (DSM) serves as the primary classification system for mental health disorders, providing standardized diagnostic criteria for clinicians and researchers. First published by the American Psychiatric Association (APA) in 1952, the DSM has undergone several revisions to reflect evolving psychiatric understanding. The fifth edition, DSM-5, released in 2013, introduced key updates that expanded diagnostic categories and modified diagnostic...
147
Depressive Disorders: MDD and Dysthymia
212
Depressive disorders are a group of mental health conditions characterized by pervasive feelings of sadness, diminished pleasure in life, and a significant impact on daily functioning. These conditions are most prevalent in individuals during their 30s and affect women at twice the rate of men. Contrary to popular belief, younger individuals are generally more susceptible to these disorders than older adults. Two key types of depressive disorders include Major Depressive Disorder (MDD) and...
212
Kubler Ross's Stages of Dying
329
Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
329
Dissociative Identity Disorder
203
Dissociative Identity Disorder (DID), previously termed multiple personality disorder, is a complex psychological condition characterized by the presence of two or more distinct identities or personality states. Each identity exhibits unique patterns of behavior, voice, and mannerisms and may possess separate memories and emotional responses. The alternating control between identities can result in memory gaps and challenges in recalling daily activities, often exacerbating the individual's...
203
Depressive Disorders: Etiology
166
Depressive disorders result from a complex interplay of biological, psychological, and sociocultural factors, each contributing uniquely to the development and persistence of the condition. Understanding these factors provides critical insight into the multifaceted nature of depression.
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
Biological Factors in Depression
Biological predispositions significantly influence the risk of developing depressive disorders. Genetic studies highlight the role of variations in the serotonin transporter...
166


