通过纽约市门诊诊所的文化配方采访,患者的身份叙述
Neil Krishan Aggarwal1, Daniel Chen2, Roberto Lewis-Fernández1
1Columbia University Department of Psychiatry, New York State Psychiatric Institute, New York, NY, USA.
Medical anthropology quarterly
|June 19, 2023
概括
文化认同显著影响精神疾病的经验. 临床医生必须考虑患者的叙述和文化背景,而不是假设它们,以获得有效的护理.
科学领域:
- 医学人类学 医学人类学
- 临床心理学 临床心理学
- 心理健康社会学 心理健康社会学
背景情况:
- 对医疗保健机构的文化能力课程的批评.
- 介绍心理健康实践的文化社会理论.
- 由人类学家开发的文化表述采访 (CFI).
研究的目的:
- 探索患者如何表达自我叙述.
- 使用CFI检查临床医生对患者叙述的反应.
- 了解文化认同在心理健康护理中的作用.
主要方法:
- 混合方法方法结合了临床和民族学技术.
- 在纽约门诊诊所 (2014-2019) 实地工作超过500小时.
- 对参与者观察,医疗记录,患者与临床医生的会话和汇报采访的分析.
主要成果:
- 招募了45名患者和6名临床医生;进行了117次预约和98次报告采访.
- 观察到人口统计形式和患者自我讨论身份之间的差异.
- 三分之二的患者将个人身份与他们的精神疾病经历联系起来.
结论:
- 文化认同不是静态的,也不是在临床接触中可以假设的.
- 患者表达的叙述和文化背景对于心理健康治疗至关重要.
- 这项研究强调了文化为基础的临床实践的重要性.
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