文化结构化:智利圣地亚哥的多元文化新自由主义,移民和心理健康
1Center for Culture and the Mind (CULTMIND), Department of English, Germanic and Romance Studies (ENGEROM), University of Copenhagen, Emil Holms Kanal 6, 2300, Copenhagen, Denmark. gabriel.abarca-brown@hum.ku.dk.
Culture, medicine and psychiatry
|May 23, 2024
概括
智利的卫生服务正在重新定义非洲裔移民对心理健康的文化方法. 实践者专注于像贫困和不平等这样的结构性因素,这些因素植根于历史的社区精神病学和国家政策.
科学领域:
- 社会学 社会学 社会学
- 公共卫生 公共卫生
- 移民研究 移民研究
背景情况:
- 自2010年以来,智利出现了非洲裔移民的增加,主要来自海地和多米尼加共和国.
- 这种人口变化刺激了医疗保健中关于移民,多元文化和心理健康的新讨论.
- 精神卫生机构和从业人员正在适应这种不断变化的多元文化环境.
研究的目的:
- 探索智利移民社区心理健康服务的文化转变.
- 分析卫生从业人员如何在实践中重新定义文化方法.
- 调查历史和政治对当前移民心理健康策略的影响.
主要方法:
- 在圣地亚哥北部的一个社区进行了多次访问的民族学研究,持续了14个月.
- 该研究的重点是移民计划,2013年成立的初级医疗保健计划.
- 分析卫生从业人员如何处理移民心理健康问题.
主要成果:
- 卫生从业者倾向于在结构性方面框架文化方法,强调阶级,贫困和社会经济不平等.
- 这种结构性的重点受到历史社区精神病学 (1960年代-1970年代) 和近期国家多元文化和性别政策 (1990年代以来) 的影响.
- 卫生机构和从业人员正在通过结构性镜头参与移民和交叉性的辩论.
结论:
- 智利精神卫生部门与移民群体的接触越来越多地受到对文化因素的结构性理解的影响.
- 历史政治背景和国家政策极大地影响了当代对移民心理健康的看法.
- 该研究强调了智利医疗保健中对移民和心理健康的微妙交叉方法.
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