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家庭甜蜜的伤害:在庇护后的秘鲁的监禁和安宁
1Department of Anthropology, University of Michigan, Ann Arbor, Michigan, USA.
Medical anthropology quarterly
|November 12, 2025
概括
秘鲁的社区心理健康模式可能导致精神疾病患者被排除在外和被关在家中. 耻辱和邻居的暴力往往导致患者退出,创造一种"宁静"或平静的状态.
科学领域:
- 医学人类学 医学人类学
- 全球心理健康全球心理健康
- 精神疾病的社会学精神疾病的社会学
背景情况:
- 社区心理健康 (CMH) 模式旨在为患有精神疾病的个人提供基于社区的护理.
- 然而,由于社会耻辱和缺乏适当的支持结构,实际实施可能会受到阻碍.
- 这项研究调查了秘鲁CMH的意外后果.
研究的目的:
- 检查秘鲁的CMH模型如何为精神病患者的排斥和家庭监禁做出贡献.
- 分析公众认知和CMH模型在制造家庭监禁中的作用.
- 探索"宁静"的概念,作为减少社区参与的结果.
主要方法:
- 在秘鲁利马进行了超过18个月的民族学实地调查.
- 案例研究侧重于一名被诊断患有精神分裂症的女性及其母亲.
- 分析公众对居家监禁的看法以及CMH模型的有效性.
主要成果:
- 由于邻居对精神疾病患者的耻辱和暴力,CMH对社区护理的重视往往会失败.
- 家庭监禁是由于CMH模型的缺陷和社会对精神病患者"适当"的地方的看法而延续的.
- 家庭监禁既是一种保护措施,也是一种约束形式.
结论:
- 对于患有精神疾病的个人而言,一个支持性社区的假设受到挑战.
- 家庭监禁源于系统失败和社会态度的复杂相互作用.
- 减少暴露和退出社区生活可能会导致"宁静" (平静/不受干扰) 的意外结果.
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