The language barrier in evaluating Spanish-American patients.
The language barrier in evaluating Spanish-American patients.
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评估西班牙裔美国患者的语言障碍。
DOI：
10.1001/archpsyc.1973.04200050064011
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发表时间：
1973
影响因子：
--
通讯作者：
M. Alpert
中科院分区：
文献类型：
--
作者：
L. R. Marcos;L. Urcuyo;M. S. Kesselman;M. Alpert
我们以前已经证明，讲西班牙语的精神分裂症患者接受英语采访时，由经验丰富的评分员判断为显着的精神病理学比在他们的母语采访时。本研究直接比较了两种面试情境下的行为。与平行的西班牙语的情况相比，用英语采访的患者表现出更多的精神病理学的内容，更频繁的误解的采访者，简短的反应，和一个显着更高的频率的言语障碍，以前被证明与焦虑。他们往往说话更慢，沉默时间更长，这些特征与抑郁症有关。除非他意识到这些特征，否则临床医生可能会将其解释为反映了增加的精神病理学。
We have previously demonstrated that Spanish-speaking schizophrenic patients interviewed in English are judged by experienced raters as significantly more psychopathological than when interviewed in their native tongue. In this study behavior in the two interview situations was compared directly. Compared to the parallel Spanish-language situation, patients interviewed in English demonstrated more content indicative of psychopathology, more frequent misunderstandings of the interviewer, briefer responses, and a significantly higher frequency of speech disturbances previously shown to be associated with anxiety. They tended to speak more slowly and with longer silent periods, characteristics associated with depression. Unless he is aware of these features, the clinician may interpret them as reflecting increased psychopathology.