TRADITIONAL AND ALTERNATIVE THERAPY FOR MENTAL ILLNESS IN JAMAICA: PATIENTS' CONCEPTIONS AND PRACTITIONERS' ATTITUDES
TRADITIONAL AND ALTERNATIVE THERAPY FOR MENTAL ILLNESS IN JAMAICA: PATIENTS' CONCEPTIONS AND PRACTITIONERS' ATTITUDES
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DOI：
10.4314/ajtcam.v9i1.14
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发表时间：
2012-01-01
影响因子：
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通讯作者：
Peltzer, Karl
中科院分区：
文献类型：
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作者：
James, Caryl C. A. B.;Peltzer, Karl
本研究的目的是调查传统和替代疗法的精神疾病在牙买加：病人的观念和从业者的态度。样本包括从西印度群岛大学、金斯顿和玛格丽特公主门诊部的21号病房选出的60名精神病患者，以及来自牙买加金斯顿和圣托马斯的30名以非洲为中心的精神病护士、精神病学家和临床心理学家。患者接受了简短的解释性模型访谈（SEMI）和从业人员完成了对传统和替代医学的态度自我管理的问卷调查。结果表明，在精神病患者中，超过三分之一的人认为他们精神疾病的总体原因是超自然因素造成的。一般来说，大多数患者认为他们对自己问题的看法与西方医生不一致，这反过来又给这些患者带来了痛苦。对于那些也寻求传统医学的人来说，他们更倾向于对他们的互动和他们所接受的治疗感到满意。结果从西方训练有素的从业人员发现，虽然他们承认，传统医学在精神病患者的精神疾病的治疗中发挥了重要作用，治疗并不有利。在大多数情况下，当检查所有三种传统方法时，替代医学似乎比传统治疗和传统草药治疗更有利。有必要开发合作模式，促进两个治疗系统在治疗精神疾病方面建立可行的关系。
The aim of this study was to investigate traditional and alternative therapy for mental illness in Jamaica: patients' conceptions and practitioners' attitudes. The sample included 60 psychiatric patients selected from Ward 21 at the University of the West Indies, Kingston as well as Princess Margaret outpatient clinic, and 30 Afro-centric psychiatric nurses, psychiatrist and clinical psychologists from Kingston and St. Thomas, Jamaica. Patients were interviewed with the Short Explanatory Model Interview (SEMI) and practitioners completed a self administered questionnaire on attitudes towards traditional and alternative medicine. Results indicate that among psychiatric patients more than a third expressed the belief that the overall cause of their mental illness was as a result of supernatural factors. In general, the majority of patients felt that their perception of their problems did not concur with the western practitioner, which in turn caused distress for these patients. In case for those who also sought traditional medicine, they were more inclined to feel pleased about their interaction and the treatment they received. Results from western trained practitioners found that although they acknowledged that traditional medicine plays a major role in the treatment of mental illness among psychiatric patients the treatment was not advantageous. For the most part when all three traditional approaches were examined alternative medicine seemed more favourable than traditional healing and traditional herbal treatment. There is a need to develop models of collaboration that promote a workable relationship between the two healing systems in treating mental illness.