Cultural Mistrust: An Important Psychological Construct for Diagnosis and Treatment of African Americans
Cultural Mistrust: An Important Psychological Construct for Diagnosis and Treatment of African Americans
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文化不信任：非裔美国人诊断和治疗的重要心理构建
DOI：
10.1037/0735-7028.32.6.555
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发表时间：
2001
期刊：
影响因子：
--
通讯作者：
A. Whaley
中科院分区：
文献类型：
--
作者：
A. Whaley
尽管鼓励临床医生在精神障碍的诊断和治疗中对文化因素更加敏感，正如《精神障碍诊断和统计手册》（第4版;美国精神病学协会，1994年），很少有信息提供，以帮助他们确定哪些方面的文化是重要的精神健康的非洲裔美国人。本文讨论了文化不信任作为一种心理结构在非裔美国人的生活中的重要性。该结构的起源，它在过去的20年中产生的研究，并与寻求心理健康护理的黑人客户改善干预措施的影响进行了讨论。在对非裔美国人进行心理干预时需要更大的文化敏感性，这往往使心理健康临床医生处于双重困境。一方面，他们被告知要承认和尊重文化差异。另一方面，他们被警告在与需要心理服务的非洲人后裔打交道时不要依赖陈规定型观念和一概而论。避免这种明显矛盾的一种方法是回顾文献，并确定已被证明与非裔美国人的心理健康治疗直接相关的文化主题或问题。对文化变量感兴趣的心理学家往往无法识别被认为影响行为的文化的具体方面（Betancourt &洛佩斯，1993）。患病率研究表明，偏执型精神分裂症是对非裔美国人最常见的诊断（柯林斯，Rickman，&马图拉，1980; Mukherjee，Shukla，Woodle，罗森，& Olarte，1983; Toch，亚当斯，&格林，1987）。这一发现已经被一些人解释为临床医生对黑人人群中偏执观念的不同文化规范不敏感（Adebimpe，1981; Grier & Cobbs，1968; Jones & Gray，1986; Ridley，1984）。然而，这种解释仍然是一个unARTHUR L。韦利在罗格斯大学获得临床心理学博士学位
Although clinicians are encouraged to be more sensitive to cultural factors in the diagnosis and treatment of mental disorders, as evidenced by the significant changes in the Diagnostic and Statistical Manual of Mental Disorders (4th ed.; American Psychiatric Association, 1994), little information is provided to help them determine which aspects of culture are important to the mental health of African Americans. This article discusses the importance of cultural mistrust as a psychological construct in the lives of African Americans. The origins of the construct, the research it has generated over the past 2 decades, and implications for improving interventions with Black clients seeking mental health care are discussed. The need for greater cultural sensitivity in psychological interventions with African Americans often places mental health clinicians in a double bind. On the one hand, they are told to acknowledge and respect cultural differences. On the other hand, they are warned about relying on stereotypes and generalizations in working with people of African descent who are in need of psychological services. One way to avoid this apparent contradiction is to review the literature and identify cultural themes or issues that have been shown to have direct relevance to the mental health treatment of African Americans. Psychologists interested in cultural variables often fail to identify the specific aspects of culture that are thought to influence behavior (Betancourt & Lopez, 1993). Prevalence studies indicate that paranoid schizophrenia is the most frequent diagnosis given to African Americans (Collins, Rickman, & Mathura, 1980; Mukherjee, Shukla, Woodle, Rosen, & Olarte, 1983; Toch, Adams, & Greene, 1987). This finding has been explained by some in terms of clinicians' insensitivity to different cultural norms for paranoid ideations in the Black population (Adebimpe, 1981; Grier & Cobbs, 1968; Jones & Gray, 1986; Ridley, 1984). However, this explanation remains an unARTHUR L. WHALEY received his PhD in clinical psychology from Rutgers
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抑郁和精神病背景下偏执症状的多维尺度分析。
DOI：
10.1348/000711299159808
发表时间：
1999
期刊：
The British journal of medical psychology
影响因子：
--
作者：
Whaley,AL
通讯作者：
Whaley,AL
非特异性心理困扰和精神病理学的其他方面。
影响因子：
--
作者：
Dohrenwend,BP;Shrout,PE;Egri,G;Mendelsohn,FS
通讯作者：
Mendelsohn,FS
黑人精神病患者对文化不信任清单的反应。
影响因子：
3.3
作者：
Whaley,AL
通讯作者：
Whaley,AL
种族和信息差异对首发精神病的精神科急救服务和研究诊断之间分歧的影响。
DOI：
10.4088/jcp.v58n1010a
发表时间：
1997
期刊：
The Journal of clinical psychiatry
影响因子：
--
作者：
Strakowski,SM;Hawkins,JM;KeckJr,PE;McElroy,SL;West,SA;Bourne,ML;Sax,KW;Tugrul,KC
通讯作者：
Tugrul,KC
非裔美国精神病患者的融合偏执：里德利类型学的实证研究。
影响因子：
4.6
作者：
Whaley,ArthurL
通讯作者：
Whaley,ArthurL