Concepts of madness in diverse settings: a qualitative study from the INTREPID project.
Concepts of madness in diverse settings: a qualitative study from the INTREPID project.
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DOI：
10.1186/s12888-016-1090-4
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发表时间：
2016-11-09
期刊：
影响因子：
4.4
通讯作者：
Morgan C
中科院分区：
文献类型：
--
作者：
Cohen A;Padmavati R;Hibben M;Oyewusi S;John S;Esan O;Patel V;Weiss H;Murray R;Hutchinson G;Gureje O;Thara R;Morgan C
为了便于在印度、尼日利亚和特立尼达的三个地点识别精神病和对照事件(未经治疗和新近发病)病例，我们试图了解精神病(或疯狂)是如何在当地被概念化的。我们收集的证据也有助于在不同背景下研究疯狂概念的悠久历史。我们进行了焦点小组讨论和个人采访，以收集每个网站的告密者如何理解和回应疯狂的信息。制定了一个编码框架，并对官方发展部门的记录和访谈进行了分析。分析表明：a)精神错乱的行为是疯狂的主要标志；b)疯狂是由多种原因造成的；c)对疯狂的反应是由文化和语用因素决定的。这些发现与过去50年来进行的类似研究是一致的。这项无畏的研究表明，疯狂的概念在不同的环境中具有相似的特征：a)疯狂的术语通常来自涉及心理过程和能力中断的共同理解；b)疯狂主要是通过破坏性行为或功能显著下降来识别的；c)因果归因是不同的；以及d)求助是一个复杂的过程。
In order to facilitate case identification of incident (untreated and recent onset) cases of psychosis and controls in three sites in India, Nigeria and Trinidad, we sought to understand how psychoses (or madness) were conceptualized locally. The evidence we gathered also contributes to a long history of research on concepts of madness in diverse settings. We conducted focus group discussions and individual interviews to collect information about how informants in each site make sense of and respond to madness. A coding framework was developed and analyses of transcripts from the FGDs and interviews were conducted. Analyses suggest the following: a) disturbed behaviors are the primary sign of madness; b) madness is attributed to a wide range of causes; and, c) responses to madness are dictated by cultural and pragmatic factors. These findings are congruent with similar research that has been conducted over the past 50 years. The INTREPID research suggests that concepts about madness share similar features across diverse settings: a) terms for madness are often derived from a common understanding that involves disruptions in mental processes and capacities; b) madness is recognized mostly by disruptive behaviours or marked declines in functioning; c) causal attributions are varied; and, d) help-seeking is a complex process.
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影响因子：
3.2
作者：
Hsieh, HF;Shannon, SE
通讯作者：
Shannon, SE
影响因子：
2.8
作者：
Bhikha, Aqeela G.;Farooq, Saeed;Husain, Nusrat
通讯作者：
Husain, Nusrat
影响因子：
2.6
作者：
Abbo C
通讯作者：
Abbo C
影响因子：
4
作者：
Gale NK;Heath G;Cameron E;Rashid S;Redwood S
通讯作者：
Redwood S
影响因子：
6.9
作者：
Morgan, C.;John, S.;Cohen, A.
通讯作者：
Cohen, A.