THROUGH A DIFFERENT LENS - AN ANTHROPOLOGICAL PERSPECTIVE ON THE HOMELESS MENTALLY-ILL
THROUGH A DIFFERENT LENS - AN ANTHROPOLOGICAL PERSPECTIVE ON THE HOMELESS MENTALLY-ILL
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DOI：
10.1007/bf00054437
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发表时间：
1992-03-01
影响因子：
1.7
通讯作者：
KOEGEL, P
中科院分区：
文献类型：
--
作者：
KOEGEL, P
最近试图了解越来越多的无家可归的精神病患者的出现几乎完全依赖于流行病学和临床方法，结果是对这些人及其行为的不完整甚至扭曲的看法。本文描述了目前存在的差距，在我们的理解无家可归的精神病患者，重点是缺乏丰富的定性描述的生活过程中，压倒性的关注病理和脱离，未能看到无家可归的精神病患者在更广泛的社会经济和情境背景下，他们的日常生活，缺乏纵向的角度来看，以及过度依赖自我报告作为数据来源。数据提供的民族志检查正在进行的适应50慢性精神疾病无家可归的成年人在市区的洛杉矶，建议如何利用人类学的角度研究可以填补这些空白。这一讨论表明，通过扩展，人类学研究可以提供政策相关的见解，在这一关键领域，无家可归和精神疾病的研究提供了机会，人类学家追求的各种问题相关的领域。
Recent attempts to understand the emergence of a growing population of homeless mentally ill individuals have almost exclusively relied on epidemiological and clinical approaches, the result being an incomplete and even distorted perception of these people and their behavior. This paper describes gaps that currently exist in our understanding of the homeless mentally ill, focusing on the dearth of rich qualitative descriptions of lives in process, the overwhelming preoccupation with pathology and disaffiliation, the failure to view homeless mentally ill individuals in the broader socio-economic and situational contexts of their daily lives, the absence of a longitudinal perspective, and an over-reliance on self-report as a source of data. Data are offered from an ethnographic examination of the ongoing adaptation of 50 chronically mentally ill homeless adults in the downtown area of Los Angeles to suggest how research utilizing an anthropological perspective can fill some of these gaps. This discussion indicates by extension that anthropological research can provide policy-relevant insights in this critical area and that the study of homelessness and mental illness presents opportunities for anthropologists to pursue a variety of issues relevant to the field.