Migration, Socio-cultural Factors, and Local Cultural Worlds among Fuzhounese Chinese Immigrants: Implications for Mental Health Interventions.
Migration, Socio-cultural Factors, and Local Cultural Worlds among Fuzhounese Chinese Immigrants: Implications for Mental Health Interventions.
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DOI：
10.1080/17542863.2012.674785
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发表时间：
2013
影响因子：
--
通讯作者：
Yang L
中科院分区：
文献类型：
--
作者：
Lai GY;Lo G;Ngo H;Chou Y;Yang L
在过去的二十年里，福州移民（来自中国福建省）到美国的人数迅速增加，这引起了研究人员的兴趣，因为他们的新移民身份以及他们的人口和社会文化背景使他们与大多数已经建立的中国移民相比处于明显的劣势。本文综合了现有的研究福州的历史/文化和移民的经验，并探讨如何在社会文化力量与移民后的压力源相互作用，影响发病，表现，诊断和治疗的症状，在这个群体。从先前的人种学研究中，我们认为，追求四个核心社会目标在干扰精神病治疗依从性方面起着关键作用：1）偿还走私债务（通常> 80，000美元）; 2）寄钱给纳塔尔以提高社会地位; 3）存钱买嫁妆，通过结婚和生育后代来延续家族血统;（4）取得法律的地位。为了提供更多关于这些核心社会动机如何影响精神残疾的见解，我们提出了一个福州人被诊断为精神分裂症的案例。我们将他的治疗问题与具体的基本价值观联系起来，这些价值观注入了精神疾病的生活经验，并为这一群体提供了临床和社区治疗策略。我们还将相关的治疗建议延伸到其他民族的外来务工人员。
The last two decades have seen a rapid increase of Fuzhounese immigrants (from Fujian Province, China) to the U.S. This group spurred the interest of researchers because of their new immigrant status and their demographic and sociocultural background that places them at a significant disadvantage compared with the majority of already-established Chinese immigrants. This paper synthesizes existing research on the Fuzhounese’s historical/cultural and migration experiences and examines ways in which socio-cultural forces interact with post-migration stressors to impact the onset, manifestation, diagnosis, and treatment of symptoms in this group. From prior ethnographic work, we suggest that the pursuit of four core social goals plays a key role in interfering with psychiatric treatment adherence: 1) To pay off their smuggling debt (often >$80,000); 2) To send money to their natal families to improve social standing; 3) To save money for a dowry to perpetuate the familial lineage by marrying and producing offspring; and 4) To attain legal status. To offer more insight on how these core social motivations impact psychiatric disability, we present a case vignette of a Fuzhounese man diagnosed with schizophrenia. We relate his treatment issues to specific fundamental values that infuse both the lived experience of mental illness and inform clinical and community treatment strategies for this group. We also extend relevant treatment recommendations to migratory workers from other ethnic groups.