CONCEPTIONS OF SCHIZOPHRENIA AS A PROBLEM OF NERVES - A CROSS-CULTURAL-COMPARISON OF MEXICAN-AMERICANS AND ANGLO-AMERICANS
CONCEPTIONS OF SCHIZOPHRENIA AS A PROBLEM OF NERVES - A CROSS-CULTURAL-COMPARISON OF MEXICAN-AMERICANS AND ANGLO-AMERICANS
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DOI：
10.1016/0277-9536(88)90155-4
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发表时间：
1988-01-01
影响因子：
5.4
通讯作者：
JENKINS, JH
中科院分区：
文献类型：
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作者：
JENKINS, JH
本文探讨了家庭环境中精神病的本土概念。墨西哥裔美国人和英美裔美国人亲属对被诊断为精神分裂症的家庭成员使用的文化类别NERVIOS和NERFORY进行了检查。虽然墨西哥裔美国人倾向于认为nervios是对这个问题的适当解释，但盎格鲁裔美国人明确表示，英语中平行的术语“Neurs”(神经)并不适用。英裔美国人的亲属可能会认为这个问题本质上是“精神的”，通常会特别提到精神疾病的诊断水平，比如“精神分裂症”。尽管观念上的差异似乎与种族和社会经济地位有关，但观察到显著的文化差异与社会经济地位无关。这些结果对当代人类学的观点提出了质疑，即精神病是以基本上相似的跨文化方式概念化的，并强调了需要更多地结合背景理解本土精神障碍概念的含义和应用。文章最后讨论了与精神分裂症的民族心理标签相关的心理文化意义，以及它们对患者及其亲属的社会和道德地位的重要性。
This paper explores indigenous conceptions of psychosis within family settings. The cultural categories nervios and ''nerves'', as applied by Mexican-American and Anglo-American relatives to family members diagnosed with schizophrenia are examined. While Mexican-Americans tended to consider nervios an appropriate interpretation of the problem, Anglo-Americans explicitly dismissed the parallel English term ''nerves''. Anglo-American relatives were likely to consider the problem as ''mental'' in nature, often with specific reference to psychiatric diagnostic levels such as ''schizophrenia''. Although variations in conceptions appear related to both ethnicity and socioeconomic status, significant cultural differences were observed independent of socioeconomic status. These results raise questions concerning contemporary anthropological views that psychosis is conceptualized in substantially similar ways cross-culturally, and underscore the need for more contextualized understanding of the meaning and application of indigeneous concepts of mental disorder. The paper concludes with a discussion of psychocultural meanings associated with ethnopsychiatric labels for schizophrenia and their importance for the social and moral status of patients and their kin.