ETHNOPSYCHIATRIC INTERPRETATIONS OF SCHIZOPHRENIC ILLNESS - THE PROBLEM OF NERVIOS WITHIN MEXICAN-AMERICAN FAMILIES

ETHNOPSYCHIATRIC INTERPRETATIONS OF SCHIZOPHRENIC ILLNESS - THE PROBLEM OF NERVIOS WITHIN MEXICAN-AMERICAN FAMILIES
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DOI:
10.1007/bf00051972
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发表时间:
1988-09-01
影响因子:
1.7
通讯作者:
JENKINS, JH
JENKINS, JH
中科院分区:
医学3区
文献类型:
--
作者:
JENKINS, JH

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在墨西哥裔美国家庭中,神经(神经)的概念是一种具有文化意义的疾病类别,适用于各种疾病,包括根据精神病学标准诊断的精神分裂症障碍。这篇文章考察了神经的性质和意义,作为墨西哥裔美国家庭用来理解亲属精神分裂症疾病的一个概念。介绍了这种情况的家庭描述,并讨论了这一概念的情感和象征意义。民间概念的复杂性和有些模棱两可的性质不仅体现在对神经的描述上的差异,而且还体现在神经只是看待精神分裂症疾病的一种方式上。有人建议,对神经性一词的文化偏爱与家庭成员努力减少与精神疾病有关的耻辱有关,同时也通过促进家庭成员在家中的包容来加强家庭纽带和团结的力量。有人认为,神经的概念,以及围绕着这个民间标签的家庭情感,可能会调节精神分裂症的过程和结果。
Among Mexican-American families, the concept of nervios (nerves) serves as a culturally meaningful illness category for a wide range of conditions, including schizophrenic disorders diagnosed according to psychiatric criteria. This article examines the nature and the meaning of nervios as a notion used by Mexican-American families to understand the schizophrenic illness of a relative. Family descriptions of the condition are presented and the emotional and symbolic meanings of the concept are discussed. The complex and somewhat ambiguous nature of folk conceptions is evidenced not only by variations in the description of nervios but also by the finding that nervios is but one way to view schizophrenic illness. It is suggested that a cultural preference for the term nervios is linked to the efforts of family members to reduce the stigma associated with a mental illness while also reinforcing the strength of family bonds and solidarity by fostering tolerant inclusion of the family member within the home. It is argued that the concept of nervios, and the family emotions that surround this folk label, may mediate the course and outcome of schizophrenic disorder.