Psychopharmacology and culture

D. Bhugra, A. Ventriglio, K. Bhui
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Abstract

Prescribing medicine is one of many therapeutic strategies that clinicians use in managing mental illness in patients. In different cultures, patients have varying expectations of types of medication. Some cultures prefer injections, whereas others like syrups. Patients from some cultures have faith in small tablets whereas others in big tablets. Colour of tablets also affects compliance. In addition, cultural factors like diet, smoking, and religious rituals also play a role in developing and maintaining therapeutic adherence. Individual pharmacodynamics and pharmacokinetic factors are likely to be strongly influenced by ethnic and racial factors. Environmental and personality factors can play an important role in efficacy of medication. There is no doubt that medication is an important part of the therapeutic interaction. Clinicians must give the right information about medication in terms that patients and their families can understand clearly, especially the meaning of the medication and its purpose and potential side effects.
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精神药理学和文化
开药是临床医生用于治疗精神疾病患者的许多治疗策略之一。在不同的文化中,患者对药物类型的期望不同。有些人喜欢打针,而有些人则喜欢糖浆。有些文化背景的病人相信小药片,而有些人则相信大药片。药片的颜色也会影响依从性。此外,饮食、吸烟和宗教仪式等文化因素也在发展和维持治疗依从性方面发挥作用。个体药效学和药代动力学因素可能受到民族和种族因素的强烈影响。环境和人格因素在药物疗效中起重要作用。毫无疑问,药物是治疗相互作用的重要组成部分。临床医生必须以患者及其家属能够清楚理解的方式提供有关药物的正确信息,特别是药物的含义、用途和潜在的副作用。
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