肯尼亚的文化观念和对精神分裂症症状的解释

Siver Kibuh, Sarah Malaki, Joyce Kamunya, Damaris Thuku
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摘要

本摘要通过对相关文献的综述,包括 "肯尼亚精神病风险症状调查"、"主要精神障碍的文化方面:从印度人的视角进行批判性回顾"、"肯尼亚的精神病症状--患病率、风险因素以及与常见精神障碍的关系 "和 "传统医疗从业者的精神健康实践探索:肯尼亚农村地区的定性研究"。这篇综述揭示了许多肯尼亚社区所持有的传统文化信仰与西方生物医学对精神分裂症的观点之间复杂的相互作用。在肯尼亚进行的一项关于精神病风险症状的调查结果突出表明,具有文化特色的症状与符合西方精神病学标准的症状之间存在大量重叠。这种重叠强调了在肯尼亚诊断和治疗精神分裂症时使用具有文化意识的方法是多么重要。对肯尼亚精神病症状进行的研究表明,相当一部分精神分裂症患者会出现具有文化特征的症状,如灵魂附体和巫术信仰。这些具有文化特征的症状经常会影响到患者寻求帮助和坚持治疗的行为,而传统治疗师在治疗精神疾病方面发挥着重要作用。然而,对传统巫师的依赖可能会阻碍精神分裂症患者的治疗效果,并延长他们接受循证精神病治疗的时间。在肯尼亚,考虑与精神分裂症症状有关的文化观念和信仰是非常重要的,这凸显了采取符合当地文化的方法来治疗精神疾病的迫切需要。精神分裂症的治疗措施必须在尊重各种文化观点和鼓励传统治疗师与生物专业人员之间的合作之间取得谨慎的平衡。为了保证精神分裂症患者能够公平地获得高质量的精神健康护理,在肯尼亚社区创造文化上适当的治疗方法和提高精神健康素养应该是未来研究的重中之重。
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CULTURAL BELIEFS AND INTERPRETATION OF SYMPTOMS OF SCHIZOPHRENIA IN KENYA
This abstract provides a concise overview of the prevalence of cultural beliefs and their impact on the recognition and treatment of schizophrenia symptoms in Kenya, drawing from a review of relevant literature including "A survey of psychosis risk symptoms in Kenya," "Cultural Aspects of Major Mental Disorders: A Critical Review from an Indian Perspective," "Psychotic Symptoms in Kenya – Prevalence, Risk Factors, and Relationship with Common Mental Disorders," and "Exploring mental health practice among traditional health practitioners: a qualitative study in rural Kenya." This review reveals a complex interaction between traditional cultural beliefs that are held by many Kenyan communities and Western biomedical viewpoints on schizophrenia. Results of a survey conducted in Kenya on psychosis risk symptoms highlight the substantial overlap between symptoms that are distinctive to a culture and those that meet Western psychiatric standards. This overlap emphasizes how crucial it is to use culturally aware methods when diagnosing and treating schizophrenia in Kenya. Studies conducted on psychotic symptoms in Kenya show that a significant proportion of schizophrenia patients experience symptoms that are culturally specific, such as spirit possession and witchcraft beliefs. These culturally particular symptoms frequently impact behavior related to seeking help and adhering with treatment, with traditional healers having a significant role in the treatment of mental illness. Reliance on conventional healers, however, may impede treatment outcomes for people with schizophrenia and prolong the time it takes to receive evidence-based psychiatric therapy. It is important to consider the cultural perceptions and beliefs around the symptoms of schizophrenia in Kenya highlight the critical need for culturally competent methods to mental health treatment. Schizophrenia treatment initiatives must strike a careful balance between honoring various cultural viewpoints and encouraging cooperation between conventional healers and biological professionals. The creation of culturally appropriate therapies and the improvement of mental health literacy in Kenyan communities ought to be the top priorities for future research in order to guarantee that people with schizophrenia have fair access to high-quality mental health care.
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