印度精神疾病的治疗者和治疗实践:提议的折衷治疗模式的作用

R. Biswal, C. Subudhi, S. Acharya
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引用次数: 65

摘要

许多关于精神疾病的争论都集中在文化差异上,作为处理医疗保健实践的一种方式。保健做法的多样性导致了医疗多元化。在印度,这种医疗多元化可以通过各种治疗师和治疗实践来观察。任何保健做法的文化决定论包括传统或土著和现代保健做法,这些做法植根于国家治疗系统的保健文化中。这种医学多元化不仅提供了不同形式的治疗实践,而且解决了感知、解释和管理疾病的不同方式。然而,与特定治疗师的咨询是受一系列社会文化信仰、患者背景以及家庭成员的影响的,这也是通过这些治疗师的可及性和可用性来遵循的。通过从印度已有的研究中探索不同类型的治疗师的主导地位和他们对精神疾病的治疗实践,本文试图展示精神疾病的医疗保健系统如何也代表了医学多元化的万花筒。此外,作者还提出了一种新的精神疾病治疗模式——“折衷治疗模式”。
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Healers and healing practices of mental illness in India: The role of proposed eclectic healing model
Much of the debate on mental illness has centered on cultural difference as a way of dealing with the health-care practices. The varieties of health-care practices induce medical pluralism. In India, this medical pluralism can be observed through the assortments of healers and healing practices. The cultural determinism of any health-care practice comprises traditional or indigenous and modern health-care practices which are embedded in the health culture of country's healing system. This medical pluralism not only provides different forms of healing practices but also addresses different ways of perceiving, explaining, and managing the illness. Nevertheless, consultation with a particular healer is governed by a set of sociocultural beliefs, background of the patients along with the family members which has also been followed through the accessibility and availability of such healers. By exploring the dominance of different types of healers and their healing practices toward mental illness from the preexisting research in India, the present paper tries to show how health-care system in mental illness also represents the kaleidoscope of medical pluralism. Furthermore, the authors have proposed a new model the “eclectic healing model” of mental illness.
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