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題名 | Folk Belief, Illness Behavior and Mental Health in Taiwan=臺灣的民俗信仰、生病行為與精神衛生 |
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作者 | 文榮光; Wen, Jung-kwang; |
期刊 | 長庚醫學 |
出版日期 | 19980300 |
卷期 | 21:1 1998.03[民87.03] |
頁次 | 頁1-12 |
分類號 | 410.15 |
語文 | eng |
關鍵詞 | 生病行為; 精神衛生; 身體化; 解離作用; 民俗心理治療; Illness behavior; Mental health; Somatization; Dissociation; Folk psychotherapy; |
中文摘要 | 本文綜合回顧有關精神疾病與衛生的生病與求助行為的文獻,特別是與臺灣地 區有關者,並且提出此議題的民俗觀點須獲得優先重視的論述。 中華文化傳統醫學信念中,強調身與心、人與自然、自然與超自然、有形與無形,以 及陰與陽的整合與連續,而非分化的觀念。這種信念早已為「身體化作用比心理化作用; 解離作用比潛抑作用,較能成為常態生病行為」奠定理論基礎。本文另提出一尋求民俗心 理治療的個案報告,以闡釋上述傳統民俗觀點。 本文所提出的連續理論模式,不論是廣義的腎虧症候群(包括縮陽、畏懼症與神經衰 弱等);或廣義的靈魂附身症候群(包括病態邊緣型的邪病與常態儀式型的童乩現象),可 提醒我們認識文化的民俗與流行涵義對生病行為與精神衛生的強大影響力。 |
英文摘要 | In this paper, an overview of the literature relevant to the issues of illness behavior and help-seeking behavior in relation to mental health and illness, focusing on the Taiwan area is presented. Arguments for the prioritization and appreciation of the folk perspective of mental illness and health are addressed. The traditional medical beliefs in the Chinese culture that emphasize integration and continuity, instead of differentiation, of / between body and mind, person and nature, nature and super-nature, the visible (with form) and the invisible (without form), and yang and yin, have laid the basis for the theoretical framework of somatization as normative illness behavior rather than psychologization, and also dissociation as normative illness behavior rather than repression. A case report on folk psychotherapy is given here to illustrate the argument. The continuum models illustrated in this paper, either the shen-kuei syndrome in its broad sense extending from koro to neurasthenia, frigophobia or the spirit possession syndrome in its broad sense extending from the pathological and peripheral (Hsieh-ping) to the normative and ritual ( shamanism), could well remind us of the powerful influence of the folk and popular contexts of culture that underlie illness behavior in relation to mental health in Taiwan. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。