Global Mental Health

W. Sax, C. Lang
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Abstract

Although the contributors to this volume are sympathetic to many of the goals of the Movement for Global Mental Health, we are also of the view that its agenda at the time of publication is based upon a number of problematic assumptions, that it may serve unacknowledged interests, and that in some respects it might even have harmful consequences. In the introduction we focus on the problematic assumptions that “mental disorders” can clearly be identified; that they are primarily of biological origin; that the world is currently facing an “epidemic” of mental disorders; that the most appropriate treatments for them normally involve psychopharmaceutical drugs; and that local or indigenous therapies are of little interest or importance. We also question the value of “scaling up” mental health services, as advocated by the Movement for Global Mental Health, and conclude by summarising the structure of the book, with brief comments on the various essays.
全球精神卫生
虽然本卷的作者赞同全球心理健康运动的许多目标,但我们也认为,其出版时的议程是基于一些有问题的假设,它可能服务于未被承认的利益,在某些方面甚至可能产生有害的后果。在引言中,我们将重点放在有问题的假设上,即“精神障碍”可以清楚地识别;它们主要是生物起源;世界目前正面临精神疾病的“流行病”;对他们最合适的治疗通常包括精神药物;当地的或本土的治疗方法是不感兴趣或不重要的。我们也质疑“扩大”精神卫生服务的价值,正如全球精神卫生运动所倡导的那样,最后总结了这本书的结构,并对各种文章进行了简短的评论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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