Kultur og psykiatri - ph.d.afhandling - Region Hovedstadens Psykiatri

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6.3. STRATEGIER I ARBEJDET MED PATIENTER MED ANDEN ETNISK BAGGRUND .....................................146
6. 4. KONKLUSION......................................................................................................................................153
KAPITEL 7. DIAGNOSTIK OG KULTUR.............................................................................................155
7.1. DIAGNOSER OG DIAGNOSTICERING....................................................................................................156
7.1.1. Den diagnostiske manual – ICD-10...........................................................................................156
7.1.2. Mentalobservationen ..................................................................................................................158
7.1.3. Diagnosticering i praksis............................................................................................................162
7.2. KULTURENS BETYDNING FOR DIAGNOSTIK – ET FORKERT EKSEMPEL?.............................................165
7.3. UENIGHED OG USIKKERHED I PRAKSIS ...............................................................................................169
7.3.1. Diskussion...................................................................................................................................175
7.4. KONKLUSION.......................................................................................................................................179
KAPITEL 8. KULTUR OG SYGDOM.....................................................................................................183
8.1. KULTUR OG DE VANSKELIGE PATIENTER............................................................................................183
8.1.1. Et par vanskelige patienter.........................................................................................................184
8.1.2. Relationen mellem kultur og sygdom........................................................................................187
8.1.3. Kultur som sidste mulige forklaring..........................................................................................193
8.2. SAMMENKÆDNINGER OG -BLANDINGER AF SYGDOM OG KULTUR.....................................................195
8.2.1. Forfølgelsesforestillinger og repressive regimer.......................................................................196
8.2.2. Kulturel splittelse, skizofreni og borderline ..............................................................................198
8.2.3. Diskussion...................................................................................................................................201
8.3. KULTUR OG LIVET UDENFOR AFDELINGEN.........................................................................................203
8.4. KONKLUSION – AFSLUTTENDE SAMMENLIGNING ..............................................................................207
KAPITEL 9. LÆGEMIDLER OG BEHANDLINGSPRAKSIS PÅ AFSNITTENE..........................209
9.1. SOCIAL TEKNOLOGI.............................................................................................................................211
9.2. BEHANDLING I PSYKIATRIEN ..............................................................................................................212
9.3. MEDICINSK BEHANDLING I PSYKIATRIEN...........................................................................................217
9.4. DEN BIO-PSYKO-SOCIALE MODEL.......................................................................................................221
9.4.1. Trilafonmanden – en patientbeskrivelse i praksis.....................................................................224
9.5. BRUGERE AF MEDICIN I PSYKIATRIEN.................................................................................................227
9.6. KONKLUSION.......................................................................................................................................236
KAPITEL 10. PSYKIATRISK VIDEN OG VIDEN OM KULTUR.....................................................237
10.1. VIDEN OG ANTROPOLOGI .................................................................................................................237
10.2. EN ANTROPOLOGI OM – PSYKIATRISK – VIDEN................................................................................239
10.2.1. Introduktionen af den nye læge................................................................................................240
10.2.2. Viden, vidensmedier og udveksling af viden ..........................................................................242
10.2.3. En psykiatrisk undersøgelse.....................................................................................................247
10.2.4. To videnstraditioner .................................................................................................................249
10.3. ADFÆRD OG MEDICIN: VIDEN OG INSTITUTIONEL PRAKSIS.............................................................253
10.4. KONKLUSION.....................................................................................................................................257
KAPITEL 11. KULTURELLE VURDERINGER...................................................................................259
11.1. DEN KULTURELLE FORMEL (IGEN) ...................................................................................................261
11.2. KULTURELLE VURDERINGER I DANMARK........................................................................................263
11.3. KRITIK AF DEN KULTURELLE FORMEL..............................................................................................267
11.3.1. Rammen omkring vurderingen ................................................................................................267
11.3.2. Objektiveret viden – kan man sætte kultur på formel? ...........................................................268
11.3.3. ’Når rationelle mænd bliver syge’ ...........................................................................................273
11.3.4. Bureaukratisk kontrol...............................................................................................................277
11.3.5. Opsamling på kritik..................................................................................................................279
11.4. KONKLUSION.....................................................................................................................................279
KAPITEL 12. KONKLUSION ...................................................................................................................281
12.1. DEN PSYKIATRISKE PRAKSIS.............................................................................................................281
12.2. KULTUREL OPMÆRKSOMHED ...........................................................................................................284
12.3. KULTURELLE VURDERINGER I ET NYT PERSPEKTIV .........................................................................286
12.3.1. De specifikke kritikpunkter......................................................................................................286