抑郁症精品课件.pptVIP

Siu-man Ng, PhD, RCMP, RSWDepartment of Social Work Social AdministrationThe University of Hong Kong “Problem is not problem,but coping is!” Virginia Satir “Illness is not illness,but illness behavior is!” Siu-man Ng Illness behavior ‘The ways in which given symptoms may be differentially perceived, evaluated, and acted (or not acted) upon’ (Goldberg, Benjamin Francis, 1987, p. 218) Complex intra inter-personal dynamics Personal factors Cultural, systemic factors ‘Somatization’ tendency Tight mind/body connection Collective culture Deeply influenced by Confucianism Value/reward self-control, regulation, even sacrifice ? Psychological repression ? ? Somatoform disorders ? Somatic discomforts – the socially legitimate channel to express concern or seek help* e.g. Classic work of Arthur Kleinman, a psychiatrist and medical anthropologist specialized in studying the illness behavior of Chinese people * See work of Arthur Kleinman Wen-sheng Tseng Example 1‘Yu’ (stagnation) syndrome 鬱證 ‘Yu’ (stagnation) syndromevs. Depression With reference to TCM terminology, depression is translated as ‘yiyu’ disorder (抑鬱症) in Chinese However, ‘yu’ is conceptually different from ‘depress’ ‘Yu’ = Clogged, entangled, not flowing ‘Depress’ = Being low down Etiology/mechanism of ‘yu syndrome’ Repressed emotions (e.g. anger) ? Liver qi stagnation ? A cluster of obstruction-like symptoms related to liver spleen channels Emotion + prominent somatic symptoms ? Willing to seek Chinese medicine treatment, little/no stigma TCM model of stagnation Emotions (anger) repressed Liver qi stagnant Liver meridian problems Spleen meridian problems Operationalize ‘yu’ as a psychological construct for all health practitioners (Ng, 2008) My previous studies* have shown that ‘Yu’ is a robust construct with good psychometric properties A syndrome distinct from depression in Conceptualization Clinical presentations, and Demographic profile *General Research Grant (Ref: HKU749708H) of the Re