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首页> 外文期刊>Qualitative health research >'It's When the Trees Blossom': Explanatory Beliefs, Stigma, and Mental Illness in the Context of HIV in Botswana
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'It's When the Trees Blossom': Explanatory Beliefs, Stigma, and Mental Illness in the Context of HIV in Botswana

机译：“这是树木开花”：在博茨瓦纳艾滋病毒的背景下解释性信念，耻辱和精神疾病

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摘要

Mental illness is a common comorbidity of HIV and complicates treatment. In Botswana, stigma impedes treatment of mental illness. We examined explanatory beliefs about mental illness, stigma, and interactions between HIV and mental illness among 42 adults, from HIV clinic and community settings, via thematic analysis of interviews. Respondents endorse witchcraft as a predominant causal belief, in addition to drug abuse and effects of HIV. Respondents describe mental illness as occurring "when the trees blossom," underscoring a conceptualization of it as seasonal, chronic, and often incurable and as worse than HIV. Consequently, people experiencing mental illness (PEMI) are stereotyped as dangerous, untrustworthy, and cognitively impaired and discriminated against in the workplace, relationships, and sexually, increasing vulnerability to HIV. Clinical services that address local beliefs and unique vulnerabilities of PEMI to HIV, integration with peer support and traditional healers, and rehabilitation may best address the syndemic by facilitating culturally consistent recovery-oriented care.
机译：精神疾病是艾滋病毒的共同合并症，并使治疗复杂化。在博茨瓦纳，耻辱阻碍了精神疾病的治疗。我们通过对访谈专题分析研究了42名成年人之间的精神疾病，耻辱和精神疾病与艾滋病毒和精神疾病之间的解释性。除了药物滥用和艾滋病毒的影响外，受访者将巫术作为主要因果关系。受访者描述了精神疾病，发生“当树木开花”时，强调它作为季节性，慢性，往往是不可追残的，并且比艾滋病毒更糟糕。因此，经历精神疾病（PEMI）的人是典范的，不值得信任，认知的，并且在工作场所，关系和性，增加对艾滋病毒的脆弱性的危险性和歧视。临床服务，解决当地信仰和独特的PEMI漏洞到艾滋病毒，与同伴支持和传统治疗师的整合，以及康复可能通过促进文化一致的恢复为导向的护理而最佳地解决了对象。

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