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首页> 外文期刊>Sociology of health & illness >Negotiations of distress between East Timorese and Vietnamese refugees and their family doctors in Melbourne.
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Negotiations of distress between East Timorese and Vietnamese refugees and their family doctors in Melbourne.

机译：东帝汶人和越南难民及其在墨尔本的家庭医生之间的困境谈判。

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Recent critiques of depression have contested its coherence as a concept and highlighted its performance in medicalising distress. Studies of depression in a cross-cultural context have focused on language and belief systems as technical barriers to practice that need to be overcome in enacting depression work. This paper seeks to locate culture within the broader socio-structural context of depression care in general practice. The paper draws on interviews with five general practitioners (GPs), and 24 patients from Vietnamese and East Timorese backgrounds who predominantly have left their home as refugees. Each had been diagnosed with depression or prescribed antidepressants. These patients gave accounts of distress deeply embedded within, and inseparable from, lives fraught with frightening pre-migration experiences, traumatic escape and profound dislocation and alienation in their new 'home'. Fragmented lives were contrasted with the nourishing social fabric of homes left behind. GP participants were involved in a process of engaging with a profoundly communal and structural account of emotional distress while defending and drawing on an individualised notion of depression in performing their work and accounting for the pain presented to them.
机译：最近对抑郁症的批评使它的连贯性成为一个概念，并突显了它在治疗痛苦中的表现。在跨文化背景下对抑郁症的研究集中在语言和信仰系统上，这些语言和信仰系统是实施抑郁症工作中需要克服的技术障碍。本文旨在将文化定位于一般实践中抑郁症治疗的更广泛的社会结构环境中。该论文是根据对五位全科医生和来自越南和东帝汶背景的24名患者的采访而来的，这些患者主要是作为难民离开家园的。每个人都被诊断出患有抑郁症或开了抗抑郁药。这些患者讲述了深陷于生活中的苦难，这些苦难与充满可怕的移民前经历，创伤性逃生以及新的“家”中的严重错位和疏远生活密不可分。零散的生活与滋养的房屋的社会结构形成对比。 GP参与者参与了一个过程，该过程涉及对情绪困扰的深刻的公共和结构性描述，同时在执行工作和解释给他们带来的痛苦时捍卫和借鉴个人的抑郁观念。

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