11333027

Abstract

Medicine, as a discipline originated in humanism, in its rationalism-turned history, was

always accompanied by the comments and criticisms from the humanities and social sciences.

one typical example is the mental illness. Body Cultures abuse of political science, may transfer

stigmatized disease to stigmatized medical institutions. Construction of "the history of

demarcation" should be ended by the practice of medicine itself, together with the philosophical

efforts and human-rights legislations. This paper about Tianjin XX Hospital takes advantage of the

anthropological knowledge, and makes studies on conditions of open wards and community

health services introduction to the hospital. On the one hand, this paper focuses on the tension

between feelings of subjects inherent in different identities and empirical knowledge-based

technology rationality in mental illness explanation model; On the other hand, it attempts to

reflect some of the problems in operations of the special medical institutions, and in medical

practice - social cognitive interactions between whom and urban communities, so as to

perspective negative effects related with blind-spots of the hospitals constructions and

promotions on mental health .

1 1

1.1 1

1.2 5

2 6

2.1 6

2.2 A8

3 10

3.1 10

3.2 12

3.3 18

4 24

1 1

1.

1.1.

1949

ICD

ICD-101952

DSMDSM- IV

1982

DSM- IV ICD

CCMD ICD

1999

87

2

Cheung F. M1980

DSM1994

CCMD-31999

DSM ICD

2004

3/

1.2.

/

/

Major B O' Brient L T2005

18

/2008

2000

4 2020

Lorig Kate1999

CDSMP

2004

CDSMP

Helen C. Kales

2015

DICE

5

2.

A

6 2

1.

10 10World Federation for

Mental Health 1992150

1949

The Mental Health Foundation

i. 20062015

2015 2014 2013 2012 2011 2010 2009 2008 ,2007

2006

2013 5 1

1.7 1600

2 3 2010

228100 86.4%

96.4%

7 2/3 2013

2011 12000 3

18

3

2012

2014

2014 10 10 23

4

//

82. A

A

33571 4 708

2010

A 2006 32161

3 2009 10 18

xx 78500 6 1220 ;

;;

32 ICD-10

; 98%

A

9

250

A

24

10

3

1.

A

50~60

11

ii.

A

12

2.

i.

830

13

CCMD DSM- IV

14

15

16

A

17

23

13

C3 6

/

18

/

2015

3.

ii.

3 B

C

2500

9001100 200400

20

19

/

K

/

K

20

2014 10 10

A

21

CST

27

CBT

A

2

3 4 60 80

2015

86

22

iii.

//

23

A

CST

24

--

A

A

CST

CST

A/

25

1

2

[1]Ethics, culture, and psychiatry: International perspectives[M]. American Psychiatric Pub, 2008.[2]Cheung F M, Lau B W K, Waldmann E. Somatization among Chinese depressives in generalpractice[J]. The International Journal of Psychiatry in Medicine, 1980, 10(4): 361-374.[3]Climent C E, Diop B S M, Harding T W, et al. Mental health in primary health care[J]. WHOchronicle, 1980, 34(6): 231-236.[4]Helen C KalesLaura N GitlinConstantine G Lyketsos. Assessment and management ofbehavioral and psychological symptoms of dementia[J]. BMJ, 2015, 350: h369[5]Kleinman A M. Depression, somatization and the new cross-cultural psychiatry[J]. SocialScience & Medicine (1967), 1977, 11(1): 3-9.[6]Kleinman A. Neurasthenia and depression: a study of somatization and culture in China[J].Culture, medicine and psychiatry, 1982, 6(2): 117-190.[7], . [M]. , 2008.[8]M. (), R. (), P. (), . : [M]., 2004.[9]. [M]. , 2003.[10]. [M]. -, 2005.[11]. [M]. : , 1988.[12]. [M]. , 2012.[13]. [J]. , 1999, 79(6): 479-480.[14], , . 18[C]. //. 2012.[15], , . [J]. , 2014, 28:97-103. DOI:10.3969/j.issn.1000-6729.2014.02.003.[16]. [J]. , 2011, 3: 013.[17] , , . [J]. , 2008, 16(4):582-589.[18], . [J]. , 2004, 16(2):117-119.[19], , , . 2010 [J]. , 2013, 26(12): 885-889.[20]. , , [J]. , 1999, 1: 013.[21], . [J]. , 2004, 16(5): 292-292.[22]. [J]. , 2000, 12(1): 12-13.