Yi-cheng Wu
Yi-Cheng (Peter) Wu MD.PhD
Assistant Professor, Depart of Medicine, Mackay Medical College.
Attending Psychiatrist, Department of Psychiatry, Hsinchu Mackay Memorial Hospital, Taiwan
Assistant Professor, Depart of Medicine, Mackay Medical College.
Attending Psychiatrist, Department of Psychiatry, Hsinchu Mackay Memorial Hospital, Taiwan
less
InterestsView All (7)
Uploads
Papers
、醫學知識的推廣,並被國家納入健康治理的一環;個
人的文化信念與道德世界,也因為社會急遽變遷而有所變化,逐漸認
納「疾病」作為尋求改變的角色認同。本文藉由分析「產後憂鬱」在
台灣逐步浮現的過程及其現代性意義,闡釋當代精神醫學尋求「文化
能力」的思辨路徑。透過作者的臨床經驗觀察,並且爬梳跨文化精神
醫學的論述與臨床研究文獻,以跨學科的視角,對產後憂鬱的認識論
與診斷的政治進行檢驗與對話。
本文認為,產後憂鬱的疾病經驗是隨著社會變遷而浮現的。診斷
如同「雙面刃」,一來有助人改善處境的意義,卻也有縮限問題解釋
空間的可能。因此本文強調,產婦的病痛與就醫的主體經驗需要更進
一步的探究。臨床工作者的文化能力,在於對受苦經驗進行脈絡化的
理解,避免污名的產生,並致力於協助產婦於當代更新變動的社會條
件下,持續賦權以面對當代的困境。
The appearance of post-partum depression in Taiwan is due to the
institutionalization of psychiatry, the promotion of medical knowledge
over indigenous understandings, and the state’s health policy.
Individuals’ cultural and moral beliefs have also been reshaped under
rapid societal changes. Hence the disease identity then has been
reinforced. In this article, I analyze the gradual emergence and modern
significance of post-partum depression in Taiwan, and explain
contemporary processes in the search for cultural competence in the
field of psychiatry. I apply observations from my own clinical
experience to explore cross-cultural aspects of psychiatric treatment. I
also review the clinical research literature to examine and discuss the
epidemiology of postpartum depression and the politics of diagnosis
from an interdisciplinary perspective.
I propose that post-partum depression has emerged along with
social change. Making a diagnosis is a double-edged sword. Medical
intervention can be helpful, but it can also narrow the interpretation of
the experience. Therefore, there is a need for further exploration of maternal subjectivity, both in the illness itself and in receiving medical
treatment. Clinicians’ cultural competence lies in contextualized
understanding for patients in need, empowering patients to handle their
everyday struggles, and avoiding possible stigma.
Book Reviews
、醫學知識的推廣,並被國家納入健康治理的一環;個
人的文化信念與道德世界,也因為社會急遽變遷而有所變化,逐漸認
納「疾病」作為尋求改變的角色認同。本文藉由分析「產後憂鬱」在
台灣逐步浮現的過程及其現代性意義,闡釋當代精神醫學尋求「文化
能力」的思辨路徑。透過作者的臨床經驗觀察,並且爬梳跨文化精神
醫學的論述與臨床研究文獻,以跨學科的視角,對產後憂鬱的認識論
與診斷的政治進行檢驗與對話。
本文認為,產後憂鬱的疾病經驗是隨著社會變遷而浮現的。診斷
如同「雙面刃」,一來有助人改善處境的意義,卻也有縮限問題解釋
空間的可能。因此本文強調,產婦的病痛與就醫的主體經驗需要更進
一步的探究。臨床工作者的文化能力,在於對受苦經驗進行脈絡化的
理解,避免污名的產生,並致力於協助產婦於當代更新變動的社會條
件下,持續賦權以面對當代的困境。
The appearance of post-partum depression in Taiwan is due to the
institutionalization of psychiatry, the promotion of medical knowledge
over indigenous understandings, and the state’s health policy.
Individuals’ cultural and moral beliefs have also been reshaped under
rapid societal changes. Hence the disease identity then has been
reinforced. In this article, I analyze the gradual emergence and modern
significance of post-partum depression in Taiwan, and explain
contemporary processes in the search for cultural competence in the
field of psychiatry. I apply observations from my own clinical
experience to explore cross-cultural aspects of psychiatric treatment. I
also review the clinical research literature to examine and discuss the
epidemiology of postpartum depression and the politics of diagnosis
from an interdisciplinary perspective.
I propose that post-partum depression has emerged along with
social change. Making a diagnosis is a double-edged sword. Medical
intervention can be helpful, but it can also narrow the interpretation of
the experience. Therefore, there is a need for further exploration of maternal subjectivity, both in the illness itself and in receiving medical
treatment. Clinicians’ cultural competence lies in contextualized
understanding for patients in need, empowering patients to handle their
everyday struggles, and avoiding possible stigma.