[The effect of socio-cultural factors on the demand for psychiatric services].
Western psychiatrists observed during the last twenty years progressive changes of the morbidity. The classic neurosis became rare, the character pathology steadily increased, the non-psychotic depressions showed a marked increase and new categories of patients (both individual or collective) appeared. The only conceptual model which enables us to understand this phenomena is the "New Triangle". By this name the author designates a multisystemic application of Engel's bio psycho-social model to psychiatry. The interacting elements of the "New Triangle" are: the individual with his/her psychic structure and his/her history, the extra and/or intra-psychic stressors and the stress protective factors (social support systems). A modification of their equilibrium will result in a nonspecific (crisis situation) or specific, decompensation. The ways the particular sociocultural aspects of the post industrial society may modify an aspect or/and another of the "New Triangle" are described. It seems desirable to be no longer content with a nosological diagnosis, but to endeavour to establish a systemic situational one in which the interaction type and functional level of all elements of the "New Triangle" be evaluated.
D003156:Community Mental Health Services / Q000706:statistics & numerical data*; D003419:Crisis Intervention; D003466:Cultural Characteristics; D003469:Culture; D006301:Health Services Needs and Demand; D006302:Health Services Research; D006801:Humans; D001523:Mental Disorders / Q000453:epidemiology / Q000523:psychology*; D011613:Psychotherapy; D012917:Social Adjustment; D012922:Social Change; D012931:Social Environment; D013557:Switzerland
L'influence des facteurs socio-culturels sur la demande en soins psychiatriques.