疯狂帝国：为所有人重新想象西方心理健康护理Empire of Madness:Reimagining Western Mental Health Care for EveryoneKhameer Kidia

基本信息

Publisher ‏ : ‎ Crown

Publication date ‏ : ‎ February 3, 2026

Language ‏ : ‎ English

Print length ‏ : ‎ 384 pages

ISBN-10 ‏ : ‎ 0593594282

ISBN-13 ‏ : ‎ 978-0593594285

Item Weight ‏ : ‎ 1.29 pounds

Dimensions ‏ : ‎ 6.13 x 0.97 x 9.13 inches

基本信息仅供参考，具体以实物为准

书籍简介

一位罗德学者、哈佛医学院的医生兼人类学家，对西方现有的心理健康模式进行了迫切的反思。这种模式只关注症状，而忽略了造成我们痛苦的剥削性制度。本书借鉴了世界其他地区的经验。

如果心理健康保健的核心在于免除沉重的债务、为穷人提供免费住房，并向奴隶制和殖民主义的后裔支付赔偿金，那会怎样？在《疯狂帝国》一书中，卡米尔·基迪亚博士重新评估了西方现有的心理健康模式。这种模式只关注症状，而忽略了改变那些损害人类心理的结构性因素。基迪亚博士本人也是一位医生和研究员，他的家人深受殖民主义心理创伤的影响。他通过对家庭、诊所和长达十年的田野调查中心理健康危机前线的报道，揭示了西方心理健康模式的局限性。

基迪亚博士以清醒的视角和坦诚的胸怀，提出了我们现有心理健康模式未能解答的微妙问题：历史、文化和政治是如何塑造心理痛苦的？囤积癖和职业倦怠究竟是医学诊断还是社会问题？为什么在缺乏抗精神病药物的贫困国家，精神分裂症患者的治疗效果有时反而更好？传统治疗师能否比受过西方训练的临床医生更好地治疗精神疾病？对于生活在贫困中的人来说，现金能否替代药物？

基迪亚以严谨的研究、深刻的分析和富有启发性的文笔，邀请我们重新构想精神健康，将其视为一个全球性的理念，在这个理念中，我们的福祉是相互的，每个人的声音——无论是患者、照护者还是医护人员——都至关重要。

An urgent rethinking of the Western approach to mental health, which treats the symptoms rather than the exploitative systems causing our distress—by a Rhodes Scholar and Harvard Medical School physician-anthropologist—offering lessons from the rest of the world.

What if the mainstay of mental health care involved cancelling onerous debt, giving poor people free housing, and paying reparations to the descendants of slavery and colonialism? In Empire of Madness, Dr. Khameer Kidia re-evaluates the Western approach to mental health, which medicates symptoms instead of changing the structures that harm the human psyche. A physician and researcher whose own family suffers from the psychological effects of colonialism, Kidia highlights the limitations of the Western mental health model by reporting from the front lines of mental health crises at home, in the clinic, and during a decade of fieldwork.

Clear-eyed and openhearted, Kidia asks the nuanced questions unaddressed by our current mental health model: How do history, culture, and politics shape mental distress? Are hoarding and burnout medical diagnoses or social problems? Why are schizophrenia outcomes sometimes better in poor countries without antipsychotics? Can a traditional healer treat mental illness better than a Western-trained clinician? For those living in poverty, can cash replace pills?

With rigorous research, cutting analysis, and illuminating prose, Kidia invites us to reimagine mental health as a global idea where our wellbeing is mutual and everyone’s voice—patients, caregivers, and healthcare workers alike—matters.

作者简介

卡米尔·基迪亚（Khameer Kidia）是哈佛医学院和津巴布韦大学的作家、医生和人类学家。作为罗德学者和2023年新美国基金会研究员，基迪亚在过去十年中一直致力于全球心理健康研究、实践和倡导工作。他的文章发表于《新英格兰医学杂志》、《柳叶刀精神病学》、《纽约时报》、《Slate》、《耶鲁评论》和《洛杉矶书评》等期刊。基迪亚出生于津巴布韦，目前往返于哈拉雷和华盛顿特区之间。

Khameer Kidia is a writer, physician, and anthropologist at Harvard Medical School and University of Zimbabwe. A Rhodes Scholar and 2023 New America Fellow, Kidia has worked on global mental health research, practice, and advocacy for the last decade. His writing has been published in New England Journal of Medicine, Lancet Psychiatry, The New York Times, Slate, Yale Review, and Los Angeles Review of Books. Born in Zimbabwe, Kidia lives between Harare and Washington, D.C.