Bouffee Delirante：一名在台灣發生的海地男性案例

Bouffee Delirante: A Case of a Young Haitian Man in Taiwan

背景：因文化衝擊，移民發生精神疾患的風險較高。當代國際間互動頻仍，可預期與跨文化情境壓力相關的精神疾患將日漸增加。因此，精神科醫師應熟悉移民多樣的精神病理學現象。個案報告：一名海地男性，來台攻讀研究所學業時發生短暫之精神病性症狀，表現類似bouffeedelirante，其為急性與短暫性精神病的一種變異型態，且在DSM-IV中被歸類為文化相關症候群。結論：由文獻回顧探討移民的妄想反應、文化相關症候群的意義、bouffeedelirante概念的歷史流變、及文化整合陳述在臨床工作的應用。期望這些觀點有助於移民精神病理現象之評估，做出更準確的診斷與合宜的治療。

Background: Immigrants have great risk for psychiatric disorders under cultural impact. Increasing cross-cultural stress-related psychiatric problems can be expected due to increasing international communications contemporarily. Psychiatrists need to be familiar to the diverse manifestations of immigrants’ psychopathology. Case Report: A Haitian male postgraduate student developed transient psychotic symptoms which were apparently related to cross-cultural stress and resembled those of bouffee delirante, which is a variant of acute and transient psychotic disorder and is regarded as a culture-bound syndrome in DSM-IV. Conclusion: We review literature and discuss immigrants’ paranoid reaction, culture-bound syndrome, historical concepts of bouffee delirante, and application of cultural formulation in clinical practice. We wish that these viewpoints can decrease the chance of having inaccurate diagnosis and giving suboptimal intervention caused by diffi culties in interpreting the immigrants’ psychopathology.