复杂分离性障碍患者的自动驾驶功能和自我破坏性行为 - 一项定性研究
Claudia Schnupp1, Heribert Sattel1, Eva Morawa2
1Department of Psychosomatic Medicine and Psychotherapy, University Hospital Rechts der Isar, Technical University of Munich (TUM).
Psychological trauma : theory, research, practice and policy
|August 21, 2023
概括
患有复杂分离性障碍的患者经常表现出"自动驾驶功能"和"自我破坏性行为",因为缺乏自我同情. 了解这些作为创伤应对机制对于诊断和治疗至关重要.
科学领域:
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
- 创伤研究 创伤研究
背景情况:
- 复杂的分离性疾病普遍存在,并显著损害生活质量.
- 分离性障碍的低诊断妨碍了及时和有效的治疗干预.
- 在分离性障碍中理解自我关系可能会提高诊断准确性.
研究的目的:
- 探索复杂分离性障碍的个体如何与自己联系.
- 为了深入了解复杂分离性障碍患者的自我认知和行为.
主要方法:
- 对十名被诊断患有复杂分离性障碍的女性进行了半结构化的定性访谈.
- 参与者之前曾经接受过以创伤为中心的治疗.
- 数据使用反射主题分析来分析.
主要成果:
- 参与者将治疗前的行为描述为"自动驾驶功能" (面向外部,忽视需求) 和"自我破坏性" (饮食障碍,自我伤害,药物滥用).
- 这两种行为都源于缺乏自我同情,压制情绪和缺乏整体感知.
- 这些模式被参与者认为是相互关联和复杂的.
结论:
- "自动驾驶功能"似乎是复杂分离性障碍的特征,经常掩盖潜在的自我破坏性行为.
- 如果"自动驾驶功能"被误解,医疗专业人员可能会低估疾病的严重程度.
- "自动驾驶功能"和"自我破坏行为"都应该被视为与创伤相关的应对机制,而不是被评判.
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