在精神病中对创伤产生意义
Nienke van Sambeek1, Gaston Franssen2, Stefan van Geelen3
1Department of Psychiatry, University Medical Center Utrecht, Utrecht, Netherlands.
Frontiers in psychiatry
|November 29, 2023
概括
患有精神病的人因心理健康护理障碍和耻辱而难以理解创伤的意义. 支持性关系是克服这些挑战和促进恢复的关键.
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:
- 在创伤后创造意义对于心理健康恢复至关重要.
- 在患有精神病的个体中,这个过程往往会受到损害.
- 创伤在这个人群中很普遍,但却未得到充分的治疗,因此需要对创造意义的支持.
研究的目的:
- 探索精神病患者如何理解创伤经历的意义.
- 识别影响他们创造意义的过程的障碍和促进者.
主要方法:
- 来自荷兰精神病学故事银行的21次采访成绩单的定性分析.
- 包括有多次精神病发作的人,他们讨论了创伤.
- 故事情节分析由叙事身份的心理社会概念化提供信息,经过专家经验验证.
主要成果:
- 出现了四种不同的故事类型,详细介绍了创伤的不同情节和含义.
- 障碍主要与心理健康护理和耻辱联系在一起,包括对应对能力的悲观观点.
- 促进者包括支持性,非判断性关系,促进披露,自我调查和成长.
结论:
- 这项研究强调了社会背景和耻辱对精神病患者创造意义的挑战的重大影响.
- 结果为减少适应性意义制造障碍提供了指导.
- 结果可以帮助临床医生了解这一群体中各种创伤意义创造过程.
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