在精神病学诊断后,有意义的和解释性的不公正
1Department of Philosophy, University of Sheffield, Sheffield, England.
Journal of evaluation in clinical practice
|February 20, 2024
概括
精神病学诊断可能与个人自我叙述相冲突,影响个人对自身状况的理解. 这可能会导致一种绝望的感觉和对认识体系不公正的脆弱性,特别是解释学不公正.
科学领域:
- 医学哲学 医学哲学
- 心理学 心理学 心理学
- 叙事理论 叙事理论
背景情况:
- 严重患病的人经常质疑他们诊断的意义.
- 精神病诊断可以强加一种生物医学叙事,可能与个人自我叙事发生冲突.
- 自我叙述对于创造意义和理解一个人的经历至关重要.
研究的目的:
- 探索自我叙述在精神病诊断的理解中的意义.
- 检查精神病学中的生物医学叙述如何与个体现有的自我叙述发生冲突.
- 论证精神病学诊断可以使个人容易受到认识论上的不公正,特别是解释论上的不公正.
主要方法:
- 从哲学和心理学中概述叙事理论中的关键主题.
- 分析生物医学诊断叙述与个人自我叙述之间的潜在冲突.
- 考虑和回应有关认知不公正的主张的反对意见.
主要成果:
- 精神病诊断的生物医学叙述可能会破坏一个人的自我叙述.
- 这种干扰可以减少自我效能,并培养对恢复的绝望.
- 个人可能会经历解释学上的不公正,在医疗化的背景下努力表达经验.
结论:
- 自我叙述在个人如何理解和整合严重诊断方面发挥着至关重要的作用.
- 精神病学诊断实践可能无意中将个体的解释资源边缘化,导致不公正.
- 解决诊断叙述对自我叙述的影响对于患者的福祉和理解至关重要.
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