让其他缺席但仍存在的东西有意义:代表生命和死亡之外的临界植物状态
Edoardo Zulato1, Paula Castro2, Carolina Silvia Quagliarella3
1Department of Psychological and Behavioural Science, London School of Economics and Political Science (LSE), Houghton St, London WC2A 2AE, United Kingdom; Department of Psychology, University of Milano-Bicocca, Piazza Dell'Ateneo Nuovo, 1, 20126, Milano, Italy.
Social science & medicine (1982)
|April 6, 2025
概括
护理人员通过将患者从严格的类别中解脱,来应对植物状态患者的复杂护理. 他们使用过去的记忆和临床身份来管理互动,并表示共享的现在.
科学领域:
- 社会科学 社会科学 社会科学
- 心理学 心理学 心理学
- 社会学 社会学 社会学
背景情况:
- 处于植物状态的患者为护理人员带来了独特的本体学和互动挑战.
- 这些患者的临界状态导致了关于他们的存在,身份和时间存在的困境.
研究的目的:
- 调查亲属和医疗保健专业人员如何应对在植物状态下照顾患者的挑战.
- 探索社会表征和临界性理论在理解这些护理动态中的作用.
主要方法:
- 分析了65个半结构面试的意大利养老院的亲属和专业人士.
- 以话语为导向的专题分析,以检查护理人员如何表示患者的身份和时间性.
主要成果:
- 护理人员将患者从二分法类别 (例如,生命/死亡,人/身体) 中解脱,将他们代表在一个本体学悖论中.
- 亲属利用过去的记忆为患者构建"新身份"和"现在".
- 专业人员整合"临床身份"并促进与无声患者的身体交流.
结论:
- 护理人员通过动员患者的过去和促进身体社交来表示共同的现实.
- 这种协作身份工作有助于管理这种情况的明显无意义.
- 这项研究强调了适应性策略,以照顾处于植物状态的个体.
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