Geanellos Rene
School of Nursing, Family and Community Health, University of Western Sydney, New South Wales, Australia.
Int J Ment Health Nurs. 2005 Mar;14(1):7-15. doi: 10.1111/j.1440-0979.2005.00349.x.
Approximately 1% of the population is diagnosed with schizophrenia, and despite longstanding critiques of the (bio)medical model, understanding of the disorder still arises primarily through (bio)medical explanations. In turn, causation, symptoms and treatments are increasingly sophisticated and well known while understanding of other aspects of the disorder, especially the intersubjective experience of people living with schizophrenia, remains fragmented. For this reason, the present study sought to understand how people experience schizophrenia. To do this, the stories of 19 people diagnosed with the disorder were hermeneutically interpreted. These stories appeared in The Schizophrenia Bulletin--a journal which publishes 'first person accounts', sometimes anonymously, of people's experience of mental illness. Within the study context, the findings indicate that facing the adversity of schizophrenia means living: (i) wisely--understanding the nature of self-with-schizophrenia and of life-with-schizophrenia; (ii) mindfully--keeping understandings in conscious thought; and (iii) purposefully--acting deliberately. Doing this results in a stable and meaningful life and in a different, more resilient self.
大约1%的人口被诊断患有精神分裂症,尽管对(生物)医学模式长期存在批评,但对该疾病的理解仍然主要通过(生物)医学解释产生。相应地,病因、症状和治疗方法越来越复杂且广为人知,而对该疾病其他方面的理解,尤其是精神分裂症患者的主体间体验,仍然支离破碎。因此,本研究旨在了解人们如何体验精神分裂症。为此,对19名被诊断患有该疾病的人的故事进行了解释学解读。这些故事发表在《精神分裂症通报》上——该期刊有时会匿名发表人们精神疾病经历的“第一人称叙述”。在研究背景下,研究结果表明,面对精神分裂症的逆境意味着要:(i)明智地生活——理解患有精神分裂症的自我以及与精神分裂症共存的生活的本质;(ii)有意识地生活——将理解保持在有意识的思考中;(iii)有目的地生活——刻意行动。这样做会带来稳定而有意义的生活以及一个不同的、更具复原力的自我。