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从抑郁症中康复:人际心理治疗的话语分析

Recovery from depression: a discourse analysis of interpersonal psychotherapy.

作者信息

Crowe Marie, Luty Sue

机构信息

Department of Psychological Medicine, Christchurch School of Medicine and Health Sciences, PO Box 4345, Christchurch, New Zealand.

出版信息

Nurs Inq. 2005 Mar;12(1):43-50. doi: 10.1111/j.1440-1800.2005.00250.x.

Abstract

This paper describes a discourse analysis of the process of interpersonal psychotherapy (IPT) in the recovery from depression. It demonstrates how IPT is an effective treatment strategy for mental health nurses to utilise in the treatment of depression. The discourse analysis highlights how the development of more meaningful subject positions enables one woman to recover from her depression. The process of recovery is underpinned by an understanding of women's depression as promoted by contemporary social and cultural expectations for detachment and reflexivity. This paper shows how IPT provides an opportunity for recovery from depression for one woman by facilitating a reconstruction of her subject positions in relation to others. The discourse analysis revealed that the therapist facilitated this through the use of a range of techniques: seeking information, exploring beliefs/values/assumptions, exploring communication patterns, exploring affective responses and exploring alternative subject positions.

摘要

本文描述了对人际心理治疗(IPT)在抑郁症康复过程中的话语分析。它展示了IPT如何成为心理健康护士治疗抑郁症的有效治疗策略。话语分析突出了更有意义的主体位置的发展如何使一名女性从抑郁症中康复。康复过程的基础是对女性抑郁症的理解,这种理解受到当代社会和文化对超脱和反思性的期望的推动。本文展示了IPT如何通过促进一名女性在与他人关系中重构其主体位置,为她提供从抑郁症中康复的机会。话语分析表明,治疗师通过运用一系列技巧促成了这一点:寻求信息、探索信念/价值观/假设、探索沟通模式、探索情感反应以及探索替代主体位置。

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