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强迫性囤积症:一种阐释现象学分析。

Compulsive hoarding: an interpretative phenomenological analysis.

机构信息

Centre for Psychological Services Research, University of Sheffield, UK.

出版信息

Behav Cogn Psychother. 2010 Mar;38(2):141-55. doi: 10.1017/S1352465809990622. Epub 2010 Jan 12.

Abstract

BACKGROUND

This project aimed to explore the experiences of people who compulsively hoard and how they make sense of their own hoarding behaviours.

METHOD

A total of 11 compulsive hoarders were recruited and interviewed using a simple semi-structured interview format, designed for the purposes of the study. The resulting transcribed interviews were analyzed using interpretive-phenomenological analysis.

RESULTS

Four super-ordinate discrete, but interacting, themes were found: (1) childhood factors; (2) the participants' relationship to their hoarded items; (3) cognitive and behavioural avoidance of discard; and (4) the impact of hoarding on self, others and the home environment. The themes as a whole described people entrapped in massively cluttered physical environments of their own making. Efforts at discard appeared consistently sabotaged by cognitive/behavioural avoidance, thereby creating maintaining factors of associated personal distress and environmental decline.

CONCLUSIONS

The results are discussed in the context of the extant evidence concerning hoarding, the distinct contribution made by the current results and the identified methodological shortcomings of the research approach.

摘要

背景

本项目旨在探讨强迫囤积者的经历,以及他们如何理解自己的囤积行为。

方法

共招募了 11 名强迫囤积者,并使用简单的半结构化访谈形式进行访谈,这是为研究目的而设计的。对转录后的访谈进行解释现象学分析。

结果

发现了四个超上级离散但相互作用的主题:(1)童年因素;(2)参与者与他们囤积的物品的关系;(3)对丢弃的认知和行为回避;(4)囤积对自我、他人和家庭环境的影响。这些主题总体上描述了人们被困在自己制造的杂乱无章的物质环境中。丢弃的努力似乎总是被认知/行为回避所破坏,从而产生了相关个人痛苦和环境恶化的维持因素。

结论

讨论了这些结果在与囤积有关的现有证据、当前结果的独特贡献以及研究方法中确定的方法学缺陷的背景下。

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