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叙事与精神病学。

Narrative and psychiatry.

机构信息

Gallatin School of Individualized Study, New York University, New York, New York, USA.

出版信息

Curr Opin Psychiatry. 2011 Nov;24(6):489-94. doi: 10.1097/YCO.0b013e32834b7b7f.

Abstract

PURPOSE OF REVIEW

The study of narrative has become increasingly important in the humanities and social sciences and there is a growing use of narrative in the clinical domains of medicine and psychotherapy. Narrative psychiatry is also on the rise and promises to help psychiatry be responsive to increasing critical concerns from inside and outside the field.

RECENT FINDINGS

The field of narrative is vast and cuts across a variety of disciplines. Contemporary scholars in narrative medicine build on 30 years of work in medical humanities and bioethics to rigorously understand human variables in medicine and to improve physician empathy. Narrative psychotherapists have developed a new model of psychotherapy and a meta-narrative theory of diverse mental health interventions. Psychiatrists have picked up these insights and are finding them invaluable for navigating contemporary issues in psychiatry.

SUMMARY

Narrative theory has become important in the humanities, social sciences, medicine, and psychotherapy for understanding human meaning making. Increasingly, the tools of narrative are proving valuable for psychiatry as well. Narrative psychiatry does not negate or supersede other knowledge and research in psychiatry, but it can help psychiatry understand how people use psychiatric knowledge, among other cultural resources, for making sense of psychic difficulties and psychic differences.

摘要

目的综述

叙事研究在人文学科和社会科学领域变得越来越重要,并且在医学和心理治疗的临床领域越来越多地使用叙事。叙事精神病学也在兴起,并有望帮助精神病学对来自该领域内外的日益增加的批评性关注做出反应。

最近的发现

叙事领域非常广泛,涉及多种学科。叙事医学领域的当代学者在医学人文科学和生命伦理学的 30 年工作基础上,严谨地理解医学中的人类变量,并提高医生的同理心。叙事心理治疗师已经开发出一种新的心理治疗模式和一种关于各种心理健康干预措施的元叙事理论。精神病学家借鉴了这些观点,并发现它们对于应对精神病学领域的当代问题非常有价值。

总结

叙事理论在人文学科、社会科学、医学和心理治疗领域对于理解人类意义的构建变得很重要。越来越多的证据表明,叙事工具对于精神病学也很有价值。叙事精神病学不会否定或取代精神病学中的其他知识和研究,而是可以帮助精神病学理解人们如何利用精神病学知识以及其他文化资源来理解精神困难和精神差异。

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