Rieben Isabelle, Mohr Sylvia, Borras Laurence, Gillieron Christiane, Brandt Pierre-Yves, Perroud Nader, Huguelet Philippe
Faculty of Theology, Lausanne University, Lausanne, Switzerland.
J Nerv Ment Dis. 2013 Aug;201(8):665-73. doi: 10.1097/NMD.0b013e31829c5073.
The aim of the present study was to elicit how patients with delusions with religious contents conceptualized or experienced their spirituality and religiousness. Sixty-two patients with present or past religious delusions went through semistructured interviews, which were analyzed using the three coding steps described in the grounded theory. Three major themes were found in religious delusions: "spiritual identity," "meaning of illness," and "spiritual figures." One higher-order concept was found: "structure of beliefs." We identified dynamics that put these personal beliefs into a constant reconstruction through interaction with the world and others (i.e., open dynamics) and conversely structural dynamics that created a complete rupture with the surrounding world and others (i.e., closed structural dynamics); those dynamics may coexist. These analyses may help to identify psychological functions of delusions with religious content and, therefore, to better conceptualize interventions when dealing with it in psychotherapy.
本研究的目的是探究患有宗教内容妄想症的患者如何概念化或体验他们的灵性和宗教信仰。62名有当前或过去宗教妄想症的患者接受了半结构化访谈，并使用扎根理论中描述的三个编码步骤进行分析。宗教妄想症中发现了三个主要主题：“精神身份”、“疾病的意义”和“精神人物”。还发现了一个高阶概念：“信仰结构”。我们确定了通过与世界和他人的互动使这些个人信仰不断重建的动态过程（即开放动态），以及相反地与周围世界和他人产生完全决裂的结构动态过程（即封闭结构动态）；这些动态过程可能共存。这些分析可能有助于识别宗教内容妄想症的心理功能，从而在心理治疗中处理该问题时更好地概念化干预措施。
