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[精神疾病康复途中的污名化——与精神科治疗直接相关的因素]

[Stigmatization on the way to recovery in mental illness--the factors directly linked to psychiatric therapy].

作者信息

Tyszkowska Magdalena, Podogrodzka Magdalena

出版信息

Psychiatr Pol. 2013 Nov-Dec;47(6):1011-22.

PMID:25007534
Abstract

The aim of this study is to draw attention to the ambiguity of the relationship between the process of recovery and implemented psychiatric treatment. With getting the diagnosis, a mentally ill person is automatically assigned to a certain society group and is involved into the mental health care system. People with a diagnosis of serious mental illness have to face not only their new health condition and adapt to the available health care system, but also to deal with the reaction of their environment. The process of recovery in mental illness includes remission of symptoms, getting back to the normal functioning, recuperating the life satisfaction, but also means the personal transformation and opposition to stigma. The most of the public demonstrates the stigmatizing opinions and discriminatory behavior in relation to the mentally ill, which does not foster their recovery and social reintegration. The nearest surrounding of the mentally ill is dominated by psychiatric staff, other mentally ill, psychotropic drugs and psychiatric hospital. These factors directly linked to the diagnosis and treatment of a psychiatric patient are supposed to help in recovery. In fact, at the same time they may contribute to recovery, and be a source of additional suffering or impede recovery. Despite symptomatic and functional remission, the mentally ill people stay outside the mainstream, remain socially isolated and excluded.

摘要

本研究的目的是提请注意康复过程与所实施的精神科治疗之间关系的模糊性。一旦确诊,精神疾病患者就会自动被归入某个社会群体,并被纳入精神卫生保健系统。被诊断患有严重精神疾病的人不仅要面对自己新的健康状况并适应现有的卫生保健系统,还要应对周围环境的反应。精神疾病的康复过程包括症状缓解、恢复正常功能、重新获得生活满意度,但也意味着个人的转变以及对污名化的抗争。大多数公众对精神疾病患者表现出污名化的观点和歧视行为,这不利于他们的康复和社会重新融入。精神疾病患者的周围环境主要是精神科工作人员、其他精神疾病患者、精神药物和精神病院。这些与精神科患者的诊断和治疗直接相关的因素本应有助于康复。事实上,它们可能在促进康复的同时,成为额外痛苦的来源或阻碍康复。尽管症状和功能有所缓解,但精神疾病患者仍处于主流之外,在社会上仍然孤立无援且受到排斥。

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