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探索创造力的现象学与双相情感障碍之间的联系。

Exploring the links between the phenomenology of creativity and bipolar disorder.

机构信息

Arts For Health, Manchester Metropolitan University, Cavendish Street, Manchester M15 6BG, UK.

The Spectrum Centre, Division of Health Research, Lancaster University, Lancaster LA1 4YF, UK.

出版信息

J Affect Disord. 2015 Mar 15;174:658-64. doi: 10.1016/j.jad.2014.10.040. Epub 2014 Nov 4.

DOI:10.1016/j.jad.2014.10.040
PMID:25577160
Abstract

BACKGROUND

The links between bipolar disorder (BD) and creativity have historically attracted academic and public interest. Previous research highlights common characteristics of people considered to be highly creative, and those diagnosed with BD, including extraversion, impulsivity, divergent thinking and high motivation (Ma, 2009).

METHOD

In the first phenomenological study focussing on the links between creativity and extreme mood, an Interpretative Phenomenological Analysis (IPA) approach was used to collect and analyse in-depth interview data from seven people diagnosed with BD in the UK.

RESULTS

Four key themes were constructed to reflect and convey the collective accounts: 1. High mood leads to an expanding mind; 2. Full steam ahead; 3. A reciprocal relationship between mood and creativity 4. Reframing bipolar experiences through creative activity.

LIMITATIONS

Participants were a small sample of people who were identified as having BD on the basis of a clinical diagnosis and Mood Disorders screening Questionnaire (MDQ), and who defined themselves as creative without further corroboration.

CONCLUSIONS

Among this sample, creativity was recognised as a valued aspect of BD. Clinical services may usefully draw on creative resources to aid assessment and formulation, and even utilise the effects of creativity on the management of mood. Research demonstrates a high prevalence of non-adherence to medication among persons with BD and this ambivalence might be better understood when the links between extreme mood and creativity are considered.

摘要

背景

双相情感障碍(BD)与创造力之间的联系历来引起学术界和公众的兴趣。先前的研究强调了被认为具有高度创造力的人和被诊断患有 BD 的人之间的共同特征,包括外向、冲动、发散思维和高动力(Ma,2009)。

方法

在第一项专注于创造力和极端情绪之间联系的现象学研究中,采用解释现象学分析(IPA)方法从英国的七名被诊断患有 BD 的人中收集和分析深度访谈数据。

结果

构建了四个关键主题来反映和传达集体叙述:1. 高情绪导致思维扩展;2. 全力以赴;3. 情绪和创造力之间的互惠关系;4. 通过创造性活动重新构建双相情感障碍的体验。

局限性

参与者是一小部分被临床诊断和情绪障碍筛查问卷(MDQ)确定为患有 BD 的人,以及那些自我认定为有创造力但未经进一步证实的人。

结论

在这个样本中,创造力被认为是 BD 的一个有价值的方面。临床服务可以利用创造性资源来辅助评估和制定方案,甚至利用创造力对情绪管理的影响。研究表明,双相情感障碍患者的药物依从性很高,当考虑到极端情绪和创造力之间的联系时,这种矛盾心理可能会得到更好的理解。

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