Mora-Rios Jazmín, Ortega-Ortega Miriam, Natera Guillermina
National Institute of Psychiatry, Dr. Ramón de la Fuente Muñiz, Tlalpan, Mexico
Master Program in Health Sciences, National Autonomous University of Mexico. Mexico.
Qual Health Res. 2016 Apr;26(5):697-711. doi: 10.1177/1049732315570118. Epub 2015 Feb 10.
In this study, we investigate the subjective experience of a group of individuals, diagnosed with schizophrenia, undergoing outpatient treatment in four psychiatric clinics in Mexico City. Our objective is to use the paradigm of intersectionality to explore the most common forms of stigma and discrimination faced by people with this illness, as well as the coping resources they employ. The major contribution of this study is its use of in-depth interviews and thematic analysis of the information obtained to identify the importance of sociocultural aspects of participants' experience of their illness. Schizophrenia, for them, was a problem of "nerves," whose origins were linked to magical or religious elements they attributed to their illness and which influenced their response to it. This resignification was useful to participants as a coping resource; it helped them find meaning and significance in their experience of the illness.
在本研究中，我们调查了一组被诊断患有精神分裂症且在墨西哥城四家精神病诊所接受门诊治疗的个体的主观体验。我们的目标是运用交叉性范式，探究患有这种疾病的人所面临的最常见的污名化和歧视形式，以及他们所采用的应对策略。本研究的主要贡献在于运用深入访谈以及对所获信息进行主题分析，以确定参与者患病经历中社会文化方面的重要性。对他们而言，精神分裂症是一个“神经”问题，其根源与他们归因于疾病的魔法或宗教元素相关联，并影响着他们对疾病的反应。这种重新定义对参与者来说是一种有用的应对策略；它帮助他们在患病经历中找到意义和重要性。
