Estroff S E
Dept. of Social Medicine, University of North Carolina, Chapel Hill 27599.
Schizophr Bull. 1989;15(2):189-96. doi: 10.1093/schbul/15.2.189.
Schizophrenia is an I am illness--one that may overtake and redefine the identity of the person. This essay explores concepts of personhood and subjectivity from social science that are useful in understanding the experiencing subject in schizophrenia. Relationships between the self and sickness have not been investigated adequately with reference to their influence on prognosis. Chronicity is conceived of as a loss of self and of positive social roles and identity. Methods for the study of self and identity in relation to schizophrenia include analysis of illness-identity representations made by persons with schizophrenia.
精神分裂症是一种关乎“我是谁”的疾病——一种可能会占据并重新定义患者身份的疾病。本文探讨了社会科学中关于人格和主体性的概念,这些概念有助于理解精神分裂症患者的体验主体。自我与疾病之间的关系,尚未就其对预后的影响进行充分研究。慢性病被认为是自我、积极社会角色和身份的丧失。研究精神分裂症患者自我与身份的方法包括分析精神分裂症患者所形成的疾病身份表征。