Bortolan Anna
Department of Philosophy, Durham University, 50 Old Elvet, Durham, DH1 3HN, UK.
Med Health Care Philos. 2017 Mar;20(1):77-88. doi: 10.1007/s11019-016-9735-0.
In this study I explore from a phenomenological perspective the relationship between affectivity and narrative self-understanding in depression. Phenomenological accounts often conceive of the disorder as involving disturbances of the narrative self and suggest that these disturbances are related to the alterations of emotions and moods typical of the illness. In this paper I expand these accounts by advancing two sets of claims. In the first place, I suggest that, due to the loss of feeling characteristic of the illness, the narratives with which the patients identified prior to the onset of depression are altered in various ways, thus leading to the weakening or abandonment of the narratives themselves. I then move to show that these autobiographical narratives are replaced by new stories which possess a distinctive structure and I argue that this is dependent upon specific configurations of affective experience, such as existential feelings of guilt, hopelessness, and isolation, and particular forms of temporal and spatial experience.
在本研究中，我从现象学角度探讨抑郁症中情感与叙事性自我理解之间的关系。现象学解释通常将该疾病视为涉及叙事性自我的紊乱，并表明这些紊乱与该疾病典型的情绪和心境变化有关。在本文中，我通过提出两组主张来扩展这些解释。首先，我认为，由于该疾病特有的情感缺失，患者在抑郁症发作前认同的叙事会以各种方式发生改变，从而导致这些叙事本身的削弱或被摒弃。然后我进一步表明，这些自传性叙事被具有独特结构的新故事所取代，并且我认为这取决于情感体验的特定构型，例如存在性的内疚感、绝望感和孤立感，以及时间和空间体验的特定形式。
