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走向接纳自我并接受过去:一个关于具身叙事身份的案例研究

Towards living within my body and accepting the past: a case study of embodied narrative identity.

作者信息

Sviland Randi, Martinsen Kari, Råheim Målfrid

机构信息

Western Norway University of Applied Sciences HVL, Bergen, Norway.

VID Specialized University - Haraldsplass and UIT Campus Harstad, Bergen, Norway.

出版信息

Med Health Care Philos. 2018 Sep;21(3):363-374. doi: 10.1007/s11019-017-9809-7.

DOI:10.1007/s11019-017-9809-7
PMID:29098562
Abstract

This narrative case study, created from several qualitative sources, portrays a young woman's life experiences and an eight yearlong therapy process with Norwegian Psychomotor Physiotherapy (NPMP). It is analyzed retrospectively from an analytical angle, where NPMP theory is expanded with Løgstrup's phenomenology of sensation and Ricoeur's narrative philosophy. Understanding Rita's narrative through this window displayed some foundational phenomena in a singular way, illuminating embodied experiences in inter-subjective relationships in movement, sensation and time entwined. It illustrates how traumatic life experiences may cause pain, suffering and ruptured narratives with fragmented physical and sensuous reactions, chaos and loss of temporal coherence with consequences for a person's sense of identity. Rita's narrative also illuminates how intersubjective interaction has healing potentials when there is time and space for trust to emerge and to support new bodily-based experiences. Embodied sensuous experiences in present time may help clarify past and present and support chronology in narration and the sense of identity. With this exemplary case study, we argue that Løgstrup's and Ricoeur's thinking may add valuable perspectives to understanding suffering and healing processes in the field of embodied therapies like NPMP.

摘要

这个基于多个定性来源创作的叙事性案例研究,描绘了一位年轻女性的生活经历以及与挪威心理运动物理治疗(NPMP)长达八年的治疗过程。从分析角度进行回顾性分析,在NPMP理论中融入了洛斯特鲁普的感觉现象学和里科尔的叙事哲学。通过这个视角理解丽塔的叙事,以独特的方式展现了一些基础性现象,揭示了运动、感觉和时间交织的主体间关系中的身体体验。它说明了创伤性的生活经历如何可能导致痛苦、苦难以及叙事的破裂,伴有身体和感官反应的碎片化、混乱以及时间连贯性的丧失,进而影响一个人的身份认同感。丽塔的叙事还阐明了,当有时间和空间让信任得以产生并支持新的基于身体的体验时,主体间互动具有治愈的潜力。当下的身体感官体验可能有助于厘清过去与现在,并在叙事中支持时间顺序以及身份认同感。通过这个典型案例研究,我们认为洛斯特鲁普和里科尔的思想可能为理解像NPMP这样的身体治疗领域中的痛苦与治愈过程增添有价值的视角。

相似文献

1
Towards living within my body and accepting the past: a case study of embodied narrative identity.走向接纳自我并接受过去:一个关于具身叙事身份的案例研究
Med Health Care Philos. 2018 Sep;21(3):363-374. doi: 10.1007/s11019-017-9809-7.
2
Touched in sensation--moved by respiration: embodied narrative identity--a treatment process.触觉感知——呼吸驱动:具身叙事身份——一个治疗过程。
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Løgstrup's thinking: a contribution to ethics in physiotherapy.洛格斯楚普的思想:对物理治疗伦理学的贡献。
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Hermeneutics and narration: a way to deal with qualitative data.诠释学与叙事:一种处理定性数据的方法。
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本文引用的文献

1
Ruptures and sutures: time, audience and identity in an illness narrative.破裂与缝合:疾病叙事中的时间、受众与身份
Sociol Health Illn. 2015 Sep;37(7):1055-71. doi: 10.1111/1467-9566.12281. Epub 2015 Apr 29.
2
To be held and to hold one's own: narratives of embodied transformation in the treatment of long lasting musculoskeletal problems.坚持下去并保持自我:长期肌肉骨骼问题治疗中身体转变的叙事
Med Health Care Philos. 2014 Nov;17(4):609-24. doi: 10.1007/s11019-014-9562-0.
3
Body awareness--a vital aspect in mentalization: experiences from concurrent and reciprocal therapies.
Physiother Theory Pract. 2014 Jul;30(5):312-8. doi: 10.3109/09593985.2013.876562. Epub 2014 Jan 10.
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(Un)doing gender in a rehabilitation context: a narrative analysis of gender and self in stories of chronic muscle pain.康复情境中的(去)性别化:慢性肌肉疼痛故事中性别与自我的叙事分析
Disabil Rehabil. 2014;36(5):359-66. doi: 10.3109/09638288.2013.793750. Epub 2013 May 20.
5
Shelter from the storm; men with chronic pain and narratives from the rehabilitation clinic.躲避风暴:慢性疼痛患者和康复诊所的故事。
Patient Educ Couns. 2012 Nov;89(2):316-20. doi: 10.1016/j.pec.2012.07.011. Epub 2012 Aug 2.
6
Touched in sensation--moved by respiration: embodied narrative identity--a treatment process.触觉感知——呼吸驱动:具身叙事身份——一个治疗过程。
Scand J Caring Sci. 2012 Dec;26(4):811-9. doi: 10.1111/j.1471-6712.2012.01024.x. Epub 2012 Jun 20.
7
Troubled bodies--troubled men: a narrative analysis of men's stories of chronic muscle pain.身体不适——男性困扰:对男性慢性肌肉疼痛叙事的分析
Disabil Rehabil. 2012;34(21):1765-73. doi: 10.3109/09638288.2012.660601. Epub 2012 Mar 7.
8
Norwegian psychomotor physiotherapy and patients with chronic pain: patients' perspective on body awareness.挪威的心理运动理疗与慢性疼痛患者:患者对身体感知的看法。
Physiother Theory Pract. 2008 Jul-Aug;24(4):243-54. doi: 10.1080/09593980701738400.
9
Creativity and order in communication: implications from philosophy to narrative research concerning human occupation.沟通中的创造力与秩序:从哲学到关于人类职业的叙事研究的启示
Scand J Occup Ther. 2006 Jun;13(2):86-93. doi: 10.1080/11038120600691116.
10
Psychology vs. anatomy in the treatment of "arm neuroses" with physiotherapy.物理治疗“手臂神经官能症”时心理学与解剖学的作用对比
J Nerv Ment Dis. 1952 Mar;115(3):215-45.