Magalhães Dahl Catarina, Mitkiewicz de Souza Flávia, Marcos Lovisi Giovanni, Susser Ezra, Tavares Cavalcanti Maria
Programa de Posgrado en Psiquiatría y Salud Mental del Instituto de Psiquiatría de la Universidad Federal de Rio de Janeiro.
Vertex. 2017 Nov;28(136):450-455.
Narratives play a fundamental role in the recovery of persons with schizophrenia, mainly from the paradigmatic change engendered by the recovery movement. Rather than a methodological tool or a byproduct of recovery, narratives are integral components of this process. This article aims to analyze overcoming narratives, in the light of the corporeality paradigm, based on an emblematic case of a peer support worker. This is a qualitative study carried out in the context of a randomized clinical trial, and it is based on one in-depth interview and focus groups for the construction of the narrative. Thematic analysis was carried out and the following categories were identifed: sense of self and embodiment; experience of time and space; relationship with others; illness experience and overcoming. The embodied narratives of overcoming constitute in the register of a non-linear temporality, and it is based on a dialectical and dialogic process of construction/reconstruction of the sense of self and of the body itself. We propose that embodied narratives are considered as a methodological principle for narrative analysis on recovery, as well as an intrinsic dimension of the recovery journey; that is, as the center of gravity of the process of construction / reconstruction of the sense of self, embodiment and the sense of belonging to the world.
叙事在精神分裂症患者的康复过程中发挥着重要作用,这主要源于康复运动所引发的范式转变。叙事并非康复的一种方法工具或副产品,而是这一过程不可或缺的组成部分。本文旨在依据肉身范式,通过一个同伴支持工作者的典型案例,对克服叙事进行分析。这是一项在随机临床试验背景下开展的定性研究,基于一次深度访谈和焦点小组来构建叙事。进行了主题分析,并确定了以下类别:自我意识与肉身化;时间与空间体验;与他人的关系;疾病体验与克服。克服的肉身化叙事构成了一种非线性时间性的记录,它基于自我意识和身体本身构建/重建的辩证与对话过程。我们建议,肉身化叙事应被视为康复叙事分析的一种方法原则,以及康复旅程的一个内在维度;也就是说,作为自我意识、肉身化以及归属感构建/重建过程的重心。