Gesicki Paige, Nelson-Becker Holly
Social Work, Department of Clinical Sciences, Brunel University London, Kingston Lane, UXBRIDGE, UB8 3PH UK.
Clin Soc Work J. 2018;46(3):220-227. doi: 10.1007/s10615-017-0635-4. Epub 2017 Jun 28.
The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition, the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders, uses the term "remission" to describe the reduction of depressive symptoms. This paper argues that by categorizing someone who no longer has depressive symptoms as "in remission," that person may feel indefinitely tied to his or her diagnosis. Considering the unfortunate stigma associated with mental illness, permanent linkage to diagnosis through records and professional memory may cause individuals to internalize pathology. In fact, the language of the diagnosis can affect self-perception in sensitive souls for a lifetime. As an implication for practice, we propose that cognitive and narrative therapy approaches, mood-memoirs, and use of metaphor present alternative uses of language that can reduce power imbalances between clinicians and clients, providing a bridge to healing.
《精神疾病诊断与统计手册》第5版是《精神疾病诊断与统计手册》的最新版本，它使用“缓解”一词来描述抑郁症状的减轻。本文认为，将不再有抑郁症状的人归类为“处于缓解期”，可能会让这个人感觉永远与自己的诊断联系在一起。考虑到与精神疾病相关的不幸污名，通过记录和专业记忆与诊断的永久关联可能会导致个体将病理状况内在化。事实上，诊断的语言可能会影响敏感人群一生的自我认知。作为对实践的启示，我们建议认知和叙事治疗方法、情绪回忆录以及隐喻的运用提供了语言的替代用法，这些用法可以减少临床医生和患者之间的权力不平衡，为治愈搭建桥梁。
