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口吃问题发展中的叙事作用。

The Role of Narratives in the Development of Stuttering as a Problem.

机构信息

Trinity College Dublin, Ireland.

Cork Kerry Community Healthcare, Tralee, Ireland.

出版信息

Am J Speech Lang Pathol. 2018 Oct 19;27(3S):1164-1179. doi: 10.1044/2018_AJSLP-ODC11-17-0207.

Abstract

PURPOSE

Narratives are how people make sense of experiences and give meaning to their lives (Bruner, 1990). Use of narrative therapy (White, 2007) with people who stutter to facilitate the development of preferred stories (as opposed to problem-based stories) has been documented in the literature (Logan, 2013; Ryan, O'Dwyer, & Leahy, 2015). The purpose of this research was to explore the role of narratives in the development of stuttering as a problem for people who stutter. This research sought to describe how these narratives develop and to identify the factors that influence this development.

METHOD

Narratives from 6 men who stutter were recorded, transcribed, and analyzed using the "Listening Guide" (Brown & Gilligan, 1992). This is a voice-centered relational method.

RESULTS

Findings indicate interaction between participants' narratives about stuttering and their wider self-narratives. Influencing factors identified include relationships, thoughts and feelings, and the dominant stories about stuttering in relevant social structures. An individual's consciousness of these influences was found to be integral to change in their narratives.

CONCLUSIONS

The findings point to the importance of considering the environment, including significant relationships and social structures, in our understanding of stuttering. They also provide insights regarding intrapersonal and interpersonal processes, which can influence the development of stuttering or pave the way to stuttering becoming less problematic for the person who stutters.

摘要

目的

叙事是人们理解经验和赋予生活意义的方式(Bruner,1990)。在口吃者中使用叙事疗法(White,2007),以促进发展偏好的故事(而不是基于问题的故事),这在文献中已有记载(Logan,2013;Ryan,O'Dwyer 和 Leahy,2015)。本研究的目的是探讨叙事在口吃者发展为口吃问题中的作用。本研究旨在描述这些叙事是如何发展的,并确定影响这种发展的因素。

方法

记录了 6 名口吃者的叙事,进行转录,并使用“倾听指南”(Brown 和 Gilligan,1992)进行分析。这是一种以声音为中心的关系方法。

结果

研究结果表明,参与者关于口吃的叙事与其更广泛的自我叙事之间存在相互作用。确定的影响因素包括人际关系、思想和感受,以及相关社会结构中关于口吃的主导故事。参与者对这些影响的意识被发现是他们叙事变化的重要组成部分。

结论

研究结果表明,在我们对口吃的理解中,考虑环境(包括重要的人际关系和社会结构)是很重要的。它们还提供了关于人际和个体内部过程的见解,这些过程可以影响口吃的发展,或者为口吃者减少口吃问题铺平道路。

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