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挣扎着成为一个人:回避型人格障碍的生活体验。

Struggling to be a person: Lived experience of avoidant personality disorder.

机构信息

Group Therapy Team, Aust-Agder County Outpatient Unit, Sorlandet Hospital, Arendal, Norway.

Department of Psychology, University of Oslo, Oslo, Norway.

出版信息

J Clin Psychol. 2019 Apr;75(4):664-680. doi: 10.1002/jclp.22740. Epub 2019 Jan 4.

Abstract

OBJECTIVE

To better understand the subjective lived experience of persons diagnosed with avoidant personality disorder (AVPD).

METHODS

Persons with an AVPD (N = 15) were interviewed twice with semistructured qualitative interviews and analyzed through interpretative-phenomenological analysis. Persons with first-hand experience of AVPD were included in the research process.

RESULTS

The superordinate theme, "struggling to be a person," encompassed two main themes. The first, "fear and longing," incorporated the subthemes "longing for connection," "dreading to get close" and "being alone, for better or for worse." The second main theme, "a doubting self," included the subthemes "feeling insecure" and "searching for a sense of self."

CONCLUSIONS

The findings shed light on how the reflexive selves of people with AVPD might struggle with sense-making, sense of agency, and identity. This study underscores how impaired tacit knowledge of social behavior can hamper the process of being a person in relation to others.

摘要

目的

更好地理解被诊断为回避型人格障碍(AVPD)者的主观生活体验。

方法

对 15 名 AVPD 患者进行了两次半结构化定性访谈,并通过解释现象学分析进行了分析。具有 AVPD 第一手经验的人员参与了研究过程。

结果

上位主题“努力成为一个人”包含两个主要主题。第一个主题是“恐惧和渴望”,包含“渴望联系”、“害怕亲近”和“独自生活,无论好坏”的子主题。第二个主要主题是“自我怀疑”,包含“感到不安全”和“寻找自我意识”的子主题。

结论

研究结果揭示了 AVPD 患者的反思自我如何在意义建构、能动性和身份认同方面挣扎。本研究强调了社交行为的隐性知识受损如何阻碍与他人建立关系的过程。

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