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“……我感到完全孤立无援”:被送进精神病院的自杀女性的经历中的阈限体验和人格认同。

" … I felt completely stranded": liminality and recognition of personhood in the experiences of suicidal women admitted to psychiatric hospital.

机构信息

Department of Mental Health, Norwegian University of Science and Technology, Trondheim, Norway.

出版信息

Int J Qual Stud Health Well-being. 2020 Dec;15(1):1731995. doi: 10.1080/17482631.2020.1731995.

DOI:10.1080/17482631.2020.1731995
PMID:32106793
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7054963/
Abstract

: The purpose of this study is to explore how patients experience their suicidality and how they experience being in a psychiatric hospital.: This is part of a field study, and the article is based on data collected in interactions with 11 women who were admitted to a psychiatric hospital and were struggling with suicidality. Data were collected through interviews, conversations, and participatory observation. We analysed the data by means of Systematic Text Condensation, followed by a deductive process where the data and preliminary findings were interpreted in light of the theory of liminality.: We found that the patients' experiences of suicidality and being a patient in a psychiatric acute ward involve "Liminality and weakened sense of personhood," and from their perspective, "Recognition of personhood" is an important aspect of care.: Our study indicates that suicidality and psychiatric hospitalization involve liminality and weakened sense of personhood, aspects that are important to consider in the care of the patients. Professionals need to acknowledge more the importance of recognition of personhood in care, since this can strengthen the patient's self-worth and empower the person. Lack of recognition may increase the patient's suffering and suicidality.

摘要

: 本研究旨在探讨患者如何体验自身的自杀意念,以及他们如何体验置身于精神病院。: 这是一项实地研究的一部分,本文所依据的数据是通过与 11 名因自杀意念而住院的女性进行互动收集的。数据收集的方式包括访谈、对话和参与式观察。我们通过系统文本浓缩法对数据进行分析,然后采用演绎法,根据阈限理论对数据和初步发现进行解释。: 我们发现,患者的自杀意念体验和在精神病院急性病房的体验涉及“阈限和弱化的人格意识”,从他们的角度来看,“人格认同”是护理的一个重要方面。: 我们的研究表明,自杀意念和精神科住院治疗涉及阈限和弱化的人格意识,这些方面在患者护理中值得考虑。专业人员需要更多地认识到在护理中承认人格认同的重要性,因为这可以增强患者的自我价值感并赋予其力量。缺乏认可可能会增加患者的痛苦和自杀意念。

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Int J Environ Res Public Health. 2019 Sep 4;16(18):3236. doi: 10.3390/ijerph16183236.
2
Former suicidal inpatients' experiences of treatment and care in psychiatric wards in Norway.挪威曾有自杀行为的住院患者在精神科病房的治疗与护理经历。
Int J Qual Stud Health Well-being. 2018 Dec;13(1):1461514. doi: 10.1080/17482631.2018.1461514.
3
Adult Attachment Style and Suicidality.成人依恋风格与自杀倾向
Psychiatr Danub. 2017 Sep;29(3):250-259. doi: 10.24869/psyd.2017.250.
4
Suicide and mental disorders: A discourse of politics, power, and vested interests.自杀与精神障碍:政治、权力和既得利益的话语。
Death Stud. 2017 Sep;41(8):481-492. doi: 10.1080/07481187.2017.1332905. Epub 2017 May 23.
5
The liminality of the patient with dementia in hospital.痴呆症患者在医院的边缘状态。
J Clin Nurs. 2018 Jan;27(1-2):e70-e79. doi: 10.1111/jocn.13869. Epub 2017 Aug 9.
6
Suicidal patients' experiences regarding their safety during psychiatric in-patient care: a systematic review of qualitative studies.自杀患者在精神科住院治疗期间对自身安全的体验:定性研究的系统评价
BMC Health Serv Res. 2017 Jan 23;17(1):73. doi: 10.1186/s12913-017-2023-8.
7
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8
Reconnecting with oneself while struggling between life and death: The phenomenon of recovery as experienced by persons at risk of suicide.在生死挣扎中重新找回自我:有自杀风险者所体验到的康复现象。
Int J Ment Health Nurs. 2017 Apr;26(2):200-207. doi: 10.1111/inm.12249. Epub 2016 Jul 15.
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