Psychiatric Research Unit West Herning, Regional Hospital West Jutland, Central Denmark Region, Herning, Denmark.
Department of Public Health, Aarhus University, Aarhus, Denmark.
Int J Soc Psychiatry. 2021 Feb;67(1):7-14. doi: 10.1177/0020764020938812. Epub 2020 Jul 1.
Although depression is one of the most studied mental illness phenomena, the studies attempt to understand depression as different phases, turning points and transitions, but depression has an existential and social resonance. There is progress to be made in seeking to understand how people experience, cope and process, living with depression. There is a need of supplementary and alternative approaches that goes beyond medicine and traditional treatment of psychiatric disabilities.
The aim of this study was to explore perceptions and challenging issues related to living with depression, allowing the researchers to get a deeper understanding of existential and social aspects.
A phenomenological-hermeneutic study design was applied, based on the French philosopher Paul Ricoeur's theory of interpretation. Data were collected through observations and semi-structured interviews.
Several of the interviewees were lonely at home as well as at the hospital. This caused experiences of sheer isolation with feelings of sadness enhancing desperation concerning what to do with themselves. This could even cause physical feelings of pain. In different ways, the interviewees expressed how being with other people filled their lives with relationships and closeness. Health care professionals were focused on applying structure into the users' everyday life, shadowing the person's individuality, strengths and resources. The prioritizations between users and healthcare professionals were not always in concordance. The interviewees experienced recurrent situations where their authority and individuality were ignored or felt non-existent.
Existential and social aspects are vital in regard to understanding people living with depression. However, personal recovery can be diminished by controlling structures and lack of a caring guidance, creating feelings of stigmatization missing out on autonomy, causing inner doubts. A recommendation is that we challenge institutional structures and accelerate education developing the healthcare professionals' empathic competences and ability to make wise judgments, empowering the users' autonomy.
尽管抑郁症是研究最多的精神疾病现象之一，但这些研究试图将抑郁症理解为不同的阶段、转折点和过渡，但抑郁症具有存在论和社会共鸣。在试图理解人们如何体验、应对和处理与抑郁症共存的问题方面还有待改进。需要寻求补充和替代的方法，超越医学和传统的精神障碍治疗。
本研究旨在探讨与抑郁症共存相关的认知和挑战问题，使研究人员能够更深入地了解存在论和社会方面。
应用了现象学-解释学研究设计，基于法国哲学家保罗·利科（Paul Ricoeur）的解释理论。通过观察和半结构化访谈收集数据。
一些受访者在家里和医院都感到孤独。这导致了纯粹的孤立体验，伴随着对自己该怎么办的悲伤感和绝望感。这甚至可能导致身体上的疼痛。受访者以不同的方式表达了与他人相处如何使他们的生活充满关系和亲密感。医疗保健专业人员专注于将结构应用于用户的日常生活中，掩盖了人的个性、优势和资源。用户和医疗保健专业人员之间的优先级并不总是一致的。受访者经历了反复出现的情况，他们的权威和个性被忽视或感觉不存在。
理解与抑郁症共存的人时，存在论和社会方面至关重要。然而，控制结构和缺乏关怀指导会削弱个人康复，导致被污名化的感觉，失去自主权，引起内心的疑虑。建议我们挑战制度结构，加快教育发展医疗保健专业人员的同理心能力和做出明智判断的能力，增强用户的自主权。
