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“但谁知道自闭症是什么?” 在与精神分析心理治疗师进行自由联想叙事访谈时对自闭症概念的探讨

"But Who Knows What Autism Is?" Negotiating the Notion of Autism During Free Associative Narrative Interviews with Psychoanalytic Psychotherapists.

作者信息

Georgiou Konstantinos, Winter David, Davies Stephen, Katsiana Aikaterini

机构信息

Department of Occupational Therapy, School of Health Sciences, University of Western Macedonia, Greece.

Department of Psychology, Sport, and Geography, University of Hertfordshire, UK.

出版信息

Mater Sociomed. 2021 Jun;33(2):138-144. doi: 10.5455/msm.2021.33.138-144.

Abstract

BACKGROUND

Critically informed discursive research has rarely been used to capture the way psychoanalytic psychotherapists organize their talk with regards to Autism Spectrum Disorders (ASD).

OBJECTIVE

To understand the language about autism in psychoanalytic talk in terms of i) interpretive repertoires, ii) subject positions and iii) autistic ways of being that circulate inside psychoanalysts' discourses.

METHODS

This paper presents the data and findings of a critical discursive psychological research which analyzed the talk of eight experienced psychoanalysts. As part of a wider research project this study strived to provide an understanding of the way autism was deployed in free associative narrative interviews.

RESULTS

Focusing on the micro and the macro level of discourse, the analysis of the data pointed to a rather dilemmatic framework mobilizing therapeutic talk. This framework was organised around a quadrant of interpretive repertoires, which on the one hand fought against the traditional medicalized discourses about autism, while on the other repositioned autism in the same subordinate positions crafted by biomedical regimes.

CONCLUSION

A need for breaking from this rather malleable discursive ecosystem is advocated in order to give life to a more democratic let alone emancipating clinical and political environment.

摘要

背景

批判性话语研究很少被用于探究精神分析心理治疗师在谈论自闭症谱系障碍(ASD)时组织语言的方式。

目的

从以下几个方面理解精神分析话语中关于自闭症的语言:i)解释性语汇,ii)主体位置,以及iii)在精神分析师话语中流传的自闭症存在方式。

方法

本文呈现了一项批判性话语心理学研究的数据和结果,该研究分析了八位经验丰富的精神分析师的谈话。作为一个更广泛研究项目的一部分,本研究致力于理解在自由联想叙事访谈中自闭症是如何被运用的。

结果

聚焦于话语的微观和宏观层面,数据分析指向了一个在治疗性谈话中颇为两难的框架。这个框架围绕着一个解释性语汇象限构建,一方面它与关于自闭症的传统医学化话语作斗争,另一方面又将自闭症重新定位到生物医学体系所塑造的相同从属位置。

结论

主张打破这种相当具有可塑性的话语生态系统,以便营造一个更民主、更不用说解放性的临床和政治环境。

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