Emran Ashti, Sharma Vibha, Singh Ravinder, Jha Manisha, Iqbal Naved
Dept. of Psychology, Jamia Millia Islamia, New Delhi, India.
Dept. of Clinical Psychology, Institute of Human Behavior and Allied Sciences, IHBAS, Delhi, India.
Indian J Psychol Med. 2021 Nov;43(6):492-499. doi: 10.1177/02537176211044801. Epub 2021 Oct 8.
In the Indian setting, several studies have documented that dissociative disorders (DDs) are more common in females, and the most commonly elicited stressors are interpersonal. However, much of the research up to now has been quantitative. There is a notable paucity of qualitative studies exploring the subjective experiences of women with DD. Therefore, the present study sought to explore and gain an in-depth understanding of the lived experiences of women diagnosed with DD.
Five women were recruited who were seeking psychological treatment for dissociative symptoms at a tertiary care neuropsychiatric institute in North India. In-depth interviews were conducted with each, and the transcripts were analyzed using the analytic method of interpretative phenomenological analysis.
Three superordinate themes that emerged were: patients' illness perspectives, the salience of relationships, and dealing with relationship conflicts.
Our findings highlight the role of culture in influencing the participants' illness perspectives. Women with DD tend to define their self in relational terms and, thus, inhibit the expression of one's needs and opinions, to avoid conflict and to maintain harmony in relationships.
在印度的环境中，多项研究记录表明，分离性障碍（DDs）在女性中更为常见，最常见的诱发压力源是人际关系方面的。然而，到目前为止，大部分研究都是定量研究。探索患有分离性障碍的女性主观体验的定性研究明显匮乏。因此，本研究旨在探索并深入了解被诊断患有分离性障碍的女性的生活经历。
在印度北部一家三级护理神经精神病学研究所，招募了五名因分离性症状寻求心理治疗的女性。对每个人进行了深入访谈，并使用解释现象学分析的分析方法对访谈记录进行了分析。
出现的三个上级主题是：患者对疾病的看法、人际关系的显著性以及处理关系冲突。
我们的研究结果突出了文化在影响参与者对疾病看法方面的作用。患有分离性障碍的女性倾向于从关系角度定义自我，因此抑制自己需求和意见的表达，以避免冲突并维持关系中的和谐。
