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“我的生活因病消逝”:双相情感障碍与叙事身份中的主题

"My life disappeared in illness": bipolar disorder and themes in narrative identity.

作者信息

Pedersen Anne Mai, Straarup Krista Nielsen, Thomsen Dorthe Kirkegaard

机构信息

Department of Psychology, Aarhus University, Aarhus, Denmark.

Center on Autobiographical Memory Research (CON AMORE), Aarhus University, Aarhus, Denmark.

出版信息

Memory. 2022 Aug;30(7):857-868. doi: 10.1080/09658211.2022.2051555. Epub 2022 Mar 17.

DOI:10.1080/09658211.2022.2051555
PMID:35297312
Abstract

Bipolar Disorder (BD) has substantial consequences for the course of life and the formation of self and identity. In the present study, we extended the existing literature by examining narrative identity. Fifteen female outpatients with remitted BD and fifteen non-clinical control participants described past and future chapters in their life stories. The chapters were coded for agency, communion, redemption and contamination. Patients diagnosed with BD described their past chapters with lower agency, lower communion and more contamination compared to the control group. Contrary to our expectations, the future chapters described by the BD patients did not differ significantly from the control group. A focus on narrative identity may contribute to understanding the disorder and inspire interventions targeting personal recovery.

摘要

双相情感障碍(BD)对生活历程以及自我和身份认同的形成有着重大影响。在本研究中,我们通过考察叙事身份认同扩展了现有文献。15名双相情感障碍缓解期的女性门诊患者和15名非临床对照参与者描述了她们人生故事中的过去和未来篇章。这些篇章按照能动性、共融性、救赎和污染进行编码。与对照组相比,被诊断为双相情感障碍的患者在描述其过去篇章时能动性较低、共融性较低且污染较多。与我们的预期相反,双相情感障碍患者描述的未来篇章与对照组并无显著差异。关注叙事身份认同可能有助于理解该障碍,并激发针对个人康复的干预措施。

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