Pietkiewicz Igor J, Kłosińska Urszula, Tomalski Radosław
Research Centre for Trauma & Dissociation, SWPS University of Social Sciences and Humanities, Katowice, Poland.
Front Psychiatry. 2022 May 26;13:891859. doi: 10.3389/fpsyt.2022.891859. eCollection 2022.
Few studies on Possession Trance Disorder (PTD) describe diagnostic and research procedures in detail. This case study presents the clinical picture of a Caucasian Roman-Catholic woman who had been subjected to exorcisms because of her problems with affect regulation, lack of control over unaccepted sexual impulses, and somatoform symptoms accompanied by alterations in consciousness. It uses interpretative phenomenological analysis to explore meaning attributed by her to "possession" as a folk category and a medical diagnosis; how this affected her help-seeking was also explored. This study shows that receiving a PTD diagnosis can reinforce patients' beliefs about supernatural causation of symptoms and discourage professional treatment. Dilemmas and uncertainties about the diagnostic criteria and validity of this disorder are discussed.
关于附身恍惚障碍（PTD）的研究很少详细描述诊断和研究程序。本案例研究呈现了一名信奉罗马天主教的白人女性的临床情况，她因情感调节问题、无法控制不被接受的性冲动以及伴有意识改变的躯体形式症状而接受驱魔仪式。该研究采用解释现象学分析方法，探究她赋予“附身”这一民间概念和医学诊断的意义；同时也探讨了这对她寻求帮助的影响。本研究表明，获得PTD诊断可能会强化患者对症状超自然成因的信念，并阻碍专业治疗。文中还讨论了该障碍诊断标准和有效性方面的困境与不确定性。
