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抑郁作为一种具身体验:确定身体在意义构建和身份认同过程中的核心作用。

Depression as an Embodied Experience: Identifying the Central Role of the Body in Meaning-Making and Identity Processes.

机构信息

Department of Psychology, University of Cyprus, Nicosia, Cyprus.

School of Psychology, University College Dublin, Dublin, Ireland.

出版信息

Qual Health Res. 2023 May;33(6):509-520. doi: 10.1177/10497323231154210. Epub 2023 Mar 15.

Abstract

Α significant part of the psychological research on mental health and illness is interested in how the body can impact one's mental health. This impact is primarily explored using a biomedical framework, in studies that examine the body's role in the emergence of a mental illness, the ways it can signify the presence of an illness (i.e. physical symptoms) and, finally, its role in the treatment process. Within this literature, the body is conceptualised as an object that can be diagnosed and treated. The current study approaches the body as a subject in the experience of depression. Specifically, it demonstrates that the experience of depression is embodied and that the body mediates meaning-making and identity processes. Using qualitative findings from eight interviews with Greek-Cypriot adults diagnosed with depression, we demonstrate that participants make sense of depression through their bodies, as a painful, uncomfortable and agonising experience. Further, we discuss how the struggle to regain control over the body, experienced as hijacked by depression, leads to a disrupted relation with the self and the world that expands beyond the idea of the loss of self, as described in the literature. Theoretical and clinical implications are examined.

摘要

心理健康和疾病的心理学研究很大一部分关注的是身体如何影响一个人的心理健康。这种影响主要是通过生物医学框架来探索的,研究考察了身体在精神疾病出现中的作用、它如何表示疾病的存在(即身体症状),以及最后,它在治疗过程中的作用。在这一文献中,身体被概念化为一个可以被诊断和治疗的对象。本研究将身体作为抑郁症体验中的主体来研究。具体来说,它表明抑郁症的体验是具身的,身体调解意义建构和身份认同过程。通过对 8 名被诊断患有抑郁症的希腊塞浦路斯人进行的访谈的定性发现,我们表明参与者通过身体来理解抑郁症,将其视为一种痛苦、不适和痛苦的体验。此外,我们讨论了如何通过努力重新获得对身体的控制来应对被抑郁症劫持的身体,这导致了与自我和世界的关系破裂,这种关系超出了文献中描述的自我丧失的概念。我们还探讨了理论和临床方面的影响。

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