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COVID-19 患者叙述的精神分析:一项描述性研究。

Psychoanalysis of COVID-19 Patient Narratives: A Descriptive Study.

机构信息

College of Language Intelligence, Sichuan International Studies University, Chongqing 400031, China.

School of English Studies, Sichuan International Studies University, Chongqing 400031, China.

出版信息

Medicina (Kaunas). 2023 Apr 5;59(4):712. doi: 10.3390/medicina59040712.

Abstract

: COVID-19 patients are a psychologically vulnerable patient group who suffer from both physical symptoms and psychological problems. The present study is a psychoanalytic investigation of COVID-19 patients utilizing Lacan's desire theory. We aimed to explore the manner in which patients' desire is presented in their lived experience narratives and sought to discover factors which directly impacted on this process. : In-depth semi-structural interviews were conducted with 36 COVID-19 patients in China. During each interview, participants narrated their lived experiences of COVID-19 infection. Emotions, metaphors, and behaviors in patient narratives were collated as the main points for psychoanalysis. Our findings demonstrated that the desire for being a healthy person made patients emotionally sensitive to the social environment. Anxiety and obsessive behaviors emerged in the process, which reveals their desire for that which they lack. Furthermore, public fear with respect to COVID-19 was somehow converted to psychological pressure on COVID-19 patients. Thus, these patients attempted to "de-identify" their identity as "patients". Positive responses of COVID-19 patients to the external world included admiring medical personnel, government, and country, while negative responses included interpersonal conflicts or complaints about discrimination. Following the rules of the Other, COVID-19 patients were influenced by the Other's desire in constructing their own image of a healthy person. : This study revealed COVID-19 patients' psychological need to rid themselves of the identity of "patient" at the individual and social level. Our findings have clinical implications in helping COVID-19 patients to reshape their identity and to live a normal life.

摘要

: COVID-19 患者是一个心理脆弱的患者群体,他们既有身体症状,也有心理问题。本研究运用拉康的欲望理论对 COVID-19 患者进行精神分析调查。我们旨在探讨患者的欲望在其生活经历叙述中是如何呈现的,并试图发现直接影响这一过程的因素。 : 我们对中国的 36 名 COVID-19 患者进行了深入的半结构式访谈。在每次访谈中,参与者都讲述了他们感染 COVID-19 的生活经历。将患者叙述中的情绪、隐喻和行为作为精神分析的要点进行整理。 我们的研究结果表明,成为健康人的欲望使患者对社会环境情绪敏感。在这个过程中出现了焦虑和强迫行为,这揭示了他们对自己所缺乏的东西的渴望。此外,公众对 COVID-19 的恐惧在某种程度上转化为 COVID-19 患者的心理压力。因此,这些患者试图“去识别”自己作为“患者”的身份。COVID-19 患者对外部世界的积极反应包括对医务人员、政府和国家的钦佩,而消极反应包括人际冲突或对歧视的抱怨。在他者的规则下,COVID-19 患者受到他者欲望的影响,构建了自己健康人的形象。 : 本研究揭示了 COVID-19 患者在个人和社会层面上摆脱“患者”身份的心理需求。我们的研究结果对帮助 COVID-19 患者重塑身份和过上正常生活具有临床意义。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/339f/10145710/a3cca4af40e8/medicina-59-00712-g001.jpg

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