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阅读临床相遇中的自我-他人戏剧:文学阅读和写作作为精神科医生的挑战。

Reading the self-other drama of the clinical encounter: The role of literary reading and writing as a challenge for psychiatrists.

机构信息

Mental Health Care Center Amager.

Institute of Psychology, University of Copenhagen.

出版信息

Psychiatr Rehabil J. 2023 Dec;46(4):309-315. doi: 10.1037/prj0000566. Epub 2023 May 8.

Abstract

OBJECTIVE

The purpose of this article is to suggest ways in which literary practices such as reading of fiction and creative writing may be beneficial for psychiatrists in their clinical practice.

METHODS

Concepts from literary theory, phenomenology, and psychodynamic thinking will be used to move the therapeutic thinking of the medical paradigm beyond the dichotomic body-mind model. The ability to listen and respond to subjective and intersubjective processes, and the understanding of the dynamics and structure of the verbalized qualia will be emphasized. We will draw on our personal experiences from a pilot project applying literary techniques for psychiatrists and psychologists to improve their clinical practice.

RESULTS

In our analysis, we suggest a framing of the clinical encounter as a hermeneutic situation with a gradually growing scenic and poetic understanding of the texts enunciated in the therapeutic actions and of the texts being produced by the patient's mind.

CONCLUSIONS AND IMPLICATIONS FOR PRACTICE

This theoretical study suggests two ways in which literary practices and concepts are highly valuable for the clinical practice of psychologists and psychiatrists. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

摘要

目的

本文旨在探讨文学实践(如小说阅读和创意写作)如何有益于精神科医生的临床实践。

方法

本文将运用文学理论、现象学和心理动力学的概念,将医学范式的治疗思维从二元的身心模式中转移出来。我们将强调倾听和回应主观和主体间过程的能力,以及理解言语性质的动力和结构。我们将借鉴我们在一个试点项目中的个人经验,该项目应用文学技术来提高精神科医生和心理学家的临床实践。

结果

在我们的分析中,我们建议将临床接触框定为一种解释学情境,对治疗行动中表达的文本以及患者思维产生的文本,逐渐形成一种不断增长的风景和诗意的理解。

结论和对实践的启示

这项理论研究表明,文学实践和概念对于心理学家和精神科医生的临床实践具有很高的价值。(美国心理协会,2024)

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