Rani Akanksha, Raman Kalayasundram Janaki, Ammapattian Thirumoorthy, Antony Sojan, Prabhu Sphoorthi G, Basavarappa Chethan
Dept. of Psychiatric Social Work, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
Dept. of Psychiatry, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India.
Indian J Psychol Med. 2023 Jul;45(4):374-382. doi: 10.1177/02537176221084500. Epub 2022 May 8.
Each individual with schizophrenia experiences life uniquely, despite the sameness in their diagnosis. Understanding their experiences is vital for their better community integration and social work practice.
We used the interpretative phenomenological approach. Persons with schizophrenia seeking outpatient services at a tertiary care institute in Bengaluru, India, were recruited through purposive sampling. In-depth interviews were conducted with six participants.
Some of the meta-themes and subthemes identified were as follows: (a) perception about self (struggling with the sense of self, desire for normalcy, wanting to be in control of self and desire to live independently), (b) relationship with others (feeling supported by others and feeling rejected by others), (c) coping with consequences of illness (coping with disruptions in personal life and coping with disruptions in family life), and (d) experience of seeking treatment (reasons for seeking treatment, being on medication, and behavior of mental health professionals). The participants tried to find meaning in their lives by making sense of their illness. Family and community can have a significant impact on how persons with schizophrenia perceive their lives.
Mental health professionals need to encourage persons' and their families' greater participation in treatment planning and clinical interventions, which will enhance persons integration within the community and will help decrease the feeling of isolation commonly experienced when one lives with chronic mental illnesses.
尽管精神分裂症患者的诊断相同，但每个人的生活经历都是独特的。了解他们的经历对于他们更好地融入社区和社会工作实践至关重要。
我们采用了解释现象学方法。通过目的抽样，招募了在印度班加罗尔一家三级医疗机构寻求门诊服务的精神分裂症患者。对六名参与者进行了深入访谈。
确定的一些元主题和子主题如下：（a）对自我的认知（与自我意识作斗争、渴望正常、想要掌控自我和渴望独立生活），（b）与他人的关系（感到得到他人支持和感到被他人拒绝），（c）应对疾病后果（应对个人生活中的干扰和应对家庭生活中的干扰），以及（d）寻求治疗的经历（寻求治疗的原因、服药情况以及心理健康专业人员的行为）。参与者试图通过理解自己的疾病来寻找生活的意义。家庭和社区对精神分裂症患者如何看待自己的生活可能有重大影响。
心理健康专业人员需要鼓励患者及其家人更多地参与治疗计划和临床干预，这将增强患者在社区中的融入度，并有助于减少与慢性精神疾病共存时常见的孤立感。
