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“我很虚弱,这是对我自身的一种反映”:抑郁症对自我意识的影响——一项解释现象学分析

"It was a reflection of myself, that i was weak": The impact of depression on the sense of self - An interpretive phenomenological analysis.

作者信息

O'Mahony James, Happell Brenda, O'Connell Rhona

机构信息

Catherine McAuley School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, County Cork, Ireland.

Faculty of Health, Southern Cross University, East Lismore, New South Wales, Australia.

出版信息

Int J Ment Health Nurs. 2024 Aug;33(4):907-916. doi: 10.1111/inm.13281. Epub 2024 Jan 18.

Abstract

The World Health Organisation states that more than 350 million people experience depression globally. The phenomenological changes in individuals experiencing depression are profound Phenomenological research can further researchers' and clinicians' understanding of this experience. This study aimed to gain a phenomenological understanding of how individuals with depression understood and made sense of their experiences. A methodology of interpretative phenomenological analysis was adopted. In-depth semi-structured interviews explored the lived experience of depression for eight individuals. Data were analysed into the superordinate theme Broken Self - Transforming the Self. The superordinate theme developed from the subordinate themes of 'unknown self, loss of self and one's identity', 'desperate for a way out', and thirdly, 'conflict with self and what's known', which related directly to how individuals made sense of their experience of depression. These research findings highlight the human implications of the experience of depression and the limitations of viewing depression from a biological or medical model lens. Understanding the human impact is essential for the effective, holistic practice of mental health nursing.

摘要

世界卫生组织指出,全球有超过3.5亿人患有抑郁症。抑郁症患者的现象学变化是深刻的。现象学研究可以进一步增进研究人员和临床医生对这种体验的理解。本研究旨在从现象学角度理解抑郁症患者如何理解并阐释他们的经历。采用了解释性现象学分析方法。通过深入的半结构化访谈,探究了8位个体抑郁症的生活体验。数据分析得出了“破碎的自我——自我转变”这一上位主题。该上位主题由“未知的自我、自我及身份的丧失”、“渴望出路”以及“与自我及已知事物的冲突”这些下位主题发展而来,这些下位主题直接关乎个体如何阐释他们的抑郁体验。这些研究结果凸显了抑郁症体验对人的影响,以及从生物学或医学模式视角看待抑郁症的局限性。理解其对人的影响对于心理健康护理的有效、整体实践至关重要。

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