Löffler-Stastka Henriette
Department of Psychoanalysis and Psychotherapy, Medical University Vienna, Vienna 1090, Austria.
World J Psychiatry. 2024 Oct 19;14(10):1422-1428. doi: 10.5498/wjp.v14.i10.1422.
In this editorial we comment on the article by Zhang published in the recent issue of the . We focus on identity diffusion, identity perturbations, their origin and developmental pathways. This is an upcoming problem in the society as not only school children are affected. Adolescents and young people suffer from uncertainty in gender identity, in self-image, migration effects due to chronic crises caused by war, pandemic disruptions or climate change. We show how such chronic uncertainty can be cared for, treated, and contained. The key is affective holding, reflection and to provide adequate affective mentalizing in a close concomitant way. These key features also depend on ambient conditions, such as psychotherapeutic care. In a qualitative interview study carried out in a cyclical research design with a comparative analysis on the basis of thematic coding using Grounded Theory Methodology we found institutionalized defenses in health policies. Professionals request better training and adequat academic knowledge as well as research into unresolved areas for improvement of the ambient conditions for adequat development of the self. Practice points for further clinical and scientific development are given and discussed.
在这篇社论中，我们对张发表在最近一期《》上的文章进行评论。我们关注身份认同扩散、身份认同扰动、它们的起源和发展路径。这是社会中一个即将出现的问题，因为不仅学童受到影响。青少年和年轻人在性别认同、自我形象方面存在不确定性，因战争、大流行破坏或气候变化导致的长期危机而受到迁移影响。我们展示了如何照顾、治疗和控制这种长期的不确定性。关键是情感容纳、反思，并以密切相伴的方式提供充分的情感心理化。这些关键特征也取决于环境条件，如心理治疗护理。在一项采用循环研究设计进行的定性访谈研究中，基于扎根理论方法进行主题编码并进行比较分析，我们在卫生政策中发现了制度化的防御机制。专业人员要求更好的培训、足够的学术知识以及对未解决领域的研究，以改善自我充分发展的环境条件。给出并讨论了进一步临床和科学发展的实践要点。
