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[经历与主观转变:智利精神科治疗中使用精神药物的痛苦与强制]

[Experiences and subjective transformations: suffering and coercion in the use of psychotropic drugs in psychiatric treatment in Chile].

作者信息

Castro Manuel Alejandro

机构信息

Doctor en Sociología. Académico, Departamento de Trabajo Social, Facultad de Ciencias Sociales, Universidad Alberto Hurtado, Santiago, Chile.

出版信息

Salud Colect. 2024 Dec 10;20:e5388. doi: 10.18294/sc.2024.5388.

Abstract

This article analyzes the impact of psychotropic drug use on individuals diagnosed with schizophrenia, bipolar affective disorder, and severe depression in Chile. Using a qualitative narrative approach, the experiences of 25 patients from 2018 to 2021 are examined. Participants describe how these medications, while effective in symptom control, generate psychological suffering and a sense of coercion in daily life. The results reveal that prolonged use of psychotropic drugs leads to significant side effects, including physical, cognitive, and social deterioration, as well as a persistent sense of dependence on these medications. Furthermore, the article critiques the medicalization of mental disorders within modern psychiatry, where the biomedical approach predominates, reducing human distress to a neurochemical problem and disregarding social factors. The study concludes that while psychotropic drugs can stabilize patients, they also perpetuate forms of control and suffering.

摘要

本文分析了在智利使用精神药物对被诊断患有精神分裂症、双相情感障碍和重度抑郁症的个体的影响。采用定性叙事方法,研究了2018年至2021年期间25名患者的经历。参与者描述了这些药物虽然在症状控制方面有效,但在日常生活中会产生心理痛苦和强制感。结果显示,长期使用精神药物会导致显著的副作用,包括身体、认知和社会功能衰退,以及对这些药物的持续依赖感。此外,本文批评了现代精神病学中精神障碍的医学化现象,其中生物医学方法占主导地位,将人类痛苦简化为神经化学问题,而忽视了社会因素。该研究得出结论,虽然精神药物可以使患者病情稳定,但它们也使控制和痛苦的形式长期存在。

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