Mental suffering, based on the experiences of people who are mentally ill.

Primary health care research & development Pub Date : 2025-06-25 DOI:10.1017/S1463423625100121

Carla Aparecida Arena Ventura, Marciana Fernandes Moll, Camila Kaori Hayashi, Bruna Sordi Carrara, Igor de Oliveira Reis

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Abstract

Objective: To understand mental suffering from the point of view of the people affected.

Method: A qualitative study was carried out with 22 users of Primary Health Care units in Ribeirão Preto, São Paulo, Brazil. The data were collected through individual interviews using the Oral Life History technique and analysed using Thematic Analysis.

Results: Two categories emerged: 'Vulnerabilities in the life history of people with mental suffering' and 'Perceiving and living with suffering and/or mental disorder'. The experience was permeated by situations of violence, poverty and abandonment, from childhood to adulthood. The recognition of mental suffering and its consequences was based on behavioural changes and work difficulties, which did not lead them to seek immediate treatment. The difficulty of living with suffering and/or mental disorder is directly related to adherence to treatment.

Final considerations: Subjective aspects present in human life are still disregarded and the late search for professional help seems to result in the stigma and self-stigma of people with mental suffering and/or disorders.

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精神痛苦，基于精神疾病患者的经历。

目的：从患者的角度了解精神疾患。方法：对巴西圣保罗州里贝贝奥普雷图的22名初级卫生保健单位的使用者进行了定性研究。使用口述生活史技术通过个人访谈收集数据，并使用专题分析对数据进行分析。结果：出现了两类：“有精神痛苦的人的生活史中的脆弱性”和“感知和生活在痛苦和/或精神障碍中”。从童年到成年，这种经历充斥着暴力、贫穷和被遗弃的情况。对精神痛苦及其后果的认识是基于行为改变和工作困难，这并没有导致他们立即寻求治疗。忍受痛苦和/或精神障碍生活的困难与坚持治疗直接相关。最后的考虑：人类生活中存在的主观方面仍然被忽视，并且较晚寻求专业帮助似乎导致患有精神痛苦和/或障碍的人感到耻辱和自我耻辱。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Primary health care research & development

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