“这是一种疾病”与“疾病无罪”:强迫症患者在诊断过程中的话语建构。

IF 2.6 2区 医学 Q2 INFORMATION SCIENCE & LIBRARY SCIENCE
Qualitative Health Research Pub Date : 2024-04-01 Epub Date: 2023-12-02 DOI:10.1177/10497323231208988
Sinem Baltacı, Tülin Gençöz, Sevda Sarı
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引用次数: 0

摘要

强迫症(OCD)的症状在社会上有不同的文化形象。考虑到强迫症的普遍性,解构心理学研究有助于理解围绕这些患者的主流话语。本研究的目的是调查被试关于“有/接受强迫症诊断”的话语及其功能。研究方法以定性和语言为基础,特别采用拉康语篇分析(LDA)的视角。可能的问题和提示与研究团队一起确定,并与六名被诊断为强迫症的参与者进行了七次半结构化访谈。访谈探讨了参与者如何提及他们的诊断,他们使用的语言,以及这种话语的功能。研究结果显示,被诊断为强迫症的参与者坚持使用“疾病”一词来解释他们的特殊和痛苦的情况,指的是“医学话语”,如“这是一种疾病”和“这种障碍”。此外,他们经常使用“宗教话语”,如“疾病没有罪”和“病人和疯子可以免除他们的责任”。目前的研究结果表明,当强迫症患者通过公认的诊断“得到一个名字”时,他们会对自己的强迫症相关问题有一种被认可和认可的感觉。因此,被诊断为强迫症的人倾向于通过从诊断中获得安慰,为他们不合理或不想要的想法和行为找到“合法性”。这项研究为理解强迫症患者提供了有价值的见解。这些发现在理论和应用研究的背景下进行了讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"This Is a Disease" and "Disease Has No Sin": Discourse Constructions of Individuals With Obsessive-Compulsive Disorder With Regard to Being Diagnosed.

Obsessive-compulsive disorder (OCD) symptoms have different cultural images in society. Deconstructive psychology studies can contribute to understanding the dominant discourse surrounding these patients, given the prevalence of OCD. The objective of this study was to investigate the discourse of participants regarding "having/receiving a diagnosis of OCD" and the function of this discourse. The research approach was qualitative and language-based, specifically employing Lacanian Discourse Analysis (LDA) perspective. The possible questions and prompts were determined along with the research team, and seven semi-structured interviews were conducted with six participants diagnosed with OCD. The interviews explored how participants referred to their diagnosis, the language they used, and the function of this discourse. The findings revealed that participants diagnosed with OCD insistently used the term "disease" to explain their peculiar and distressing situations, referring to "medical discourse" with expressions such as "This is a disease" and "This disorder." Additionally, they often utilized "religious discourse" with the statements like "Disease has no sin" and "The sick and insane are exempt from their responsibilities." The findings of the current research indicated that when individuals with OCD "receive a name" through a recognized diagnosis, they experience a sense of recognition and validation for their OCD-related problems. Consequently, individuals diagnosed with OCD tend to find "legitimacy" for their irrational or unwanted thoughts and behaviors by taking comfort from their diagnosis. This study provides valuable insights into an understanding of patients with OCD. The findings are discussed in the context of their implications for both theoretical and applied research.

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来源期刊
CiteScore
6.80
自引率
6.20%
发文量
109
期刊介绍: QUALITATIVE HEALTH RESEARCH is an international, interdisciplinary, refereed journal for the enhancement of health care and to further the development and understanding of qualitative research methods in health care settings. We welcome manuscripts in the following areas: the description and analysis of the illness experience, health and health-seeking behaviors, the experiences of caregivers, the sociocultural organization of health care, health care policy, and related topics. We also seek critical reviews and commentaries addressing conceptual, theoretical, methodological, and ethical issues pertaining to qualitative enquiry.
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