“我的整个生活塑造了我这个人”:具有复杂创伤后应激经历的个体的非自杀式自我伤害和复杂创伤的叙述。

IF 2.6 3区 医学 Q2 PSYCHIATRY
Reem Alharbi, Susanne Langer, Cheryl Hunter, Nusrat Husain, Filippo Varese, Peter James Taylor
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引用次数: 0

摘要

背景:以往的研究表明,复杂创伤和复杂创伤后应激障碍(C-PTSD)经历可增加发生和可能维持非自杀性自伤(NSSI)的风险。个人对复杂创伤和随后发展的C-PTSD经历如何导致自伤困难的解释仍未得到充分探讨。本定性研究旨在深入探讨:(1)C-PTSD个体如何描述影响其自伤困难的生活条件和事件,以及(2)个体认为哪些因素有助于控制其自伤经历的过程。方法:本研究采用自由联想叙事访谈法(FANIM)的改编版本,对8名年龄在20-56岁之间的个体的生活经历进行了探索。最初的数据分析包括对个人故事的解释,然后是对14个访谈的主题叙事分析,以探索参与者叙述的共同和独特经历。结果:确立了四个主要主题:(1)儿童时期功能失调系统中的无声、隐形和失控;(2)“不稳固的基础”导致未来的创伤,(3)复杂创伤、心理健康困难和自伤之间的联系,以及(4)在处理自伤时重新获得自主性和控制感。研究结果强调了采取灵活和以人为本的治疗方法以解决这些人的具体需求的重要性。治疗计划应该使个人能够提高他们的控制力和自主性,并支持他们过有意义的生活。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
"My entire life has moulded the person that I am": Narrations of non-suicidal self-injury and complex trauma in individuals with complex posttraumatic stress experiences.

Background: Previous research suggests that complex trauma and Complex Posttraumatic Stress Disorder (C-PTSD) experiences can contribute to the risk of developing and possibly maintaining Non-Suicidal Self-Injury (NSSI). Individuals' accounts of how complex trauma and subsequent development of C-PTSD experiences can contribute to the difficulties of NSSI remain underexplored. This qualitative study aimed to explore in-depth: (1) how individuals with C-PTSD experiences narrate life conditions and events that influenced their difficulties with NSSI over time and (2) what factors the individuals perceived to have helped the process of controlling their experience of NSSI.

Methodology: This novel qualitative narrative study used an adapted version of the Free Association Narrative Interviewing Method (FANIM) to facilitate the exploration of the lived experiences of eight individuals aged 20-56 years. The initial data analysis involved an interpretation of individuals' stories followed by a thematic narrative analysis of 14 interviews to explore the shared and unique experiences narrated by participants.

Results: Four primary themes were established: (1) Voiceless, invisible, and out of control within the dysfunctional system during childhood, (2) "shaky foundation" leading to future traumas, (3) the link between complex trauma, mental health difficulties, and NSSI, and (4) Regaining autonomy and a sense of control in managing NSSI. The findings highlight the importance of adopting a flexible and person-centred treatment that addresses the specific needs of these individuals. The treatment plan should empower individuals to improve their control and autonomy and support them to live a meaningful life.

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来源期刊
CiteScore
6.10
自引率
5.90%
发文量
68
审稿时长
6 months
期刊介绍: Psychology and Psychotherapy: Theory Research and Practice (formerly The British Journal of Medical Psychology) is an international scientific journal with a focus on the psychological and social processes that underlie the development and improvement of psychological problems and mental wellbeing, including: theoretical and research development in the understanding of cognitive and emotional factors in psychological problems; behaviour and relationships; vulnerability to, adjustment to, assessment of, and recovery (assisted or otherwise) from psychological distresses; psychological therapies with a focus on understanding the processes which affect outcomes where mental health is concerned.
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