“你为什么就不能好好过日子呢?”:从生活经验和护理的角度,自残的自我民族志。

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Pub Date : 2025-05-26 DOI:10.1177/13634593251342902
Caroline da Cunha Lewin
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引用次数: 0

摘要

精神病学话语将自残问题化为个人主义缺陷的精神病理行为。这指导临床优先治疗,同时否定显著成分和个人偏好。相反,幸存者控制的研究强调自我伤害未被承认的方面,例如其嵌入在社会文化背景中的具体情绪。这表明需要重新理论化。自我民族志(AE)利用研究者作为主要的数据来源来阐明社会现象。通过AE,作为一名注册的普通护士,我通过参考我的医疗记录、记忆反思和个人日记条目,将我的生活和专业经历与自残文学联系起来。这种自我伤害的生活经验(LE)观点来源于主观经验和当代文学,在幸存者认识论框架内。这种新颖的理解认为,自残的人可能会经历由社会文化和关系冲突引起的沉浸式、厌恶的具体化情绪。它认为自残支持人(1)成为一个完整的整体;(2)实行自我照顾;(3)与自己和他人建立联系。这种LE观点直接批评了主流的精神病学概念,而不是同情地将自残视为社会牵连。这可以提高社会理解,减少贬义态度,并使LE患者受益。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
'Why can't you just be fine?': An autoethnography of self-harm from a lived experience and nursing perspective.

Psychiatric discourse problematises self-harm as a psychopathological behaviour indicative of individualistic deficiency. This guides clinical priorities in treatment whilst negating salient components and individual preferences. Conversely, survivor-controlled research emphasises underacknowledged aspects of self-harm, such as its embodied emotionality as embedded within sociocultural context. This suggests a need for re-theorisation. Autoethnography (AE) utilises the researcher as the main source of data to elucidate social phenomena. Through AE, I consider my lived and professional experiences, as a registered general nurse, of self-harm by referring to my medical notes, memory reflections and personal diary entries as contextualised to self-harm literature. This lived experience (LE) perspective of self-harm is derived from subjective experience and contemporary literature, framed within survivor epistemology. This novel understanding argues that people with self-harm may experience immersive, aversive embodied emotionality arising from sociocultural and relational conflict. It considers self-harm as supporting the person to (1) be an integrated whole; (2) employ self-care; and (3) connect with oneself and others. This LE perspective directly critiques dominant psychiatric conceptualisations, instead compassionately framing self-harm as socially implicated. This could improve societal understanding, reduce pejorative attitudes and benefit people with LE.

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来源期刊
Health
Health Multiple-
CiteScore
4.90
自引率
0.00%
发文量
0
期刊介绍: Health: is published four times per year and attempts in each number to offer a mix of articles that inform or that provoke debate. The readership of the journal is wide and drawn from different disciplines and from workers both inside and outside the health care professions. Widely abstracted, Health: ensures authors an extensive and informed readership for their work. It also seeks to offer authors as short a delay as possible between submission and publication. Most articles are reviewed within 4-6 weeks of submission and those accepted are published within a year of that decision.
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