The end of ambivalence. A narrative perspective on ambivalence in the suicidal process.

IF 2.7 3区 医学 Q2 PSYCHIATRY Suicide and Life-Threatening Behavior Pub Date : 2024-10-01 Epub Date: 2024-06-07 DOI:10.1111/sltb.13101
Dariusz Galasiński, Justyna Ziółkowska
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Abstract

Introduction: Suicidal ambivalence is a recognized phenomenon in suicidology, yet not much is known about it in the context of progression from suicidal ideation to action. The current study addresses this gap. We explore narrative dynamics of suicidal ambivalence in stories about transition from suicidal ideation to action.

Methods: We employ an experiential qualitative approach to gain in-depth understanding of narrated experience of suicidal ambivalence. We conducted semi-structured interviews with 22 patients hospitalized after a suicide attempt. For a detailed analysis, we selected 11 interviews in which the interviewees' accounts spontaneously referred to their ambivalence about attempting suicide. We used a text-oriented version of Critical Discourse Studies (CDS) to analyze the semantics and syntax, as well as the functions of what was said within the local context, and the social actions thus accomplished.

Results: Our study shows primarily that ambivalence is not resolved. Rather, it is set aside and removed from the narrative and replaced by an action-focused narrative with no references to mental activities.

Conclusion: We propose that ambivalence recedes and gives way to action and that qualitative research provides a useful evidence base for conceptualizing and understanding the role of ambivalence in transition from suicidal ideation to action.

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矛盾心理的终结。从叙事角度看自杀过程中的矛盾心理。
导言:自杀矛盾心理是自杀学界公认的一种现象,但人们对这种心理从自杀意念发展到行动的过程却知之甚少。本研究正是为了填补这一空白。我们探讨了从自杀意念过渡到行动的故事中自杀矛盾心理的叙事动态:我们采用体验式定性方法来深入了解自杀矛盾心理的叙事体验。我们对 22 名自杀未遂后住院的患者进行了半结构化访谈。为了进行详细分析,我们选取了 11 个访谈,在这些访谈中,受访者的叙述自发地提到了他们对自杀未遂的矛盾心理。我们使用了以文本为导向的批判性话语研究(Critical Discourse Studies,CDS)来分析语义和句法,以及在当地语境中所说内容的功能和由此完成的社会行动:我们的研究主要表明,矛盾并没有得到解决。结果:我们的研究主要表明,矛盾心理并没有得到解决,相反,它被搁置一旁,并从叙述中删除,取而代之的是一种不提及心理活动的以行动为重点的叙述:我们认为,矛盾心理会消退并让位于行动,定性研究为概念化和理解矛盾心理在从自杀意念到行动的转变过程中所起的作用提供了有用的证据基础。
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来源期刊
Suicide and Life-Threatening Behavior
Suicide and Life-Threatening Behavior Medicine-Public Health, Environmental and Occupational Health
CiteScore
5.40
自引率
3.10%
发文量
96
期刊介绍: An excellent resource for researchers as well as students, Social Cognition features reports on empirical research, self-perception, self-concept, social neuroscience, person-memory integration, social schemata, the development of social cognition, and the role of affect in memory and perception. Three broad concerns define the scope of the journal: - The processes underlying the perception, memory, and judgment of social stimuli - The effects of social, cultural, and affective factors on the processing of information - The behavioral and interpersonal consequences of cognitive processes.
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