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Rational suicide? Interviews with Swedish psychiatrists. 理性自杀?瑞典精神病学家访谈录。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-07 DOI: 10.1080/07481187.2024.2404936
Petter Karlsson, Niklas Juth, David Titelman, Manne Sjöstrand, Gert Helgesson

Semi-structured interviews were performed with 12 psychiatrists regarding their perceptions of the Swedish Vision Zero for Suicide. Focusing on the topic of rational suicide, we re-analyzed these interviews using descriptive content analysis. The informants generally acknowledged the existence of rational suicide and its occurrence also among severely ill psychiatric patients, but expressed varying perceptions of the relevance of the concept in clinical practice. The difficulty of identifying rational suicide was considered to be a major problem. Another experience was a potential conflict between promoting a patient's rationality and preventing suicide. While the normative aspects of rational suicide have been addressed in the literature, our results highlight a need for further attention to the epistemological and practical aspects of rational suicide.

我们对 12 名精神科医生进行了半结构式访谈,了解他们对瑞典 "零自杀愿景 "的看法。围绕理性自杀这一主题,我们使用描述性内容分析法对这些访谈进行了重新分析。受访者普遍承认理性自杀的存在,而且在重症精神病患者中也有发生,但对这一概念在临床实践中的相关性表达了不同的看法。难以识别理性自杀被认为是一个主要问题。另一个经验是,促进病人的理性与防止自杀之间可能存在冲突。虽然理性自杀的规范性方面在文献中已有论述,但我们的研究结果突出表明,有必要进一步关注理性自杀的认识论和实践方面。
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引用次数: 0
Together, alone: Personal experiences of virtual funeral attendance during the COVID-19 global pandemic. 相聚,孤独:在 COVID-19 全球大流行期间参加虚拟葬礼的个人经历。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-07 DOI: 10.1080/07481187.2024.2400368
Lochlan Wilson, Gagan Gill, Salina Pirzada, Kelsey Papineau, Pankratz Lily, Kristin Reynolds, Maia S Kredentser, Renée El-Gabalawy, Tim Hiebert, Kendiss Olafson, Christian La Rivière, James M Bolton, Jennifer Hensel, Harvey Max Chochinov

The COVID-19 pandemic caused profound distortions in how deaths were marked by those left to mourn their passing. Public health restrictions prohibited gatherings of friends and families for traditional funerals, causing an upsurge in reliance on virtual alternatives. The aim of this study was to explore the experiences of individuals attending virtual funerals following a death of any cause, including reasons for choosing virtual attendance, perceived differences relative to in person attendance, and the extent to which mourning practices were accommodated. Between May 2021 and June 2022, we identified 57 participants with virtual funeral attendance experience. They identified many shortcomings of virtual funerals, captured under themes including, socialization, community support, sharing food, physical contact, consoling the bereaved, sharing memories, and connection. There were features of virtual funerals that participants appreciated, summarized by themes including, accessibility, taking part or marking the event, closure, technological advantages and privacy. Despite a sense that virtual funerals provided an opportunity to grieve "together, alone," most conceded it was better than not being able to take part at all. This study provides detailed information about participating in virtual funerals, identifying features of this experience that should be examined to determine how those may influence grieving processes and bereavement outcomes.

COVID-19 大流行对逝者的悼念方式造成了深刻的扭曲。公共卫生限制禁止亲朋好友聚集在一起举行传统葬礼,导致对虚拟葬礼的依赖激增。本研究的目的是探讨因任何原因死亡后参加虚拟葬礼的个人的经历,包括选择虚拟葬礼的原因、与亲自参加葬礼相比所感受到的差异,以及悼念方式的适应程度。在 2021 年 5 月至 2022 年 6 月期间,我们确定了 57 位有虚拟葬礼参加经验的参与者。他们指出了虚拟葬礼的许多缺点,主题包括社交、社区支持、分享食物、身体接触、安慰丧亲者、分享回忆和联系。虚拟葬礼也有一些令参与者赞赏的特点,归纳起来有以下主题:无障碍、参与或纪念活动、结束、技术优势和隐私。尽管大多数人认为虚拟葬礼提供了一个 "一起独自 "哀悼的机会,但他们也承认这比完全不能参加葬礼要好。本研究提供了有关参加虚拟葬礼的详细信息,确定了这种经历的特点,应对此进行研究,以确定这些特点如何影响哀悼过程和丧亲结果。
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引用次数: 0
Correction. 更正。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-10-02 DOI: 10.1080/07481187.2024.2411078
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引用次数: 0
Complication of Grief and PTSD among bereaved siblings in Israel. 以色列失去亲人的兄弟姐妹的悲伤和创伤后应激障碍并发症。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-23 DOI: 10.1080/07481187.2024.2406341
Moriya Shulman, Simon Shimshon Rubin, Eran Shadach

This study explores the experiences of bereaved siblings in Israel, examining how different causes of death affect their psychological well-being. We recruited three groups of siblings who lost loved ones as a result of military service, terrorism, or civilian circumstances. A total of 159 bereaved siblings completed questionnaires measuring complications of grief (CG), posttraumatic stress disorder (PTSD), and world assumptions. Results indicated that siblings who experienced civilian loss exhibited the highest prevalence of CG, while no significant differences in PTSD levels were observed across the groups. Both CG and PTSD were associated with the world assumptions regarding the benevolence of the world and sense of self-worth. The study also examined how demographic variables influence siblings' well-being and coping with loss. Overall, the findings emphasize the importance of recognizing the unique experiences of bereaved siblings and underscore the necessity of tailored support to address their individualized needs.

本研究探讨了以色列失去亲人的兄弟姐妹的经历,研究了不同的死亡原因如何影响他们的心理健康。我们招募了三组因服兵役、恐怖主义或平民环境而失去亲人的兄弟姐妹。共有 159 名失去亲人的兄弟姐妹填写了调查问卷,其中包括悲伤并发症(CG)、创伤后应激障碍(PTSD)和世界观假设。结果表明,经历过平民丧亲的兄弟姐妹中,CG 的发生率最高,而创伤后应激障碍的水平在各组之间没有明显差异。创伤后心理障碍和创伤后应激障碍都与有关世界仁慈性和自我价值感的世界假设有关。研究还探讨了人口统计学变量如何影响兄弟姐妹的幸福感以及如何应对失去亲人的情况。总之,研究结果强调了认识失去亲人的兄弟姐妹的独特经历的重要性,并强调有必要为他们提供量身定制的支持,以满足他们的个性化需求。
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引用次数: 0
Is COVID-19 loss more associated with prolonged grief disorder than other losses? 与其他损失相比,COVID-19 损失是否更容易导致长期悲伤障碍?
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-21 DOI: 10.1080/07481187.2024.2406343
Figen İnci, Belgin Varol, Songül Kamışlı, Candan Terzioğlu, Arda Bağcaz, Cengiz Kılıç

The COVID-19 pandemic raised fears about a rise in prolonged grief rates. To determine if these fears are justified, we examined an online sample of 329 Turkish adults for their level of prolonged grief symptoms (as well as probable Prolonged Grief Disorder-PGD) and associated factors in relation to losses during the pandemic. Respondents completed measures of prolonged grief, post-traumatic stress disorder, and depression. Overall, 10% of participants reported symptoms indicating a probable PGD diagnosis. Surprisingly, loss due to COVID-19 or disruption of the natural mourning process did not relate to higher levels of prolonged grief. Our findings suggest that although levels of prolonged grief (and rates of PGD) may have increased during the pandemic, prolonged grief (or PGD) during this time is likely not linked to losses due to COVID-19 or to disruptions in the normal grieving process.

COVID-19 大流行引发了人们对长期悲伤率上升的担忧。为了确定这些担忧是否合理,我们对 329 名土耳其成年人进行了在线抽样调查,以了解他们的长期悲伤症状(以及可能的长期悲伤障碍-PGD)程度以及与大流行期间的损失有关的相关因素。受访者完成了有关长期悲伤、创伤后应激障碍和抑郁的测量。总体而言,10% 的参与者报告的症状表明他们可能被诊断为 PGD。令人惊讶的是,因 COVID-19 或自然哀悼过程中断而导致的损失与较高程度的长期悲伤无关。我们的研究结果表明,虽然大流行期间的长期悲伤程度(和 PGD 发生率)可能有所上升,但这一时期的长期悲伤(或 PGD)很可能与 COVID-19 造成的损失或正常哀悼过程的中断无关。
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引用次数: 0
Beyond pain and sorrow: Dysphemistic use in wartime funeral cards. 超越痛苦和悲伤:战时葬礼贺卡中的语病使用。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-20 DOI: 10.1080/07481187.2024.2404937
Eliecer Crespo-Fernández

As little attention has been paid to dysphemism in death-related discourse, the goal of this study is to analyze the dysphemistic language in a sample of funeral cards, i.e., personalized keepsakes distributed at memorial or funeral services, of Nationalist Spaniards, including both combatants and civilians, who were killed in the Spanish Civil War (1936-1939) and, by doing so, have access to the motivations and purposes underlying dysphemistic use in wartime funeral cards. The inductive, "bottom-up" analysis carried out demonstrates that dysphemism is used to express a negative evaluation of the political enemy through intense and emotionally charged language that refers to the cause and circumstances of the death, on the one hand, and to those responsible for the death, on the other. In this way, dysphemism creates a narrative atmosphere charged with contempt and hatred toward the political enemy and thus becomes a strategic tool of ideological propaganda.

由于人们很少关注与死亡有关的话语中的咒语,本研究的目的是分析在西班牙内战(1936-1939 年)中阵亡的国民党西班牙人(包括战斗人员和平民)的丧卡样本(即在追悼会或葬礼上分发的个性化纪念品)中的咒语,从而了解战时丧卡中咒语使用的动机和目的。所进行的 "自下而上 "的归纳分析表明,通过激烈而充满感情的语言来表达对政治敌人的负面评价,一方面是指死亡的原因和情况,另一方面是指对死亡负有责任的人。通过这种方式,音韵学营造出一种对政敌充满蔑视和仇恨的叙事氛围,从而成为意识形态宣传的战略工具。
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引用次数: 0
Unveiling collective grief: A qualitative study of X posts reflecting on the Kahramanmaraş earthquake anniversary in Türkiye. 揭开集体悲伤的面纱:对土耳其卡赫拉曼马拉什地震周年纪念 X 帖子的定性研究。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-20 DOI: 10.1080/07481187.2024.2404927
Meliha Funda Afyonoğlu, Merve Deniz Pak Güre

This study aims to explore the collective grief manifested on the first anniversary of the earthquake that occurred in Türkiye on February 6, 2023, through the analysis of 10,000 posts on platform X. Designed with qualitative methodology, thematic analysis was conducted, revealing two main themes: "collective grief as a ground for social solidarity" and "politicization of collective grief." The results indicated that the sharing of emotions as well as rituals, commemoration ceremonies, etc. made collective grief a ground for social solidarity, collective sense-making, and healing. Likewise, the public's positive or negative reactions to the government's disaster management emerged as one of the factors politicizing the grief. The reactions to the Syrians and Hatay's people reveal the public's perception of "the subject of grief" and "acceptable grief practices." The study's main recommendations include but are not limited to, increasing infrastructure work, and developing psycho-social support and social cohesion services.

本研究旨在通过分析 X 平台上的 10,000 个帖子,探讨 2023 年 2 月 6 日土耳其地震一周年之际的集体悲伤:"集体悲伤是社会团结的基础 "和 "集体悲伤的政治化"。结果表明,情感分享以及仪式、纪念典礼等使集体悲伤成为社会团结、集体意识形成和治愈的土壤。同样,公众对政府灾难管理的积极或消极反应也是使悲伤政治化的因素之一。叙利亚人和哈塔伊省人民的反应揭示了公众对 "悲伤主体 "和 "可接受的悲伤做法 "的看法。该研究的主要建议包括但不限于增加基础设施建设、发展社会心理支持和社会融合服务。
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引用次数: 0
Online news coverage of migrants' grief at a distance during COVID-19: A qualitative framing analysis. 关于 COVID-19 期间远距离移民悲伤的网络新闻报道:定性框架分析。
IF 2.1 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-19 DOI: 10.1080/07481187.2024.2404942
Trâm Thị-Bảo Nguyễn, Jessica E Young, Mary Breheny, Ágnes Szabó

Grieving at a distance is a common and often challenging experience for migrants. As a result of travel restrictions and border closures, grieving at a distance became a focus of media reporting during the COVID-19 pandemic. This paper aimed to examine the representation of migrants' grief at a distance during the pandemic in online newspaper articles. We used a qualitative framing analysis to analyze nine articles published in online international newspapers. Three frames were identified: Grief as an impossible situation, migrants left with impossible choices, and grief as culturally mediated. These frames focused on how the psychological experience of grief was intertwined with migrants' broader societal and cultural contexts. They emphasized the complex choices migrants faced due to their personal situations and cross-cultural experiences. Findings offer insights into how the media depicts migrant experiences, thus shaping public perceptions of their grief and bereavement. They reveal the difficulties of transnational grief migrants experienced.

对移民而言,远距离哀悼是一种常见的经历,而且往往具有挑战性。由于旅行限制和边境关闭,在 COVID-19 大流行期间,远距离悲伤成为媒体报道的焦点。本文旨在研究网络报纸文章对大流行期间移民远距离悲伤的表述。我们采用定性框架分析法,对国际在线报纸上发表的九篇文章进行了分析。我们确定了三种框架:悲伤是不可能的情况、移民面临不可能的选择以及悲伤是文化中介。这些框架侧重于悲伤的心理体验如何与移民更广泛的社会和文化背景交织在一起。它们强调了移民因其个人情况和跨文化经历而面临的复杂选择。研究结果深入揭示了媒体如何描述移民的经历,从而影响公众对他们的悲伤和丧亲之痛的看法。他们揭示了移民在经历跨国悲伤时所遇到的困难。
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引用次数: 0
Bereaved parents' and siblings' healthcare needs, healthcare utilization, and satisfaction with healthcare services eight years after the 2011 Utøya terror attack. 2011 年于特岛恐怖袭击事件发生八年后,失去亲人的父母和兄弟姐妹的医疗保健需求、医疗保健使用情况以及对医疗保健服务的满意度。
IF 3.8 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-13 DOI: 10.1080/07481187.2024.2400366
Erik-Edwin Leonard Nordström,Riittakerttu Kaltiala,Pål Kristensen,Jens C Thimm
Understanding the healthcare needs of bereaved individuals following terrorism is crucial for organizing healthcare services. This cross-sectional study examined the terror-related healthcare needs, healthcare utilization, and satisfaction with professional healthcare among 122 traumatically bereaved parents and siblings eight years after the 2011 Utøya terrorist attack in Norway. Results showed that over 50% of the participants currently needed help coping with their grief or with mental and somatic symptoms, and only 34% were actively utilizing healthcare related to the terror attack. Furthermore, 68% reported not getting sufficient help, suggesting a treatment gap. One-third rated the professional help and treatment as unsatisfactory, with 28% reporting that they had not received competent help. More somatic and posttraumatic stress symptoms were associated with higher healthcare needs, whilst higher levels of insomnia symptoms were associated with lower healthcare satisfaction. This emphasizes the need to recognize, professionally intervene, and provide competent support for traumatically bereaved individuals.
了解恐怖主义袭击后失去亲人者的医疗保健需求对于组织医疗保健服务至关重要。这项横断面研究调查了2011年挪威于特岛恐怖袭击事件发生八年后,122名失去亲人的父母和兄弟姐妹对与恐怖袭击相关的医疗保健需求、医疗保健利用率以及对专业医疗保健的满意度。结果显示,超过50%的参与者目前需要帮助来应对悲伤或精神和躯体症状,只有34%的人积极利用与恐怖袭击有关的医疗保健服务。此外,68%的人表示没有得到足够的帮助,这表明存在治疗缺口。三分之一的人对专业帮助和治疗的评价是不满意,28%的人称他们没有得到合格的帮助。更多的躯体症状和创伤后应激症状与更高的医疗保健需求有关,而更高程度的失眠症状与较低的医疗保健满意度有关。这强调了识别、专业干预和为创伤后丧亲者提供适当支持的必要性。
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引用次数: 0
Death attitudes in Chronic Obstructive Pulmonary Disease (COPD) patients: A mixed-methods study. 慢性阻塞性肺病(COPD)患者的死亡态度:混合方法研究
IF 3.8 4区 医学 Q2 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2024-09-11 DOI: 10.1080/07481187.2024.2400365
Paul Köbler,Ralf T Vogel,Peter Joraschky,Wolfgang Söllner
Research shows the significance of death attitudes for the mental health of somatically ill people, but findings that focus on multidimensionality in processing death are scarce. Patients with Chronic Obstructive Pulmonary Disease (COPD) report shortness of breath, pain and anxiety about suffocation and high mental distress. Utilizing a mixed-methods approach from 64 hospitalized COPD patients, we examined how they cope with mortality. We conducted a narrative interview with two questions. Patients completed the Multidimensional Orientation Toward Dying and Death Inventory (MODDI-F). Findings reveal a spectrum of death-related narratives, with most patients reporting at least 3 different attitudes. The sample showed below average scores in the Rejection of One's Own Death and Dying subscale of the MODDI-F. Assessing death attitudes using two simple questions proved highly applicable in this population and may serve as a potential approach to engage patients in discussions about existential matters, as suggested in the literature.
研究表明,死亡态度对躯体病患者的心理健康具有重要意义,但侧重于处理死亡的多维性的研究结果却很少。慢性阻塞性肺病(COPD)患者表现出呼吸急促、疼痛、对窒息的焦虑以及高度的精神痛苦。我们采用混合方法对 64 名慢性阻塞性肺病住院患者进行了调查,研究他们如何应对死亡。我们用两个问题进行了叙述式访谈。患者填写了《临终与死亡多维取向量表》(MODDI-F)。调查结果显示了一系列与死亡相关的叙述,大多数患者至少报告了三种不同的态度。样本在 MODDI-F 的 "拒绝自己的死亡和临终 "分量表中的得分低于平均水平。事实证明,使用两个简单的问题来评估死亡态度非常适用于这一人群,并可作为一种潜在的方法,如文献中所建议的那样,让患者参与有关存在问题的讨论。
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引用次数: 0
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Death Studies
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