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Beyond the medical encounter: can the free association narrative interview method extend psychosocial understandings of non-epileptic attack disorder? 超越医疗遭遇:自由联想叙事访谈法能否扩展对非癫痫发作障碍的社会心理理解?
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-05-05 DOI: 10.1332/147867321x16490906486279
M. Peacock, J. Dickson, P. Bissell, R. Grunewald, M. Reuber
This exploratory interdisciplinary study was devised to explore how using the free association narrative interview (FANI) method might extend understanding of non-epileptic attack disorder (NEAD) within a psychosocial framework. NEAD is the medical definition of what can be described as embodied events that resemble epilepsy, but which are not associated with the abnormal electrical discharges in the brain found in epilepsy. They are the most frequent ‘functional’ disorder or medically unexplained symptom (MUS) seen by neurologists.While NEAD is associated with trauma, distress and negative life events, a significant minority of patients report no trauma history. The FANI method, we argue, produced narratives which shed light on events that patients have not acknowledged as traumatic, but which might be considered as such, and we explore what aspects of the method may facilitate this process. Previous work has highlighted that a diagnosis of NEAD is often experienced as deeply troubling and contentious to both give and to receive. We thus reflect on the need for patients to feel a sense of legitimacy and how the challenges of living with a NEAD diagnosis are negotiated.Drawing on the work of Benjamin (2004) on ‘thirdness’, we suggest that the FANI method can allow the research interview to become a space that facilitates novel ways of engaging around NEAD. We conclude that the method may be a powerful tool for studying NEAD, and that further studies should be undertaken using this approach since it may have broader utility in understanding the landscape of functional neurological disorders.
本探索性跨学科研究旨在探索如何使用自由联想叙述访谈(FANI)方法在社会心理框架内扩展对非癫痫发作障碍(NEAD)的理解。NEAD是一种医学定义,可以描述为类似癫痫的具体事件,但与癫痫中发现的大脑异常放电无关。它们是神经科医生最常见的“功能性”障碍或医学上无法解释的症状(MUS)。虽然NEAD与创伤、痛苦和负面生活事件有关,但少数患者报告没有创伤史。我们认为,FANI方法产生的叙述揭示了患者未承认的创伤性事件,但可能被认为是这样的,我们探讨了该方法的哪些方面可能促进这一过程。先前的研究已经强调,诊断出NEAD通常会给患者带来极大的困扰和争议。因此,我们反思了患者需要感受到一种合法性,以及如何与NEAD诊断的生活挑战进行协商。根据本杰明(2004)关于“第三”的研究,我们认为FANI方法可以使研究访谈成为一个空间,促进以新颖的方式参与NEAD。我们的结论是,该方法可能是研究NEAD的有力工具,并且应该使用该方法进行进一步的研究,因为它可能在理解功能性神经疾病的前景方面具有更广泛的用途。
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引用次数: 1
The Manchester Attack Support Group Programme: modelling a psychosocial response to collective trauma 曼彻斯特袭击支持小组计划:对集体创伤的社会心理反应建模
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-05-02 DOI: 10.1332/147867321x16490836655053
A. Eyre
This article discusses a support group programme initiated in response to the Manchester Arena attack in 2017 as an example of a psychosocial approach to post-disaster support. Its purpose is to highlight how a bespoke psychosocial peer-based initiative can complement and enhance mental health responses following collective trauma events. It gives an overview of psychosocial approaches to disaster aftercare and presents survey-based and other feedback gathered throughout the life of the programme. The results suggest that facilitated peer support has enabled bereaved people, survivors and responders to share and make sense of their experiences, benefit from mutual support and enhance their coping and resilience. A multidimensional psychosocial approach to peer support has culminated in the development of a self-sustaining peer support network. The case study builds on the evidence base supporting the value of psychosocial approaches as an important complement to clinically focused mental health interventions following a collective trauma event.
本文讨论了为应对2017年曼彻斯特体育馆袭击而启动的一个支持小组计划,作为灾后支持的社会心理方法的一个例子。其目的是强调在集体创伤事件发生后,定制的基于同伴的心理社会倡议如何能够补充和加强心理健康反应。它概述了灾后处理的社会心理方法,并介绍了在整个方案生命周期中收集的基于调查的反馈和其他反馈。结果表明,促进同伴支持使丧亲者、幸存者和响应者能够分享和理解他们的经历,从相互支持中受益,增强他们的应对能力和复原力。对同伴支持采取的多层面社会心理方法最终形成了一个自我维持的同伴支持网络。案例研究建立在证据基础上,支持社会心理方法作为集体创伤事件后临床重点心理健康干预措施的重要补充的价值。
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引用次数: 0
Trauma and Repair: Confronting Segregation and Violence in America by Annie Stopford (2020) 《创伤与修复:直面美国的种族隔离与暴力》作者:安妮·斯托普福德(2020)
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-03-14 DOI: 10.1332/147867321x16394730089777
J. Adlam
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引用次数: 0
Pandemic, politics and people: a psychosocial analysis of the first month of COVID-19 in Denmark 大流行、政治和人民:对丹麦COVID-19第一个月的社会心理分析
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-01-01 DOI: 10.1332/147867321x16437150222666
Å. Lading, Henning Salling Olesen
Even though COVID-19 is transmitted internationally, there are very different ways of combating its threats nationally. This article is a psychoanalytically informed psychosocial analysis of how the risk of COVID-19 contagion was dealt with politically and received by the population in Denmark in the first month after it arrived in the country. The question is how the social democratic Prime Minister, Mette Frederiksen, at the initial press conference addressing the nation in March and April 2020, succeeded in making the population accept comprehensive restrictions in their daily lives. The article argues that an unheard of agreement between the population, government and opposition was furthered by the Prime Minister’s double communication of a horror scenario and a construction of an exclusive and containing group of ‘Danes’ and served as a means of instilling anxiety and relief from anxiety at one and the same time. Psychologically, the group as a good object offers a defence against regressive, anxiety-ridden phantasies of infection and potential death. Politically, it forms a comforting cohesion between government and ‘Danes’, emphasised by Mette Frederiksen’s invocation of a caring welfare state that is closely associated with social democratic leadership. It thus stresses the interplay of the psychological as well as political aspects of an anxiety-provoking situation. On the one hand, the situation gave rise to a citizenship-based community, acting as a political and psychological subject, but on the other hand, this political mobilisation of community spirit neglected conflicts of interests, which surfaced later.
尽管COVID-19在国际上传播,但在各国应对其威胁的方式却截然不同。本文是一篇基于精神分析的心理社会分析,分析了在COVID-19感染风险抵达丹麦后的第一个月,丹麦如何在政治上处理这种风险,以及丹麦民众如何接受这种风险。问题是,社会民主党首相梅特·弗雷德里克森(Mette Frederiksen)在2020年3月和4月举行的首次全国新闻发布会上,是如何成功地让民众接受日常生活中的全面限制的。这篇文章认为,首相对恐怖场景的双重传达和对“丹麦人”的排他性和包容性团体的构建,进一步推动了民众、政府和反对派之间前所未有的协议,并同时作为一种灌输焦虑和缓解焦虑的手段。从心理上讲,作为一个很好的对象,群体提供了一种防御,防止退化,焦虑缠身的感染和潜在死亡的幻想。在政治上,它在政府和“丹麦人”之间形成了一种令人宽慰的凝聚力,梅特·弗雷德里克森(Mette Frederiksen)呼吁建立一个与社会民主党领导层密切相关的关怀福利国家,这一点得到了强调。因此,它强调了引起焦虑的局势的心理和政治方面的相互作用。这种情况一方面产生了以公民身份为基础的社区,作为一个政治和心理主体,但另一方面,这种对社区精神的政治动员忽视了后来浮出水面的利益冲突。
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引用次数: 0
Melancholic communities: trauma, neoliberalism and the rise of Chat magazine 忧郁的社区:创伤、新自由主义和《聊天》杂志的兴起
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-01-01 DOI: 10.1332/147867321x16401162893334
Lucinda Rose Stroud
Weekly real-life magazines (RLMs) for women form a genre that has experienced sustained popularity for more than three decades and are constructed from claims to represent their readerships’ lives. Strikingly, during the COVID-19 pandemic where other magazines have witnessed a decline in sales and many closures, real-life titles have experienced continuous success. This article reads RLMs through a psychosocial lens as a symptom of an emerging social melancholia that began to form from the late 1970s in the United Kingdom. Through an analysis of Chat magazine, the article illustrates how the genre was constructed and argues that it resonates with a form of melancholia that has led to the creation of communities bonded through shared collective experiences that have found the semblance of resolution within this genre’s creation.
女性生活周刊(RLMs)是一种持续流行了30多年的杂志类型,其宗旨是代表读者的生活。引人注目的是,在2019冠状病毒病大流行期间,其他杂志的销量下降,许多杂志倒闭,而现实生活中的标题却持续取得成功。本文从社会心理的角度来解读rlm,认为它是20世纪70年代末在英国形成的一种新兴的社会忧郁症的症状。通过对《聊天》杂志的分析,本文阐述了这一类型是如何构建的,并认为它与一种忧郁症产生了共鸣,这种忧郁症通过共享的集体经历导致了社区的建立,这种经历在这一类型的创作中找到了解决方案的表面。
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引用次数: 0
On not being able to read 关于无法阅读
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2022-01-01 DOI: 10.1332/147867321x16468191778715
Myna Trustram
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引用次数: 0
Devices for illuminating defended subjectivities in complex qualitative case interpretation: an example from recent BNIM practice 在复杂的定性案例解释中阐明辩护主体性的方法:来自最近BNIM实践的一个例子
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-07-01 DOI: 10.1332/147867321X16218659135374
S. Flynn, Tom Wengraf
For a long time now, fairly central to what has emerged as ‘psychosocial studies’ has been the notion of psychosocietal ‘defendedness’. This is the psychoanalytic notion that people (not excluding social science researchers) must be understood in general as being ‘defended subjectivities’. This immediately raises the question of the ‘defended researcher’ being sensitive to ‐ and having procedures for detecting and interpreting the working of ‐ such ‘defensiveness’ in the interactions of their subjects and themselves. Biography-based research raises these issues particularly strongly. One such method, known as the ‘biographical narrative interpretative method’ (BNIM) of interviewing and case interpretation, has been used in the anglophone world for more than 20 years. While BNIM prescribes an audit trail for its interpretative practices, it is rare to discover a fully audited sequence of components, and rarer still to have access to illuminating free-associative fieldnotes that catalogue the researcher’s evolving subjectivity. This article discusses defendedness in a case interpretation within a BNIM-using PhD. We conclude that, to defeat the defensiveness of both researcher and peer-auditor (the co-authors of this article), several BNIM techniques need to be used systematically and that, in particular, a ‘private and confidential’ independent peer audit is valuable under certain conditions, and should be provided for in any research proposal. Through peer audit, the researcher can be (usually uncomfortably) sensitised to new possibilities about their otherwise inadequately understood defended processes and conclusions.
很长一段时间以来,“社会心理研究”的核心一直是社会心理“防御”的概念。这是一种精神分析概念,即人们(不排除社会科学研究人员)必须被普遍理解为“被辩护的主体性”。这立即提出了一个问题,即“防御性研究人员”对他们的研究对象和他们自己之间的互动中这种“防御性”的作用是否敏感,是否有检测和解释这种作用的程序。基于传记的研究尤其强烈地提出了这些问题。其中一种方法,被称为访谈和案例解释的“传记叙事解释法”(BNIM),已经在英语国家使用了20多年。虽然BNIM为其解释实践规定了审计跟踪,但很少发现完全审计的组件序列,更很少有机会获得启发性的自由联想田野笔记,这些笔记记录了研究人员不断发展的主观性。本文讨论了在使用bnimm的博士学位的案例解释中的辩护。我们的结论是,为了击败研究者和同行审核员(本文的共同作者)的防御,需要系统地使用几种BNIM技术,特别是在某些条件下,“私人和保密”的独立同行审核员是有价值的,并且应该在任何研究计划中提供。通过同行审核,研究人员可以(通常是不舒服的)对他们原本不充分理解的辩护过程和结论的新可能性敏感。
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引用次数: 0
Psychosocial meaning making in carceral spaces: a case study of prison and mental health care practice 监狱空间的社会心理意义建构:监狱与精神卫生保健实践案例研究
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-07-01 DOI: 10.1332/147867321X16215933279607
Andrew Shepherd
Prisons represent sites of psychological distress and suffering. In this article, the implications of this, and the need for the maintenance of a psychosocial perspective, are explored. A psychogeographic overview of the prison environment is provided to consider the way it is constituted at different levels: the macro-social, meso-social and micro-social levels. Two vignettes are presented, which illustrate the process of loss and emergent self-destruction accompanying an enforced identity change followed by the radical means of stabilisation that may be adopted in opposition to this process. The essential nature of personal narrative construction ‐ this process of sense making ‐ is considered alongside the forcing impact of the social environment, as well as wider social pressures, and their impact on the dynamic process. In closing, a limitation of the employed methodology ‐ focusing on individual experience ‐ is remarked on: if these psychological processes take place through an act of modulation in response to a social field, how does the social field in turn respond to these modulations? In closing, I argue that through maintaining a psychosocial focus, researchers and clinicians discharge an ethical duty to maintain the attention of society on the suffering of some of its most vulnerable members.
监狱是造成心理痛苦和痛苦的场所。在这篇文章中,探讨了这一点的含义,以及维护社会心理观点的必要性。本文提供了监狱环境的心理地理概况,以考虑监狱环境在宏观社会、中社会和微观社会等不同层次上的构成方式。呈现了两幅小插图,它们说明了失落和紧急自我毁灭的过程,伴随着强制的身份变化,随后可能采用与此过程相反的激进的稳定手段。个人叙事建构的本质——这种意义建构的过程——与社会环境的强制影响以及更广泛的社会压力以及它们对动态过程的影响一起被考虑。最后,所采用的方法的一个局限性——专注于个人经验——被指出:如果这些心理过程是通过对社会领域的调节行为发生的,那么社会领域如何反过来对这些调节做出反应?最后,我认为,通过保持对社会心理的关注,研究人员和临床医生履行了一种道德责任,即保持社会对一些最脆弱成员的痛苦的关注。
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引用次数: 1
Making sense of discomfort: the performance of masculinity and (counter-)transference 理解不适:阳刚之气和(反)移情的表现
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-07-01 DOI: 10.1332/147867321X16218461456999
Thi Gammon
This article features a case study about the author’s two research encounters with an emotionally reluctant male participant who seemed to experience discomfort and who also made the author feel uncomfortable. To make sense of this mutual experience of discomfort, the article explores the intersubjective exchange between the interviewer and her participant through the application of the psychoanalytic concepts of ‘defence’ and ‘(counter-)transference’. The article argues that the mutual discomfort resulted from the participant’s desire to perform masculinity in ways that fit the Vietnamese hegemonic masculinity and from the researcher’s inability to identify this desire during the interviews. By locating the participant’s engagement with hegemonic masculinity within the sociocultural context of contemporary Vietnam, and investigating the resulting discomfort, the article demonstrates how applying a psychosocial approach to a research relationship can be fruitful. It shows that such an approach can help researchers acquire unexpected insights into the psychological and social meanings of research encounters beyond an analysis of just the text, thus adding to methodological discussions about qualitative interviews.
这篇文章的特色是一个案例研究,关于作者在两次研究中遇到一个情感上不情愿的男性参与者,他似乎经历了不舒服,也让作者感到不舒服。为了理解这种共同的不适体验,本文通过“防御”和“(反)移情”的精神分析概念的应用,探讨了采访者和她的参与者之间的主体间交流。文章认为,相互的不适是由于参与者希望以符合越南霸权男子气概的方式表现男子气概,以及研究人员在访谈中无法识别这种欲望。通过在当代越南的社会文化背景下定位参与者与霸权男子气概的接触,并调查由此产生的不适,本文展示了如何将社会心理方法应用于研究关系可以取得丰硕成果。它表明,这种方法可以帮助研究人员获得意想不到的见解,研究遭遇的心理和社会意义,而不仅仅是对文本的分析,从而增加了关于定性访谈的方法论讨论。
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引用次数: 2
The school-to-prison pipeline: a failed holding environment 从学校到监狱的管道:一个失败的关押环境
IF 0.3 Q4 PSYCHOLOGY, MULTIDISCIPLINARY Pub Date : 2021-07-01 DOI: 10.1332/147867321x16215933132447
C. Catrone
The deleterious impact of the school-to-prison pipeline (STPP) on minority youth in the United States, as well as the underlying sociocultural and political factors contributing to the pipeline, are well established. While the literature provides abundant evidence about the negative impact of secondary school punitive and exclusionary disciplinary policies on students’ behavioural and academic outcomes, consideration of the relational world of the school and its subjective impact is largely absent. This article contributes an examination of the relational world of schools to the analysis of the STPP and its developmental impact on youth of colour. By applying Diamond’s (2017; 2020) object relations approach to life in secondary schools, the article exposes how the STPP undermines schools’ capacity to provide a healthy holding environment. The article demonstrates how the school functions as a failed holding environment and concludes with case examples illustrating how psychodynamically informed school-based interventions are positioned to mitigate the toxic effects of the STPP on the identity development of adolescents of colour.
从学校到监狱的管道(STPP)对美国少数族裔青年的有害影响,以及造成这一管道的潜在社会文化和政治因素,都是众所周知的。虽然文献提供了大量关于中学惩罚性和排他性纪律政策对学生行为和学业成绩的负面影响的证据,但对学校关系世界及其主观影响的考虑在很大程度上是缺席的。这篇文章为分析STPP及其对有色人种青年的发展影响提供了学校关系世界的研究。通过应用Diamond’s (2017;2020)对象关系中学生活的方法,文章揭示了STPP如何破坏学校提供健康的教学环境的能力。这篇文章展示了学校作为一个失败的持有环境是如何运作的,并以案例结尾说明了基于心理动力学的学校干预是如何定位的,以减轻STPP对有色人种青少年身份发展的有害影响。
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引用次数: 0
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Journal of Psychosocial Studies
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