他们认为我们只是在上帝的等候室里":关于中风幸存者身份孤独的话语研究。

IF 1.9 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Pub Date : 2024-09-19 DOI:10.1177/13634593241279207
Lewis Jefferson, Stephen Dunne
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引用次数: 0

摘要

本文研究了中风幸存者在处理身份孤独问题时所使用的修辞策略,在这种现象中,个人会因身份改变而产生与他人脱节的感觉,而中风则是众所周知的前因后果。我们对三位中风幸存者及其配偶进行了访谈,了解他们的中风情况、社会支持以及孤独感和身份改变的经历。采用简化版的杰斐逊方法对数据进行了转录,并采用批判性话语心理学方法对数据进行了分析。这使得研究成为可能,通过隐喻和类别权利等话语工具,研究参与者在谈话中如何处理身份孤独的心理问题,同时也留有余地,考虑如何借鉴更广泛的社会话语。分析揭示了参与者处理身份孤独问题的两种关键方式:(1) 塑造并占据一种复原力;(2) 处理中风后社会世界对其身份的影响。这些发现让我们了解到中风幸存者在与采访者讨论时是如何理解身份孤独问题的。最后,研究结果为未来的研究方向提供了信息,包括使用基础理论方法建立一个全面的身份孤独理论,以及开发和验证一个适用于康复环境的身份孤独心理测量方法。
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'They think we're just in God's waiting room': A discursive study on identity aloneness in stroke survivors.

This paper examines the rhetorical strategies used by stroke survivors to attend to identity aloneness, a phenomenon in which individuals experience a sense of disconnect from others as a consequence of identity change, for which stroke is known as an antecedent. Three stroke survivors, and their spouses, were interviewed about their stroke, social support, and experiences with loneliness and identity change. The data was transcribed using a simplified version of the Jeffersonian method and analysed using a critical discursive psychological approach. This made it possible to examine the way in which the psychological business of identity aloneness was managed in participants' talk via discursive devices such as metaphors and category entitlement, while also leaving room to consider how broader societal discourses were drawn upon. The analysis revealed two critical ways in which participants attended to the issue of identity aloneness: (1) by crafting and occupying a position of resilience; (2) by managing the impact of the post-stroke social world on their identities. These findings offer insight into how the issue of identity aloneness is made sense of by stroke survivors in the context of a discussion with an interviewer. Finally, findings informed future directions for research, including developing a comprehensive theory of identity aloneness using a grounded theory approach and developing and validating a psychometric measure of identity aloneness to be applied in a rehabilitative setting.

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来源期刊
Health
Health Multiple-
CiteScore
4.90
自引率
0.00%
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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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