隐喻与循证心理治疗中青年苦恼的政治与诗学。

IF 2.5 3区 医学 Q1 ANTHROPOLOGY Transcultural Psychiatry Pub Date : 2023-10-01 Epub Date: 2022-01-07 DOI:10.1177/13634615211066692
Rebecca Seligman
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引用次数: 0

摘要

本文探讨了隐喻与情感在青少年痛苦和心理治疗中的关系。根据一项关于墨西哥裔美国青少年因各种情绪和行为问题接受门诊治疗的人种学研究的数据,这篇文章检查了主流临床环境中常用的手动儿童和青少年认知行为疗法中使用的我称之为“规定”的隐喻。我探索了通过一个这样的隐喻传达给年轻人的情感模型,年轻人对这个隐喻的反应,以及当他们接受隐喻中隐含的潜在模型和情感实践时,对年轻人的潜在影响。具体来说,我研究了年轻人如何回应情感元认知和情感调节的信息,这些信息嵌入了一个比喻,将情感等同于可以监测和客观测量的温度。我发现年轻人立刻相信,关于内在状态的抽象知识本身是有价值的,因为它与理想的人格形式有关,但同时也担心技术隐喻在捕捉生活经验方面的局限性,以及这种隐喻帮助制定的实践可能伴随的情感的扁平化和同质化。我分析了对规定的隐喻的不同解释,以及年轻人在谈论他们的情绪和痛苦经历时使用的自发隐喻,试图在以证据为基础的年轻人心理治疗的背景下思考情感隐喻的政治和诗学。
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Metaphor and the politics and poetics of youth distress in an evidence-based psychotherapy.

This article explores the relationship between metaphors and emotion in the context of adolescent distress and psychotherapeutic treatment. Drawing on data from an ethnographic study of Mexican American adolescents receiving outpatient treatment for a variety of emotional and behavioral problems, the article examines what I call "prescribed" metaphors deployed in mainstream, manualized child and adolescent Cognitive Behavioral Therapies commonly used in mainstream clinical contexts. I explore the models of emotion communicated to youth by one such metaphor, youth responses to this metaphor, and the potential implications for young people as they take up the underlying models and affective practices embedded in the metaphor. Specifically, I examine how youth respond to messages about emotion metacognition and emotion regulation embedded in a metaphor that equates feelings with temperatures that can be monitored and objectively measured. I find that youth are at once convinced that abstract knowledge about internal states is inherently valuable because it is linked to desired forms of personhood, but also concerned about the limits of technical metaphors to capture aspects of lived experience and the flattening and homogenization of affect that might accompany the practices such metaphors help to enact. I analyze alternative interpretations of prescribed metaphors as well as the spontaneous metaphors used by youth to talk about their emotions and experiences of distress, in an effort to think through the politics and poetics of emotion metaphors in the context of an evidence-based psychotherapy for young people.

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来源期刊
CiteScore
5.10
自引率
12.00%
发文量
93
期刊介绍: Transcultural Psychiatry is a fully peer reviewed international journal that publishes original research and review articles on cultural psychiatry and mental health. Cultural psychiatry is concerned with the social and cultural determinants of psychopathology and psychosocial treatments of the range of mental and behavioural problems in individuals, families and human groups. In addition to the clinical research methods of psychiatry, it draws from the disciplines of psychiatric epidemiology, medical anthropology and cross-cultural psychology.
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