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精神障碍的具身感知与心理张力

Embodied Perception and Psychological Tension in Mental Disorders

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通过现象学的视角,将自知力分为意向行为与意向内容两种类型.医生与患者间对精神障碍的意向内容不一致,会导致在医疗活动中强化了患者的病耻感而损害了自我效能感.根据具身感知构架平衡,精神障碍的感知通过积极维度的自我效能感与消极维度的病耻感平衡.患者的低自我效能感与高病耻感会引发高心理张力状态,导致极端的情绪行为反应,这将进一步恶化医患关系.因此,在临床工作中要了解患者对精神障碍与治疗的理解与期待,评估患者的具身感知与心理张力,关注与患者的角色互动.
From the perspective of phenomenology,self-awareness is categorized into two types:intentional behavior and intentional content.The inconsistencies between doctors and patients in the intentional content of mental disorders will lead to the enhancement of patients'stigma and the impairment of patients'self-efficacy in medical activities.According to the embodied perception framework balance,the perception of mental disorders is balanced by the positive dimension of self-efficacy and the negative dimension of stigma.Patients with low self-efficacy and high stigma will trigger high psychological tension and lead to extreme emotional and behavioral responses,which will further worsen the doctor-patient relationship.Therefore,in clinical practice,it is necessary to understand patients'understanding and expectations of mental disorders and treatment,evaluate patients'embodied perception and psychological tension,and pay attention to the role interaction with patients.

phenomenologymental disordersinsightintentionalityembodied perceptionpsychological tension

李孪焜、尹超、李玲霞、赵孟

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武汉市武东医院/武汉市第二精神病医院心理科 湖北武汉 430084

现象学 精神障碍 自知力 意向性 具身感知 心理张力

2024

医学与哲学
中国自然辩证法研究会

医学与哲学

CSTPCDCHSSCD北大核心
影响因子:1.314
ISSN:1002-0772
年,卷(期):2024.45(14)