一名心境障碍大学生的疾痛体验——基于主体间性视角的个案研究

The Illness Experience of a College Student with Mood Disorders:A Case Study Based on Intersubjective Perspective

文章沿循现象学的研究路径,基于对一名康复期心境障碍大学生的深度访谈和对其日记、信件资料的分析,围绕主观性、生活世界、主体间性三个维度,探索日常生活世界中精神障碍亲历者的疾痛体验。研究发现,个人在疾病历程中体验到的内在孤独感源自互动中个人主观真实遭到的否定与表达的无力,学校设置和初级社会关系网络作为学生患者的主要生活领域提供了限制、资源和意义来源,主体间交互的微妙动力则在语言符号和相处策略的选择上得到体现。这启示精神健康领域的社会工作者重视精神障碍患者的主观经历和疾痛体验背后的社会文化意义,并把握到日常生活中共通的符号世界和主体间互动中主体性再次生长的可能性,以促进康复患者更好地回归社区生活。

The article follows the research path of phenomenology and explores the illness experience of individuals with mood disorders in their daily lives,focusing on subjectivity,life world,and intersubjectivity.This exploration is based on an in-depth interview with a college student in the recovery phase of mood disorders,as well as the analysis of his/her diary and correspondence materials.Research has found that the inherent sense of loneliness experienced by individuals during illness stems from the personal subjective negation and powerlessness in communication.Colleges and primary social networks provide constraints,resources,and sources of meaning for student patients in their main life domains.The subtle dynamics of interaction between individuals are reflected in the choice of language symbols and strategies for getting along.This highlights the importance for social workers in the field of mental health to pay attention to the subjective experiences and social-cultural significance behind the illness experience of individuals with mental disorders.It also emphasizes the need to understand the shared symbolic world and the potential for the re-emergence of subjectivity in interpersonal interactions in daily lives,to facilitate the better reintegration of recovery patients into community life.