自媒体语境下癌症病患网络日志话语的创伤研究

Traumatic Study on Cancer Patients Narrative on We Media

自媒体网络为癌症病患提供了一个舒适自由表达真实情感的平台,他们以网络日志形式讲述治疗和抗病的心路历程。本文以癌症病患在微博、小红书等自媒体平台的网络日志为语料,基于创伤理论采用质性研究方法从叙事语言、叙事结构、叙事情感三个维度分析了话语中的创伤特征。研究结果发现:(1)叙事语言上,消极词汇和否定句式是创伤的重要表征,哭泣则是创伤表达的副语言特征;(2)叙事结构上,叙事过程的特点是语流中断、叙事留白、结构碎片化;(3)叙事情感上,在诊断初期以恐惧、悲伤、愤怒的消极情绪为主,在治疗取得效果后,也会表现出乐观和自豪的积极情绪。本文研究成果对于患者心理辅助治疗,缓解病患症状有医疗意义,同时为健康话语研究提供借鉴。

We Media provides a comfortable platform for cancer patients to narrate their experience of diagnosis and treatment as well as the trauma caused by cancer with blogs.Taking cancer patients online blogs as corpus database,this paper analyzes the traumatic feature of online self-disclosure by cancer patients with qualitative research methods and trauma theory from three dimensions:narrative language,narrative structure and narrative emotion.The results show that:Firstly in terms of language,negative words and sentence patterns as well as paralinguistic feature such as crying are often used to express trauma;secondly,the narrative structure is characterized by broken narrative,void,and interrupted flow of telling;finally,negative emotions like fear,sadness and anger often appear in the early stage of diagnosis.After a certain period of treatment,positive emotions like optimism and pride also exist in the narrative.This study is of great value for adjuvant psychological therapy and alleviating symptoms of cancer patients.It is also significant for the studies of health discourse.