背景和目的:COVID-19患者是一个心理脆弱的患者群体,既存在身体症状,也存在心理问题。本研究是利用拉康的欲望理论对COVID-19患者进行的精神分析调查。我们旨在探索患者在其生活经验叙述中呈现欲望的方式,并试图发现直接影响这一过程的因素。材料与方法:对中国36例COVID-19患者进行了深入的半结构性访谈。每次面试,参与者讲述了他们感染COVID-19的生活经历。情感,隐喻,和患者叙述中的行为被整理为精神分析的要点。结果:我们的发现表明,成为健康人的愿望使患者对社会环境敏感。过程中出现了焦虑和强迫行为,这揭示了他们对他们缺乏的渴望。此外,公众对COVID-19的恐惧不知何故转化为对COVID-19患者的心理压力。因此,这些患者试图将他们的身份“去识别”为“患者”。COVID-19患者对外部世界的积极反应包括钦佩的医务人员,政府,和国家,而负面反应包括人际冲突或对歧视的抱怨。遵循对方的规则,COVID-19患者在构建自己的健康人形象时受到了对方愿望的影响。结论:这项研究揭示了COVID-19患者在个人和社会层面上摆脱“患者”身份的心理需求。我们的发现对帮助COVID-19患者重塑身份并过上正常的生活具有临床意义。
Background and Objectives: COVID-19 patients are a psychologically vulnerable patient group who suffer from both physical symptoms and psychological problems. The present study is a psychoanalytic investigation of COVID-19 patients utilizing Lacan\'s desire theory. We aimed to explore the manner in which patients\' desire is presented in their lived experience
narratives and sought to discover factors which directly impacted on this process. Materials and Methods: In-depth semi-structural interviews were conducted with 36 COVID-19 patients in
China. During each interview, participants narrated their lived experiences of COVID-19 infection. Emotions, metaphors, and behaviors in patient
narratives were collated as the main points for psychoanalysis. Results: Our findings demonstrated that the desire for being a healthy person made patients emotionally sensitive to the social environment. Anxiety and obsessive behaviors emerged in the process, which reveals their desire for that which they lack. Furthermore, public fear with respect to COVID-19 was somehow converted to psychological pressure on COVID-19 patients. Thus, these patients attempted to \"de-identify\" their identity as \"patients\". Positive responses of COVID-19 patients to the external world included admiring medical personnel, government, and country, while negative responses included interpersonal conflicts or complaints about discrimination. Following the rules of the Other, COVID-19 patients were influenced by the Other\'s desire in constructing their own image of a healthy person. Conclusions: This study revealed COVID-19 patients\' psychological need to rid themselves of the identity of \"patient\" at the individual and social level. Our findings have clinical implications in helping COVID-19 patients to reshape their identity and to live a normal life.