关于这个主题的知识是什么?:在日常的精神病学实践中,了解个人通常涉及制定临床病例,这可能导致将它们仅仅视为需要解决的症状。因此,看到个人超出他们的症状可能是具有挑战性的。然而,试图通过他/她关于叙述的著作来理解个人可以提供更广泛的视角,并超越作为患者表达他们经历的媒介。关于理解写作,解释学将是一种足智多谋的方法。论文对现有知识有何贡献?:本研究旨在对精神分裂症患者之间的治疗性沟通的性质进行重新评估,精神病医生,和精神科护士通过解释学分析解释他们在相同的书面叙述上的著作。与以前关于心理健康专业人员与患者之间沟通的研究相比,我们的研究具有独特的功能。我们通过三组参与者的著作直接调查了理解行为。参与者还从事有关叙述的阅读和写作,而不是依靠临床访谈或自我报告问卷。据我们所知,我们的研究是第一个诠释学的研究,以检查的性质的反思,而所有三个群体遇到相同的叙事作为读者。实践的意义?:结果表明,精神科医生/精神科护士需要开发新的观点和技能,以理解/与精神分裂症患者互动。我们的研究可能是将解释学作为一种流行的方法应用于心理健康护理实践的先驱样本。
■导言:了解精神分裂症患者是精神病学中必不可少但具有挑战性的现象。
目的:这项研究提出了对精神分裂症患者之间治疗性沟通的性质的重新评估,精神科医生和精神科护士通过解释学分析解释他们在相同的书面叙述上的著作。
方法:在本研究中,采用定性的描述性方法,利用解释学分析,参与者阅读了这五个叙述,写下他们对每个叙述的看法,并回答了九个问题,以表达他们个人的写作经历。
结果:每个小组的参与者同时充当“读者”和“作者”,同时根据自己的阅读感重写选定的五个简短叙述。表达式,重写是指本研究参与者和研究人员的阅读和书面解释行为。虽然精神分裂症患者在阅读和写作中主要关注文本(叙述),精神科医生和精神科护士倾向于专注于读者(他们自己)在他们的解释。
结论:尽管阅读应该作为一个发现的过程,而不仅仅是寻求预定的知识,精神科医生和精神科护士阅读这些叙述,就好像提交人是病人或疾病的迹象一样。
结论:结果表明,精神科医生/精神科护士需要开发新的观点和技能来理解精神分裂症患者并与之互动。
WHAT IS KNOWN ON THE SUBJECT?: In daily psychiatric practice, understanding individuals often involves formulating the clinical case, which may lead to viewing them solely as symptoms to be solved. Consequently, it can be challenging to see the individual beyond their symptoms. However, trying to understand the individual by his/her writings about narratives can offer broader perspectives and extend beyond being a medium for patients to express their experiences. On understanding writing,
hermeneutics will be a resourceful method. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: This study aims to propose a reevaluation of the nature of therapeutic communication among individuals with schizophrenia, psychiatrists, and psychiatric nurses by interpreting their writings on the same written narratives through a hermeneutic analysis. Our study has unique features compared to previous studies on communication between mental health professionals and patients. We directly investigated the act of understanding through the writings of the three groups of participants. The participants were also engaged in reading and writing about the narratives instead of relying on clinical interviews or self-report questionnaires. To the best of our knowledge, our study is the first hermeneutic study to examine the nature of reflection while all three groups encounter the same narratives as readers. IMPLICATIONS FOR PRACTICE?: The results point to the need for psychiatrists/psychiatric nurses to develop new perspectives and skills in understanding/interacting with individuals with schizophrenia. Our study could be a pioneer sample in applying
hermeneutics as a prevailing method to mental health nursing practice.
UNASSIGNED: INTRODUCTION: Understanding individuals with schizophrenia is an essential but challenging phenomenon in psychiatry.
OBJECTIVE: This study proposes a reevaluation of the nature of therapeutic communication among individuals with schizophrenia, psychiatrists and psychiatric nurses by interpreting their writings on the same written narratives through a hermeneutic analysis.
METHODS: In this study, employing a qualitative descriptive methodology utilising hermeneutic analysis, participants read the five narratives, wrote down their opinions on each narratives and answered nine questions to express their own personal writing experiences.
RESULTS: Participants from each group acted as both \'readers\' and \'authors\' while rewriting the selected five short narratives based on their own sense of readings. The expression, rewriting refers to the act of reading and written interpretations of participants and researchers in this study. While individuals with schizophrenia primarily focused on the text (narrative) in their readings and writings, psychiatrists and psychiatric nurses tended to focus on reader (themselves) in their interpretations.
CONCLUSIONS: Although reading should be approached as a process of discovery rather than merely seeking predetermined knowledge, psychiatrists and psychiatric nurses read the narratives as if the author were a patient or as the signs of an illness.
CONCLUSIONS: The results point to the need for psychiatrists/psychiatric nurses to develop new perspectives and skills in understanding and interacting with individuals with schizophrenia.