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The Meaning of Coping for Psychiatric Patients

机译：精神病患者应对的意义

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摘要

Contemporary psychiatric theory holds that a precipitant of major mental illness is the inability of some vulnerable individuals to cope with the difficulties of everyday life. Such mentally ill people are characterized as having deficient, dysfunctional, or absent coping skills. Recently, researchers have exerted considerable effort to distinguish between productive and nonproductive coping. In this article, we argue that not only are such conceptualizations reliant on reductive, circular logic, but they also miss the essentially rational, local, and individual nature of coping in psychiatric patients' lives. We used semistructured interviews and thematic analyses of psychiatric patients' descriptions of their coping. Patients reported that professional intervention reduced their ability to cope, that they distrusted the mental health system and its professionals, that coping mechanisms were misinterpreted, that situational crises modulated coping, and that sometimes coping was just "not coping." We argue for a more respectful, nuanced understanding of coping among mental health professionals.
机译：当代精神病学理论认为，重大精神疾病的诱因是一些弱势个体无法应对日常生活中的困难。这种精神病患者的特征是缺乏，功能障碍或缺乏应对能力。最近，研究人员付出了巨大的努力来区分生产性应对和非生产性应对。在本文中，我们认为，这样的概念化不仅依赖于还原性的循环逻辑，而且还错过了精神病患者生活中本质上合理，局部和个体化的应对方式。我们对精神病患者的应对方式进行了半结构化访谈和主题分析。患者报告说，专业干预降低了他们的应对能力，他们不信任精神卫生系统及其专业人员，应对机制被误解，情境危机调节了应对，有时应对只是“不应对”。我们主张对精神卫生专业人员的应对方式更加尊重和细致入微。

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