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The trans-autobiographical writing in the psychiatric context

机译：精神病学背景下的跨自传写作

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摘要

Autobiographical narration workshops are widely used in psychiatric contexts to support pharmacological and psychotherapeutic treatments. However, telling of oneself in the first person could expose a person with schizophrenia to excessive psychic pain. Then, new methodologies are needed to promote narrative processing. The present study explored whether a trans-autobiographical narrative (which combines autobiographical and fictional narrative) allows the schizophrenic patient to narrate differently from the classic autobiographical narrative. One female participant with Schizophrenia read an autobiographical phrase (initial stimulus) and wrote three fictional stories taking as a starting point the initial stimulus. At each of three steps the participant commented on how she mediated between autobiography and fiction. Content and formal aspects of texts have been analyzed with qualitative approach derived from criteria of dynamic psychology, narratology, and textual semiotics. At the third step, the text is more metaphorical (symbolisation increases), defense mechanisms are more mature, the author moves from internal focalisation to zero focalisation. Trans-autobiographical narrative helped the author to decentralise his point of view and to look at himself from the outside. It was useful to soften the defence mechanisms in self-representation, to process negative emotions through a playful and fictional perspective and to retrace parts of the author's personal story.
机译：自传叙事研讨会广泛应用于精神上的背景，以支持药理学和心理治疗方法。然而，在第一个人中讲述自己可能会使精神分裂症的人暴露于过度的心灵疼痛。然后，需要新的方法来促进叙事处理。本研究探讨了跨自传叙事（结合自传和虚构叙事）允许精神分裂症患者与经典的自传叙事不同的患者。一个雌性参与者与精神分裂症读取自传式短语（初始刺激），并将三个虚构故事写作，作为起点初始刺激。在三个步骤中的每一个中，参与者评论了她如何在自传和虚构之间介导的。文本的内容和正式方面已经通过了动态心理学，叙事学和文本符号学的标准来分析了文本的质量方法。在第三步，文本更加隐喻（象征性增加），防御机制更加成熟，作者从内部聚焦移动到零区调。跨自传叙事帮助作者将他的观点分解并从外面看待自己。软化自我代表中的防御机制是有用的，以通过俏皮和虚构的角度来处理负面情绪，并追溯作者个人故事的部分。

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