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首页> 外文期刊>Schizophrenia bulletin >'Excessive thinking' as explanatory model for schizophrenia: impacts on stigma and 'moral' status in Mainland China.
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'Excessive thinking' as explanatory model for schizophrenia: impacts on stigma and 'moral' status in Mainland China.

机译：“过度思考”作为精神分裂症的解释模型：对中国大陆耻辱和“道德”状况的影响。

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Although psychiatric stigma in China is particularly pervasive and damaging, rates of high expressed emotion ("EE" or family members' emotional attitudes that predict relapse) are generally lower than rates found in Western countries. In light of this seemingly incongruous juxtaposition and because Chinese comprise approximately one-fifth of the world's mentally ill, we examine how one of the most widely held causal beliefs of schizophrenia--excessive thinking (xiang tai duo)--may powerfully shape how those exhibiting psychotic symptoms pass from normal threatens an actor's capacity to participate in core everyday engagements, we examine how expressions of excessive thinking intersect with psychotic symptoms and how this idiom reduces stigma by preserving essential moral standing. Four focus groups with family members (n = 34 total) of schizophrenia outpatients, who had participated in psychoeducation, were conducted in Beijing. Open coding was conducted by 2 bilingual coders achieving high interrater agreement. Common expressions of excessive thinking--taking things too hard that is perceived as a causal factor and unwarranted suspicion that is used to benignly interpret paranoid symptoms encapsulated disruptive behaviors that closely overlapped with psychotic symptoms. Because excessive thinking is understood to occur universally, this idiom encourages socially accommodating behavior that signifies acceptance of these individuals as full-status community members. In contrast, due to beliefs implying moral contamination, those labeled mentally ill are threatened with both subtle and outright social exclusion. We discuss implications of this idiom for EE and the detection of schizophrenia "prodrome" in China.
机译：尽管中国的精神病耻辱感特别普遍且具有破坏性，但高表达情绪（“ EE”或预测复发的家庭成员的情感态度）的发生率通常低于西方国家。鉴于这种看似不协调的并置，并且由于中国人占世界精神病患者的约五分之一，我们研究了精神分裂症最广泛使用的因果信念之一-过度思考（xiang tai duo）如何有效地塑造了那些精神分裂症。表现出精神病症状超出正常水平会威胁演员参与日常核心活动的能力，我们研究了过度思考的表达与精神病症状如何相交，以及这种成语如何通过保持必要的道德立场来减少污名。在北京与精神科门诊患者家属进行了四个焦点小组（共34人）的心理教育。开放式编码是由2位双语编码员进行的，它们之间达成了较高的跨界协议。过度思考的常见表达方式-将事情变得过于艰辛，这被认为是因果关系，而毫无根据的怀疑则被用来良性地解释偏执症状，这种破坏性行为与精神病症状紧密重叠。因为人们普遍认为过度思考是一种普遍现象，所以这种习惯用法鼓励采取社会适应性的行为，这表明这些人被接受为全状态社区成员。相比之下，由于暗示着道德污染的信念，那些被贴上精神病的人面临着微妙和彻底的社会排斥的威胁。我们讨论了该成语对EE的意义以及在中国检测精神分裂症“前驱症”的意义。

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