TOWARD AN INTERACTIONAL DESCRIPTION OF DEPRESSION
TOWARD AN INTERACTIONAL DESCRIPTION OF DEPRESSION
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DOI：
10.1080/00332747.1976.11023874
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发表时间：
1976-01-01
影响因子：
2.4
通讯作者：
COYNE, JC
中科院分区：
文献类型：
--
作者：
COYNE, JC
关于精神分裂症互动描述的研究进展。在抑郁症方面，ENIA并非如此。到目前为止，诸如伪互惠、双重约束、分裂和扭曲等概念还没有找到对应的概念。Kubler和Stotland(1964)认为：“情绪困扰，即使是最严重的，也不能理解，除非考察它发展和存在的领域。受扰者的困难表现取决于领域的不同方面。领域的重要方面通常是中间的？”(第260页)。然而，对抑郁症的研究一直集中在个人及其行为上，脱离了他的互动背景。在很大程度上，抑郁症患者单调地重复抱怨和自我指责，以及他的挑衅性和经常令人讨厌的行为，分散了调查人员对他的环境及其在维持他的行为中可能扮演的角色的考虑。抑郁行为的特征模式可能与其他人的反应中的相应模式交织在一起，这种可能性很少被探索。这篇论文将致力于这种可能性。在很大程度上，人们一直认为抑郁症患者相对不受他人影响。Ruesch(1962)指出，与抑郁的人交谈没有什么意义；倾听，就更有意义了。Grinker(1964)将抑郁症状学概念化为与他人的交流，但认为抑郁的人对来自他人的交流没有反应：“抑郁的人……不能将信息用于行动的目的；他不能感知现实的暗示；他发表声明，但不关心他是否被理解”(第578页)。
DEVELOPMENTS in the interactional description of SChizophr. enia have not been paralleled in the area of depression. As yet, concepts such as pseudomutuality, double-bind, schism, and skew have found no counterparts. Kubler and Stotland (1964) have argued," emotional disturbance, even the most severe, cannot be understood unless the field in which it develops and exists is examined. The manifestations of the difficulty in the disturbed individual have meaning depending on aspects of the field. The significant aspects of the field are usually interpen? 0nal"(p. 260). Yet the study of depression has focused on the individual and his behavior out of his interactional context. To a large degree, the depressed person's monotonously reiterated complaints and self-accusations, and his provocative and often annoying behavior have distracted investigators from considerations of his environment and the role it may play in the maintenance of his behavior. The possibility thatthe characteristic pattern of depressed behavior might be interwoven and concatenated with a corresponding pattern in the response of others has seldom been explored. This paper will address itself to that possibility.For the most part, it has been assumed that the depressed person is relatively impervious to the influence of others. Ruesch (1962) stated that to talk to the depressed person makes little sense; to listen, little more. Grinker (1964) conceptualized depressive symptomatology as communication to others, but argued that the depressed person is not responsive to communication from others:" The depressed person... cannot use information for the purpose of action; he cannot perceive the cues of reality; he makes statements but does not care if he is understood"(p. 578).