Behind the Mask: A Psychodynamic Exploration of the Experiences of Individuals Diagnosed with Social Anxiety Disorder.
Behind the Mask: A Psychodynamic Exploration of the Experiences of Individuals Diagnosed with Social Anxiety Disorder.
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DOI：
10.1521/pdps.2016.44.4.541
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发表时间：
2016-11
影响因子：
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通讯作者：
Beth McEvoy;J. O'connor;Odhran Mccarthy
中科院分区：
文献类型：
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作者：
Beth McEvoy;J. O'connor;Odhran Mccarthy
社交焦虑症 (SAD) 的诊断类别是心理健康领域广泛采用的诊断类别； SAD 的主要特征是对社交表现情境和可能受到他人审查的明显恐惧（美国精神病学协会 [APA]，1994，2013）。目前的研究旨在探索被诊断患有季节性情感障碍 (SAD) 的人的经历。精神分析知情的研究访谈借鉴了围绕参与参数以及参与和分析水平的精神分析思想，对 4 名诊断为 SAD 的男性和 2 名女性参与者进行了访谈。四个主题强烈出现，反映了采访的内容和过程：“批评的声音”、“被动的存在”、“发射失败”和“面具背后”。这些新兴主题和总体发现是通过温尼科特镜头概念化的，强调足够好的母亲的作用，并在参与者努力实现个性化以及与他人的真实性的斗争中提供便利的环境。讨论了理论、临床和研究的意义，包括临床医生需要考虑早期亲子动态和整体家庭环境的作用，以及这些在此时此地为以这种方式呈现的人留下了什么，特别是在服务的使用方式和治疗关系的发展方面。建议进一步研究社交焦虑的起源和维持的潜在动态问题。
The diagnostic category of social anxiety disorder (SAD) is one that is widely drawn upon in mental health settings; SAD is primarily characterized by a marked fear of social performance situations and possible scrutiny by other people (American Psychiatric Association [APA], 1994, 2013). The current study aims to explore the experiences of people diagnosed with SAD. Psychoanalytically informed research interviews, drawing on psychoanalytic ideas around the parameters of engagement and levels of engagement and analysis, were carried out with 4 male and 2 female participants with diagnoses of SAD. Four themes emerged strongly, reflecting the content and process of interviews: "A Critical Voice," "A Passive Presence," "Failure to Launch," and "Behind the Mask." These emerging themes and the overall findings are conceptualized through a Winnicottian lens, emphasising the role of the good-enough mother and facilitating environment in the struggle of participants to achieve an experience of individuation as well as authenticity with others. Theoretical, clinical, and research implications are discussed, including the need for clinicians to consider the role of early parent-child dynamics and the overall home environment and what these have left in the here and now for people presenting in this way, particularly in the way services are used and the therapeutic relationship develops. Further research into underlying dynamic issues in the origins and maintenance of social anxiety is proposed.