Learning from tinnitus patients' narratives--a case study in the psychodynamic approach.
Learning from tinnitus patients' narratives--a case study in the psychodynamic approach.
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DOI：
10.3402/qhw.v7i0.19540
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发表时间：
2012-12-27
影响因子：
1.8
通讯作者：
Erlandsson, Soly I
中科院分区：
文献类型：
--
作者：
Dauman, Nicolas;Erlandsson, Soly I
耳鸣被认为是完全由于神经系统内的活动而没有任何外部刺激而产生的声音的感觉。大约1-2%的人认为耳鸣是对他们生活质量的严重威胁。患者描述他们痛苦的方式各不相同，有时也取决于他们寻求帮助的临床医生的兴趣和洞察力。如果一个人对持续不断的耳鸣声音感到非常恼火，缺乏有洞察力的叙述可能会导致耳鸣痛苦的有限和有偏见的模型。在本案例研究中，参与研究的患者是一名70岁的女性，她在几次心理治疗期间与临床医生/研究人员分享了她受到耳鸣侵害的经历。心理动力学的叙事方法使当事人有可能清楚地表达她作为痛苦的一部分所经历的独特和具体的意义。用她的话说，耳鸣成为了一种可以忍受的症状，她在心理治疗联盟中设法克服了这种症状。
Tinnitus is assumed to be the perception of sound that results exclusively from activity within the nervous system without any external stimulation. Approximately 1-2% of the population regard their tinnitus as a serious threat towards their quality of life. The way the patients describe their suffering varies, sometimes also depending on the interest and insight of the clinician to whom they turn to for help. The lack of insightful narratives of someone who is severely annoyed by the presence of a constant tinnitus sound may lead to limited and biased models of tinnitus suffering. In the present case study the participating patient, a woman aged 70, shared her experience of being victimized by tinnitus with the clinician/researcher during a number of psychotherapeutic sessions. The psychodynamic, narrative approach, made it possible for the client to articulate the unique and specific meaning that she experienced as being part of her suffering. In her words, tinnitus became a tolerable symptom that she managed to work through within psychotherapeutic alliance.