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首页> 外文期刊>Theoretical medicine and bioethics >Narrative self-appropriation: embodiment, alienness, and personal responsibility in the context of borderline personality disorder
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Narrative self-appropriation: embodiment, alienness, and personal responsibility in the context of borderline personality disorder

机译:叙述自我拨款:在边缘人格障碍的背景下的实施方式,异种和个人责任

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Abstract It is often emphasised that persons diagnosed with borderline personality disorder (BPD) show difficulties in understanding their own psychological states. In this article, I argue that from a phenomenological perspective, BPD can be understood as an existential modality in which the embodied self is profoundly saturated by an alienness regarding the person’s own affects and responses. However, the balance of familiarity and alienness is not static, but can be cultivated through, e.g., psychotherapy. Following this line of thought, I present the idea that narrativising experiences can play an important role in processes of appropriating such embodied self-alienness. Importantly, the notion of narrative used is that of a scalar conception of narrativity as a variable quality of experience that comes in degrees. From this perspective, narrative appropriation is a process of gradually attributing the quality of narrativity to experiences, thereby familiarising the moods, affects, and responses that otherwise govern ‘from behind’. Finally, I propose that the idea of a narrative appropriation of embodied self-alienness is also relevant to the much-debated question of personal responsibility in BPD, particularly as this question plays out in psychotherapeutic contexts where a narrative self-appropriation may facilitate an increase in sense of autonomy and reduce emotions of guilt and shame.
机译:摘要通常强调,诊断出患有边缘人格障碍(BPD)的人表现出困难理解自己的心理状态。在本文中,我认为,从现象学的角度来看,BPD可以被理解为存在的形态,其中所体现的自我被关于人自己的影响和反应的异常饱和。然而,熟悉性和异端的平衡不是静态的,但可以通过例如心理治疗来培养。在这一思路之后,我介绍了叙事经验可以在挪用这种体现的自身的过程中发挥重要作用。重要的是,所使用的叙述的概念是叙事的标量概念,作为以学位为例的可变体验质量。从这个角度来看,叙述拨款是一种逐步归因于对经验的叙事质量的过程,从而熟悉“从后面的”从后面“的情绪,影响和反应。最后,我建议,叙事占用的叙述自我挪用的想法也与BPD中个人责任的多数争议问题有关,特别是在这个问题中在精神病化背景下发挥作用,其中叙述自我拨款可能有助于增加在自治感中,减少内疚和羞耻的情绪。

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