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“心理灾难”概念提出与理论建构

Conceptualization and theoretical construction of psychological disaster

  • 摘要: 社会公众心理健康问题不断加剧,心理疾病导致的伤亡危害几乎与灾难相当,影响甚至更为普遍和深远。在观念和学术上,将心理问题定义为个体健康发展的“灾难”,关联建立起多元学科理论研究的新视角,将焕新心理健康的学术领域。首先,心理灾难概念的提出促使我们去关注日常生活情境中大多数个体更易遇到的心理困境和需要重视应对的心灵创伤,其内涵所呈现出的关联性、广延度、具象化和实践性可以对此加以佐证。其次,探讨构建心理灾难全生命周期的理论框架,将个体心理灾难刻画为具有非线性、动态性和可塑性特征的生命周期。由初现点、发展点、缓解/恶化点、平稳点以及可能的复发点5个节点,划分出孕育潜伏期、症状前驱期、急性暴发期、衰退恢复或发展恶化期,以及终结适应期五个阶段。这对于未来深入研究心理灾难在潜伏期的指导预防、前驱期的评估减轻、急性期的干预治疗、恢复期的康复管理、适应期的追踪随访具有指导意义,并为心理灾难机制分析和演化预测开拓了先行之路。

     

    Abstract: The increasing prevalence of mental health issues among the public poses a threat comparable to, and potentially more pervasive and far-reaching than, that of physical disasters. Conceptually and academically, defining psychological problems as individual "disasters" offers a novel multidisciplinary perspective on mental health research and revitalizes the field. The introduction of the"psychological disaster"concept encourages attention to common psychological distress and trauma experienced in daily life, as evidenced by its relevance, breadth, concreteness, and practicality. This study explores a theoretical framework for a psychological disaster life cycle, characterizing it as a non-linear, dynamic, and malleable process. Five key points–onset, development, mitigation/exacerbation, stabilization, and potential recurrence–demarcate five stages: incubation, prodromal, acute, remission/deterioration, and final adaptation. This framework provides guidance for future research on preventative measures during the incubation period, assessment and mitigation during the prodromal phase, intervention and treatment during the acute phase, rehabilitation management during the recovery phase, and follow-up during the adaptation phase. This model paves the way for analyzing the mechanisms and predicting the evolution of psychological disasters.

     

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