مطالعه پدیدارشناسانه تجربه هیجان خشم در افراد با اختلال وسواس اجباری

نویسندگان
فاطمه شاهی صدرآبادی
زهره خسروی
شکوه السادات بنی جمالی
لیلا چراغ ملایی
دانشگاه الزهرا (س) تهران
10.52547/rph.12.4.28
چکیده
آشفتگی هیجانی به عنوان یک ویژگی مرکزی آسیب‌شناسی در اختلال‌های گوناگون به ویژه اختلال وسواس اجباری مطرح است. خشم یکی از این هیجان‌های اصلی است که کمتر مورد توجه قرار گرفته و همین یافته‌های اندک نیز تناقض‌های متعدد و آشفتگی زیادی دارند. بنابراین پژوهش حاضر با هدف بررسی تجربه زیسته خشم در این افراد صورت گرفت. این پژوهش کیفی و از نوع پدیدارشناسی بود. شرکت کنندگان 29 نفر از افراد مبتلا به اختلال وسواس اجباری بودند که به روش نمونه‌گیری هدفمند و گلوله‌برفی انتخاب شدند. جمع‌آوری اطلاعات نیز از طریق مصاحبه نیمه ساختاریافته، مصاحبه روایتی و تصویرسازی ذهنی صورت گرفت. به منظور تجزیه و تحلیل داده‌ها از اصول تحلیل تفسیری پدیدارشناختی استفاده شد. نتایج پژوهش شامل 7 مضمون بود. مضامین شامل کنترل‌گری، نفرت، کینه، درماندگی، هم‌آمیزی خشم –نفرت، ناراحتی و کنترل‌ناپذیری بودند. نتایج نشان می‌دهند تجربه هیجان خشم در اختلال وسواس اجباری دارای طیف گسترده‌ای است که می‌تواند نشانگر ناهمگونی این اختلال نیز باشد. از آن‌جا که دو مضمون اصلی مربوط به تجربه نفرت بود یافته‌ها بیانگر نقش کلیدی نفرت در این اختلال هستند. رابطه بین خشم و نفرت را نیز می‌توان دقیق‌تر در این اختلال مورد بررسی قرار داد. اما ارتباط هرکدام از مضامین با برخی از ویژگی‌های این اختلال می‌تواند مطالعات را به سمت تقسیم‌بندی دیگری برحسب کیفیت تجربه هیجانی نیز سوق دهد. به این معنی که تجربه‌های هیجانی بارز و اختصاصی در هر دسته می‌تواند دلالت بر آسیب‌شناسی متفاوت و در نتیجه رویکرد درمانی متفاوت برای درمان اختلال داشته باشد. علاوه بر این مقایسه معنای تجربه خشم و دیگر هیجان‌های اصلی با اختلال‌های اضطرابی و اختلال‌های طیف وسواس نیز می‌تواند در شناخت و متمایز سازی این اختلال از سایر اختلالات موثر باشد.
کلیدواژه‌ها
پدیدارشناسی
خشم
نفرت
اختلال وسواس اجباری

عنوان مقاله English

A Phenomenological Study on the experience of the anger in individual with Obsessive Compulsive Disorder

نویسندگان English

Fatemeh Shahisadrabadi
Zohreh Khosravi
Shokooalsadat Banijamali
Leyla Cheraghmolaee
alzahra university
چکیده English

Emotional disturbance is a central attribute of pathology in various disorders, in particular OCD. Anger is one of the main emotions that has been neglected and these few findings have many contradictions and a lot of turmoil. Therefore, the present study was conducted to explore the lived experience of anger in these individuals. This research was qualitative research and was the kind of interperetative phenomenological analysis. Participants were 29 individuals with OCD who were selected by purposeful sampling and snowball sampling. Also Data collection was through semi-structured interviews, narrative interviews and imagery. In order to analyze, the data were used the principles of Interpretative Phenomenological Analysis. The results of the study included 7 themes. Themes included control, disgust, revenge, helplessness, combating anger, disgust, discomfort and uncontrollability. The results indicate that the experience of anger in an OCD has a wide range that can indicate the heterogeneity of this disorder. Since the two main themes related to the experience of disgust, the findings reveal the key role of disgust in the disorder. The relationship between anger and disgust can also be looked at more precisely in this disorder. However, the association of each of the themes with some of the features of this disorder can lead to studies shifting to another according to the quality of emotional experience. That means exceptional and clear emotional experiences in each category can mean different pathologies, resulting in a different therapeutic approach to treatment of the disorder. In addition, the comparison of the meaning of anger and other major emotion with anxiety disorders and OCD can also be effective in identifying and delimiting this disorder.

کلیدواژه‌ها English

Phenomenology
Anger
Disgust
Obsessive-compulsive disorder
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