ABSTRACT

Although negative symptoms of psychosis are frequently researched, the subjective experience of these symptoms is not often studied in detail. This paper addresses this shortcoming by reviewing qualitative research about first-person perspectives on negative symptoms. A systematic literature search using Web of Science, Scopus, PsychArticles, PubMed, CiNAHL and Embase revealed 12 relevant studies. Our review yields a model with five clusters: failing social interactions; experiences of disconnection; overwhelming psychotic experiences; an eroded self-image; and detrimental side effects of psychotropic medication. In the discussion, the authors conclude that disturbances underlying negative symptoms should be studied in greater detail, starting explicitly from theoretical frameworks like phenomenology or psychoanalysis.

摘要

尽管经常研究精神病的阴性症状，但并不经常详细研究这些症状的主观体验。本文通过回顾关于阴性症状的第一人称视角的定性研究来解决这一缺点。使用 Web of Science、Scopus、PsychArticles、PubMed、CiNAHL 和 Embase 进行的系统文献搜索发现了 12 项相关研究。我们的审查产生了一个包含五个集群的模型：社交互动失败；断线的经历；压倒性的精神病体验；被侵蚀的自我形象；和精神药物的有害副作用。在讨论中，作者得出结论，应该从现象学或精神分析等理论框架明确开始，更详细地研究阴性症状背后的障碍。