生命日志:抑郁症的自我治疗与疾痛书写实践——一项互联网民族志  

Life Journals as Pain Writing Practices for Self-Therapy of Depression:An Inte Ethnography

作　　者：高昊[1] 臣昕月 Gao Hao;Chen Xinyue

机构地区：[1]南京师范大学新闻与传播学院 [2]中国人民大学新闻学院

出　　处：《新闻与传播研究》2024年第9期32-49,126,127,共20页Journal of Journalism & Communication Studies

摘　　要：论文探究了网络社群中围绕疾痛经历与情感所展开的共有书写实践,如何成为抑郁人群自我治疗的新路径。论文以实践理论为框架,将豆瓣上的“抑郁症的哲学治疗”小组作为网络田野调查场所,运用计算机辅助内容分析、深度访谈和参与式观察等方法,深入探讨了这些疾痛书写实践的组织过程和实践结果。研究发现,通过阐述自身疾痛经历,作为实践行动者的抑郁人群建立了社会和情感联系,挑战了污名化叙事,并通过互惠性支持构建了对抑郁(症)的另类理解与文化建构。然而,个体能动性和外部因素导致了多样化的实践结果,包括持续参与、暂时退出、离开社群和潜在的抵抗。This paper explores how shared writing practices about pain experiences and emotions in online communities become a new pathway for self-therapy for individuals with depression.The study employs Practice Theory as a framework and selects a group called"Philosophical Therapy for Depression"on the Douban website as a field site for online ethnographic research.It employs computer-assisted content analysis,in-depth interviews,and participatory observation to delve into the organization and outcomes of these pain-writing practices.The research finds that by articulating their experiences of illness and pain,individuals with depression,acting as practitioners,establish social and emotional connections,challenge stigmatized narratives,and build alternative understandings and cultural constructions of depression through reciprocal support.However,agency and external factors lead to diverse outcomes in practice,including sustained participation,temporary withdrawal,leaving the community,and potential resistance.

关 键 词：抑郁症 表达性书写 实践理论 互联网民族志 计算机辅助内容分析 

分 类 号：G206[文化科学—传播学] R749.4[医药卫生—神经病学与精神病学]