幻想式的人際糾結－－自殺企圖憂鬱症患者的人際模式

Fantasized Interpersonal Ties-Interpersonal Patterns Underlying Suicide Attempts in Depressive Patients

目的：探究影響憂鬱症合併自殺企圖者的人際模式。方法：透過訪談個案的半結構模式會談，以現象學詮釋法詮釋逐字稿文本，歸納出決定自殺當下的人際感受及自殺企圖者的人際模式。結果：本研究結果顯示自殺企圖者的的人際模式包括三種類型，分別為難以分化的長輩互動、自我矮化的同輩互動、及失威失序的帶領晚輩。決定自殺當下的主要人際感受， 是一種拉扯下的自我抹除，其中包括無能為力的累、為自己伸冤、及沒有我比較好。結論：自殺企圖憂鬱症患者的人際互動模式可以整合為　低自尊高關注的互動模式　，但是隱藏決定自殺當下之　拉扯下的自我抹除　的內在世界則是深陷在幻想式人際糾結的自我。

Objectives. To find the possible interpersonal issues of depressive patients with suicidal attempts in Taiwan. Methods. Using semi-structured interviews and qualitative analysis of the transcripts, we identified the interpersonal patterns and feelings of depressed individuals with suicidal attempts. Results. Their interpersonal patterns were found to be “undifferentiated self with seniors”, “lowered self with peers”, and “anxious self with juniors”. The key interpersonal feeling associated with suicidal attempts was “self abrasion under entangled interpersonal difficulties”. Conclusion. Overall, the interpersonal pattern was “low positional, high focused interaction”. However, behind the decision of “self abrasion under entangled interpersonal ties” was “a trapped self in the fantasy of interpersonal relationships.”