新冠肺炎威脅下的精神病院：嚴重精神疾病患者的心理經驗初探

Living in a Psychiatric Hospital under Threat of COVID-19: The Psychological Experience of Patients with Severe Mental Illness

研究目的：本研究主要透過深入訪談，探討在新冠肺炎威脅期間裡，精神病院裡長期安置之嚴重精神疾病患者，面對包含隔離在內等各種感染預防控制措施下的心理經驗現象和意義。研究方法：本研究以東部某精神專科醫院病房患者為研究對象，資料蒐集時程為2020年7月至8月。透過訪談5位患者。研究參與者接受1次以上的訪談。每次訪談約60~90分鐘。訪談資料轉錄為逐字稿後，以主題分析方法進行資料分析與再書寫。研究結果：提出5個心理經驗主題：流動的凝滯和閉絕，日常不再的時間經驗時刻，靜默等待被取消的過往回復，再日常化運動，聯結他者的關係顯現和行動。研究結論：本研究呈現新冠病毒作為他者，在預防性隔離和感控中塑造著嚴重精神疾病患者在精神病院的生活和世界，感受和意義，關係和情感。

Purpose: We explored the phenomenon and significance of the psychological experience of patients with severe mental illness living in psychiatric hospitals under the threat of COVID-19. Through in-depth interviews, we explored how patients experienced COVID-19 infection controls, including quarantine. Methods: Between July and August 2020, we interviewed 5 patients living in a psychiatric hospital in eastern Taiwan. Each interview lasted 60 to 90 minutes. We applied a thematic analysis method to analyze the data. Results: We identified 5 psychological experience themes: reduction of mobility and sense of in-place loss, change of time perception with the loss of daily rhythms, waiting to regain past routines, re-ordered daily life activities, and relational acts with others. Conclusions: In clinical practice, we recommend treating the threat of COVID-19 as an opportunity to reconnect with one another, recognize the challenges that can be faced together, contemplate the meaning of existence, and embrace the potential for renewed ethics.