Agorafobija ili Dom je tamo gdje je srce

Anita Dekani 6. semestar Antropologija medicinskih sustava

UVOD
Detaljne lingvistike i psiholoke analize. to znai ono to oboljeli govore? It is the sufferer who knows her reality, knows it by suffering it. Meg Logan, u svojim tridesetim godinama, majka dvoje djece (Beth i Sean), mu William.

 And we got halfway back to the church and then I started when I started having (.6 pause) those weird just ph pure physical anxiety. I began to feel shaky inside, like a (.6 pause) like a (.5 pause) lika a motor was vibrating inside me. I just felt shaky inside, like you would if if you were really afraid of something. I could almost feel like my teeth were going to chatter if I didn't get this (.3 pause) feeling of shakiness under control...And then I felt (.4 pause) uh like an urge to run or g or (.4 pause) uh to escape. But I didn't know what it was I was supposed to be escaping.

AGORAFOBIJA...
...je ea u urbanim, nego u ruralnim sredinama. ...veinom pogaa ene (womans syndrome). ...je strah otvorenih prostora. Izbjegavanje kao odgovor na strah. The home of a friend is never far away. The mind is its own place, and in itself can make a heav'n of hell, a hell of heav'n.

MI SMO ONO TO GOVORIMO

Dominantne i skrivene verzije Meginih pria. Tijekom ivota postajemo prie koje priamo. Dogaaje doivljavamo u skladu s nainom na koji trenutano doivljavamo sebe. Jerome Bruner: ivot nije ono kako je bilo, nego ono kako je tumaeno i protumaeno, ispriano i prepriano.

 I'm not a person who travels any more. And I can't (.3 pause) And I um I you know I I realized I've adopted this really negative way of thinking, and it's you know I tell myself what I I define myself in terms of what I can't do anymore. That's what I torture myself with and that is what keeps me from living a normal life.

NORMALNOST I ZDRAV RAZUM

Agorafobija kao poremeaj prikazivanja stvarnosti Meg sama osjea da postoji razlika izmeu njezina pogleda na svijet i onoga zdravih ljudi. Biti normalan ukljuuje veliku dozu iluzornog razmiljanja postoji jedna stvarnost koje se jedni boje, a drugi ju izvru. Zdrav razum nije univerzalan i objektivan pojam oblik kulturalne logike, usaen u lokalne koncepte toga to je osjetno i razumsko (Geertz). Meg smatra da zdravi ljudi ive u svijetu koji zaista postoji; temelj oslikavanja sebe kao iracionalnog protagonista koji se bori sa okolnostima koje drugi smatraju uobiajenima.

KAKO SE PANIKA RAZVIJA

o problematian dogaaj (kada su zapeli na autocesti) izaziva: o psiholoki odgovor (pojaanu svijest) koji postaje: o problematian dogaaj koji izaziva: o psiholoki odgovor (panika) koji postaje: o problematian dogaaj koji izaziva: o pokuaj rjeavanja problematinog dogaaja (komunikacija) koji postaje: o problematian dogaaj koji izaziva: o pokuaj rjeavanja problematinog dogaaja (odvlaenje panje).

VANO JE TO, ALI I KAKO GOVORIMO

Neprestano mozganje odreuje nain na koji oboljeli vide prolost, sadanjost i budunost. Najei prilozi: iznenadno (unaccountably) i fraze poput odjednom (all of a sudden) i iz ista mira (out of the blue). Najei glagoli: misliti (think), shvatiti (realize), i postati svjestan (become aware). ovdje (here). Pojaivai: really afraid, so awful, the feeling of that fear was so awful, real helpless, just dying, instantly regretted, so unnerved, a great deal of my anxiety. Umanjivai: kind of how I coped, to just sort of burn off some of this nervous energy, maybe I could get through this.

 But the memory of that stuff stuck with me in the days ahead. And I wondered what is happening to me. I just can go on and on analyzing it. Why me? Why am I afflicted with this? You know? Why me? Why me? Why me and not someone else? Why? (.3 pause) You know? Why me? ...just pure fear. And it was so awful, the feeling of that fear was so awful and...

TO JE U POZADINI MEGINIH PRIA?

Prilagodljivost (akomodacija) je, u Meginom sluaju, skriveni uzrok pozadinska teorija panike. Nemogunost da slobodno i odgovorno da negativne odgovore agorafobija kao poremeaj u komunikaciji. Koncentira se na mjesta na kojima je doivjela panini napad. Kako se agorafobija isplati? Primarna i sekundarna dobit (Freud).

PARADOKSI PANIKE
Gubljenje kontrole nad samim sobom i, u isto vrijeme, zadobivanje kontrole nad drugima. Ako u normalnom stanju Meg ne priznaje i ne izraava vlastite elje i potrebe, te ako to neizraavanje vlastitih elja i potreba prethodi panici, onda podsjeanje na to normalno stanje i prisvajanje njega samo dodatno produbljuje paniku.

 But really it was a form of I was trying to escape the scary feelings that I was having. But the more I tried to escape it, the worse it became. And (.4 pause) and finally we I told William, I don't feel right. Something's I feel strange and I feel really scared.

...in a way that alleviated my worry because I at least I was able to put a name to it.

IRACIONALNA ENA
Problem locira unutar sebe. Meg ne moe samostalno definirati svoj identitet trai potvrdu od Williama on ne prua odgovore na Megine prie i ne suosjea s njezinim priama o panici, iako ga ona smatra svojim najveim saveznikom u borbi protiv anksioznosti.

 ...And then a feeling of impending doom,...I wasn't sure myself what was wrong with me. I just knew that I didn't feel right, and I just felt afraid but I don't know why...And how would I explain to him that um (.3 pause) what was happening to me when I wasn't even sure myself?

SOCIJALIZACIJA I NAUENA BESPOMONOST

Djeca roditelja koji boluju od anksioznih poremeaja imaju rizik od obolijevanja od slinih poremeaja. Prisvajanje opreznog i straljivog stava koji roditelji imaju prema objektima u svijetu (ukljuujui i ljude). Interakcija s agorafobinim roditeljem umanjuje djetetov osjeaj kontrole. Inverzija roditeljskih i djejih uloga.

TERAPEUTSKI UVID
Svi ljudi voeni su priama koje konstruiraju. Narativi tvore sr terapeutske interakcije. Razmatranje gramatike i diskursa. Ponavljanje sadraja prie Michael White i David Epston success stories. Shafer: novi jezik psihoanalize djelovanje. Pomo u boljem razumijevanju sebe sluajui vlastite prie mogla bi si posvijestiti ono to ve zna.

 It just got to the point where I was beside myself. I didn't know what to do, or what to think, really. Nothing made sense. I'd try to figure out why this was happening to me. You know, maybe it was a test, or maybe there was a purpose. But it just didn't make sense, you know? I just couldn't understand why. You know why these things were happening to me. And my agoraphobia seemed to be getting worse and worse...I guess I'm not entirely sure, but I thinks it's helped. I think I've learned a lot about myself. Maybe it's just having someone to talk to who understands. It's sort of strange talking about these thing, you know? I mean it took me quite a while to even begin to put into words for other people, you know people who hadn't experienced panic themselves, because these attacks or whatever you want to call them were so strange.

ZAKLJUAK
Megina success story. Svoj uspjeh ne pripisuje vlastitim sposobnostima. Bori se sa vlastitim i tuim oekivanjima kako bi sada trebala sve moi. It was almost like a fluke or really an act of God in my eyes that I was able to do this in the midst of all that I'm going through with my phobias.

HVALA NA PANJI!