{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T02:02:14Z","timestamp":1760148134880,"version":"build-2065373602"},"reference-count":44,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T00:00:00Z","timestamp":1680652800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Teaching reform project of Sichuan International Studies University","award":["JY2296294","SISUWYJY202104","cstc2021ycjh-bgzxm0275"],"award-info":[{"award-number":["JY2296294","SISUWYJY202104","cstc2021ycjh-bgzxm0275"]}]},{"name":"Foundation of First-class Discipline of Foreign Languages &amp; Literature, Chongqing","award":["JY2296294","SISUWYJY202104","cstc2021ycjh-bgzxm0275"],"award-info":[{"award-number":["JY2296294","SISUWYJY202104","cstc2021ycjh-bgzxm0275"]}]},{"name":"Chongqing Talent Cultivation Program","award":["JY2296294","SISUWYJY202104","cstc2021ycjh-bgzxm0275"],"award-info":[{"award-number":["JY2296294","SISUWYJY202104","cstc2021ycjh-bgzxm0275"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Medicina"],"abstract":"<jats:p>Background and Objectives: COVID-19 patients are a psychologically vulnerable patient group who suffer from both physical symptoms and psychological problems. The present study is a psychoanalytic investigation of COVID-19 patients utilizing Lacan\u2019s desire theory. We aimed to explore the manner in which patients\u2019 desire is presented in their lived experience narratives and sought to discover factors which directly impacted on this process. Materials and Methods: In-depth semi-structural interviews were conducted with 36 COVID-19 patients in China. During each interview, participants narrated their lived experiences of COVID-19 infection. Emotions, metaphors, and behaviors in patient narratives were collated as the main points for psychoanalysis. Results: Our findings demonstrated that the desire for being a healthy person made patients emotionally sensitive to the social environment. Anxiety and obsessive behaviors emerged in the process, which reveals their desire for that which they lack. Furthermore, public fear with respect to COVID-19 was somehow converted to psychological pressure on COVID-19 patients. Thus, these patients attempted to \u201cde-identify\u201d their identity as \u201cpatients\u201d. Positive responses of COVID-19 patients to the external world included admiring medical personnel, government, and country, while negative responses included interpersonal conflicts or complaints about discrimination. Following the rules of the Other, COVID-19 patients were influenced by the Other\u2019s desire in constructing their own image of a healthy person. Conclusions: This study revealed COVID-19 patients\u2019 psychological need to rid themselves of the identity of \u201cpatient\u201d at the individual and social level. Our findings have clinical implications in helping COVID-19 patients to reshape their identity and to live a normal life.<\/jats:p>","DOI":"10.3390\/medicina59040712","type":"journal-article","created":{"date-parts":[[2023,4,5]],"date-time":"2023-04-05T02:59:43Z","timestamp":1680663583000},"page":"712","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Psychoanalysis of COVID-19 Patient Narratives: A Descriptive Study"],"prefix":"10.3390","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6328-343X","authenticated-orcid":false,"given":"Yu","family":"Deng","sequence":"first","affiliation":[{"name":"College of Language Intelligence, Sichuan International Studies University, Chongqing 400031, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luxue","family":"Xie","sequence":"additional","affiliation":[{"name":"School of English Studies, Sichuan International Studies University, Chongqing 400031, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Wang","sequence":"additional","affiliation":[{"name":"Science and Education Department, Chongqing Public Health Medical Center, Chongqing 400036, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yaokai","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Infection Diseases, Chongqing Public Health Medical Center, Chongqing 400036, China"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,4,5]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"560","DOI":"10.1177\/0020764020932202","article-title":"The Psychosocial Effects of Being Quarantined Following Exposure to COVID-19: A Qualitative Study of Lebanese Health Care Workers","volume":"66","author":"Fawaz","year":"2020","journal-title":"Int. J. Soc. Psychiatry"},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1016\/j.genhosppsych.2021.01.001","article-title":"Primary Drivers and Psychological Manifestations of Stress in Frontline Healthcare Workforce during the Initial COVID-19 Outbreak in the United States","volume":"69","author":"Norful","year":"2021","journal-title":"Gen. Hosp. Psychiatry"},{"key":"ref_3","doi-asserted-by":"crossref","first-page":"869","DOI":"10.1111\/jan.14626","article-title":"Experiences of Geriatric Nurses in Nursing Home Settings Across Four Countries in the Face of the COVID-19 Pandemic","volume":"77","author":"Lorena","year":"2021","journal-title":"J. Adv. Nurs."},{"doi-asserted-by":"crossref","unstructured":"Wankowicz, P., Szylinska, A., and Rotter, I. (2020). Assessment of Mental Health Factors among Health Professionals Depending on Their Contact with COVID-19 Patients. Int. J. Environ. Res. Public Health, 17.","key":"ref_4","DOI":"10.3390\/ijerph17165849"},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1038\/s41398-021-01426-3","article-title":"Characteristics of Mental Health Implications and Plasma Metabolomics in Patients Recently Recovered from COVID-19","volume":"11","author":"Yang","year":"2021","journal-title":"Transl. Psychiatry"},{"key":"ref_6","first-page":"174","article-title":"How Psychiatrists Coordinate Treatment for COVID-19: A Retrospective Study and Experience from China","volume":"33","author":"Yue","year":"2020","journal-title":"Gen. Psychiatry"},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"584","DOI":"10.4103\/psychiatry.IndianJPsychiatry_930_20","article-title":"Study of Screening of Mental Health Status of Coronavirus Disease-19 Confirmed Noncritical Patients Admitted at a Tertiary Care Hospital and a Coronavirus Disease Care Center in Ahmedabad","volume":"63","author":"Parikh","year":"2021","journal-title":"Indian J. Psychiatry"},{"doi-asserted-by":"crossref","unstructured":"Alamri, H.S., Mousa, W.F., Algarni, A., Megahid, S.F., Bshabshe, A.A., Alshehri, N.N., Bashah, D.M., Alosaimi, R., Alshehri, A., and Alsamghan, A. (2021). Mental Health of COVID-19 Patients\u2014A Cross-Sectional Survey in Saudi Arabia. Int. J. Environ. Res. Public Health, 18.","key":"ref_8","DOI":"10.3390\/ijerph18094758"},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"e33","DOI":"10.3346\/jkms.2021.36.e33","article-title":"The Psychological Burden of COVID-19 Stigma: Evaluation of the Mental Health of Isolated Mild Condition COVID-19 Patients","volume":"36","author":"Kang","year":"2021","journal-title":"J. Korean Med. Sci."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"e12443","DOI":"10.1111\/appy.12443","article-title":"Factors Associated with Mental Health Outcomes among Patients with COVID-19 Treated in the Fangcang Shelter Hospital in China","volume":"13","author":"Gu","year":"2021","journal-title":"Asia-Pac. Psychiatry"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"102187","DOI":"10.1016\/j.ajp.2020.102187","article-title":"Lived Experiences of the Corona Survivors (Patients Admitted in COVID Wards): A Narrative Real-life Documented Summaries of Internalized Guilt, Shame, Stigma, Anger","volume":"53","author":"Sahoo","year":"2020","journal-title":"Asian J. Psychiatry"},{"key":"ref_12","doi-asserted-by":"crossref","first-page":"822","DOI":"10.1177\/1049732321990360","article-title":"It\u2019s Not Just a Virus! Lived Experiences of People Diagnosed with COVID-19 Infection in Denmark","volume":"31","author":"Missel","year":"2021","journal-title":"Qual. Health Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"114","DOI":"10.24869\/psyd.2021.114","article-title":"How COVID-19 Patient Narratives Concerning Reinfection Mirror Their Mental Health: A Case Series","volume":"33","author":"Deng","year":"2021","journal-title":"Psychiatr. Danub."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"233","DOI":"10.5152\/pcp.2021.21123","article-title":"Psychological Status of Frontline Healthcare Professionals at the Outbreak of COVID-19 in Wuhan: A Narrative Case Series","volume":"31","author":"Deng","year":"2021","journal-title":"Psychiatr Clin. Psychopharmacol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"102207","DOI":"10.1016\/j.ajp.2020.102207","article-title":"Handling Children in COVID Wards: A Narrative Experience and Suggestions for Providing Psychological Support","volume":"53","author":"Sahoo","year":"2020","journal-title":"Asian J. Psychiatry"},{"key":"ref_16","first-page":"10","article-title":"Psychoanalysis during the COVID-19 Pandemic: Several Reflections on Countertransference","volume":"27","author":"Velykodna","year":"2021","journal-title":"Psychodyn. Pract."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"253","DOI":"10.1080\/24720038.2021.1923719","article-title":"Reflections in the Fog: Transferential Challenges and COVID-19","volume":"16","author":"Haber","year":"2021","journal-title":"Psychoanal. Self Context"},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"S677","DOI":"10.1192\/j.eurpsy.2021.1798","article-title":"COVID-19 Turned Upside Down: A Psychological Perspective","volume":"64","author":"Gairola","year":"2021","journal-title":"Eur. Psychiatry"},{"unstructured":"Lacan, J., and Fink, B. (1956\u20132006). Ecrits: The First Complete Edition in English, W.W. Norton & Company.","key":"ref_19"},{"unstructured":"Lacan, J., and Tomaselli, S. (1954\u20131955). The Seminar of Jacques Lacan Book II: The Ego in Freud\u2019s Theory and in the Technique of Psychoanalysis, W.W. Norton & Company. Translator.","key":"ref_20"},{"key":"ref_21","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1075\/msw.18030.lit","article-title":"Metaphors in Communication about Pregnancy Loss","volume":"10","author":"Littlemore","year":"2020","journal-title":"Metaphor. Soc. World"},{"doi-asserted-by":"crossref","unstructured":"Deng, Y., Yang, J., and Wan, W. (2021). Embodied Metaphor in Communication about Lived Experiences of the COVID-19 Pandemic in Wuhan, China. PLoS ONE, 16.","key":"ref_22","DOI":"10.1371\/journal.pone.0261968"},{"doi-asserted-by":"crossref","unstructured":"Deng, Y., Yang, J., Wang, L., and Chen, Y. (2022). The Road Less Traveled: How COVID-19 Patients Use Metaphors to Frame Their Lived Experiences. Int. J. Environ. Res. Public Health, 19.","key":"ref_23","DOI":"10.3390\/ijerph192315979"},{"doi-asserted-by":"crossref","unstructured":"Deng, Y., Park, M., Chen, J., Yang, J., Xie, L., Li, H., Wang, L., and Chen, Y. (2022). Emotional Discourse Analysis of COVID-19 Patients and Their Mental Health: A Text Mining Study. PLoS ONE, 17.","key":"ref_24","DOI":"10.1371\/journal.pone.0274247"},{"doi-asserted-by":"crossref","unstructured":"Deng, Y., Li, H., and Park, M. (2022). Emotional Experiences of COVID-19 Patients in China: A Qualitative Study. Int. J. Environ. Res. Public Health, 19.","key":"ref_25","DOI":"10.3390\/ijerph19159491"},{"doi-asserted-by":"crossref","unstructured":"Katz, S.M. (2012). Metaphor and Fields: Common Ground, Common Language, and the Future of Psychoanalysis, Routledge. [1st ed.].","key":"ref_26","DOI":"10.4324\/9780203072318"},{"unstructured":"Peirce, C.S. (1998). Essential Peirce, Indiana University Press.","key":"ref_27"},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"644","DOI":"10.1080\/07351690.2016.1226058","article-title":"I Wish That You Could Stay a Little Longer: Seeing the Image in Psychoanalysis","volume":"36","author":"Gerald","year":"2016","journal-title":"Psychoanal. Inq."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"S5","DOI":"10.1089\/hs.2021.0017","article-title":"COVID-19 Mental Health Disparities","volume":"19","author":"Saltzman","year":"2021","journal-title":"Health Secur."},{"key":"ref_30","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s12124-013-9247-x","article-title":"Mirror for the Other: Problem of the Self in Continental Philosophy (from Hegel to Lacan)","volume":"48","author":"Gasparyan","year":"2014","journal-title":"Integr. Psychol. Behav. Sci."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"402","DOI":"10.1177\/1077800407311960","article-title":"Desire and Drive in Researcher Subjectivity\u2014The Broken Mirror of Lacan","volume":"14","author":"Brown","year":"2008","journal-title":"Qual. Inq."},{"key":"ref_32","doi-asserted-by":"crossref","first-page":"235","DOI":"10.1007\/s11097-020-09696-w","article-title":"Self-Identity and Personal Identity","volume":"20","author":"Drummond","year":"2021","journal-title":"Phenomenol. Cogn. Sci."},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"22","DOI":"10.1186\/s13030-020-00196-6","article-title":"The Prognosis and Prevention Measures for Mental Health in COVID-19 Patients: Through the Experience of SARS","volume":"14","author":"Mo","year":"2020","journal-title":"Biopsychosoc. Med."},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"2661","DOI":"10.2147\/NDT.S278245","article-title":"Correlation Study of Short-Term Mental Health in Patients Discharged after Coronavirus Disease 2019 (COVID-19) Infection without Comorbidities: A Prospective Study","volume":"16","author":"Guo","year":"2020","journal-title":"Neuropsychiatr. Dis. Treat."},{"key":"ref_35","first-page":"001651","article-title":"Anxiety and Suicidality in a Hospitalized Patient with COVID-19 Infection","volume":"7","author":"Epstein","year":"2020","journal-title":"Eur. J. Case Rep. Intern. Med."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"102106","DOI":"10.1016\/j.ajp.2020.102106","article-title":"Awareness of Mental Health Problems in Patients with Coronavirus Disease 19 (COVID-19): A Lesson from an Adult Man Attempting Suicide","volume":"51","author":"Liu","year":"2020","journal-title":"Asian J. Psychiatry"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"102070","DOI":"10.1016\/j.ajp.2020.102070","article-title":"Two Cases Report of Epidemic Stress Disorder to Novel Coronavirus Pneumonia","volume":"51","author":"Wang","year":"2020","journal-title":"Asian J. Psychiatry"},{"key":"ref_38","first-page":"114","article-title":"The Cognitive Power of Deliberate Metaphors in the Reports of COVID-19 Outbreak","volume":"27","author":"Zhang","year":"2020","journal-title":"J. Tianjin Foreign Stud. Univ."},{"key":"ref_39","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1007\/s12144-021-01506-z","article-title":"Individuals\u2019 Conceptions of COVID-19 Pandemic through Metaphor Analysis","volume":"41","author":"Gok","year":"2021","journal-title":"Curr. Psychol."},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"102217","DOI":"10.1016\/j.ajp.2020.102217","article-title":"Mental Health among COVID-19 Survivors: Are We Overlooking the Biological Links?","volume":"53","author":"Menon","year":"2020","journal-title":"Asian J. Psychiatry"},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"399","DOI":"10.1111\/1468-5922.12695","article-title":"Processing Trauma in Psychoanalysis in \u2018Real\u2019 Time and in Dreams: The Convergence of Past, Present and Future during COVID-19","volume":"66","author":"Bryon","year":"2021","journal-title":"J. Anal. Psychol."},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"97","DOI":"10.1111\/j.1365-2850.2012.01892.x","article-title":"Perceptual Shifts of Priority: A Qualitative Study Bringing Emotional Intelligence to the Foreground for Nurses in Talk-based Therapy Roles","volume":"20","author":"Hurley","year":"2013","journal-title":"J. Psychiatr. Ment. Health Nurs."},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"1109","DOI":"10.1111\/inm.12423","article-title":"Mental Health Nurses as Therapists in a Rehabilitation Setting: A Phenomenological Study","volume":"27","author":"Browne","year":"2018","journal-title":"Int. J. Ment. Health Nurs."},{"doi-asserted-by":"crossref","unstructured":"Maybery, D., Jaffe, I.C., Cuff, R., Duncan, Z., Grant, A., Kennelly, M., Ruud, T., Skogoy, B.E., Weimand, B., and Reupert, A. (2021). Mental Health Service Engagement with Family and Carers: What Practices are Fundamental?. BMC Health Serv. Res., 21.","key":"ref_44","DOI":"10.1186\/s12913-021-07104-w"}],"container-title":["Medicina"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1648-9144\/59\/4\/712\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T19:10:20Z","timestamp":1760123420000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1648-9144\/59\/4\/712"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,4,5]]},"references-count":44,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,4]]}},"alternative-id":["medicina59040712"],"URL":"https:\/\/doi.org\/10.3390\/medicina59040712","relation":{},"ISSN":["1648-9144"],"issn-type":[{"type":"electronic","value":"1648-9144"}],"subject":[],"published":{"date-parts":[[2023,4,5]]}}}