Discourse Analysis of Identity Deconstruction in Patients With Psychosomatic Disorders: The Intersection of Body, Language, and Society

Abstract

This study aimed to analyze the discourse of identity deconstruction and identify bodily, linguistic, and social mechanisms shaping the lived experience of patients with psychosomatic disorders. A qualitative research design was employed using semi-structured interviews with 26 patients diagnosed with psychosomatic disorders residing in Tehran. Participants were selected through purposive sampling until theoretical saturation was achieved. Data were analyzed thematically using NVivo software. Data analysis revealed three main themes: “identity and embodiment disruption,” “experience of language and pain expression,” and “intersection of society and psychosomatic identity.” Participants described bodily alienation, collapse of self-image, existential helplessness, difficulties in verbalizing pain, use of metaphors and symbols, censorship of bodily language, social stigmatization, cultural pressures, and the significance of social support. Direct quotations from interviewees illustrated these dimensions in depth. The findings indicate that identity deconstruction in patients with psychosomatic disorders is a dynamic and multidimensional phenomenon arising from the complex interplay of body, language, and society. The results underscore the necessity for interdisciplinary, culturally-sensitive interventions and a reevaluation of therapeutic approaches.