乌干达严重精神疾病患者生活中的受害者:多元化的定性研究
Rwamahe Rutakumwa1, Birthe Loa Knizek2, Christine Tusiime3,4
1Medical Research Council, Uganda Virus Research Institute & London School of Hygiene and Tropical Medicine Uganda Research Unit, Plot 50-59 Nakiwogo Road, P. O. Box 49, Entebbe, Uganda. devresearch1@gmail.com.
BMC psychiatry
|April 30, 2024
概括
在乌干达,患有严重精神疾病的人经历了严重的心理,身体和性受害,通常是在他们的家庭内. 干预措施必须解决社会决定因素,并改善家庭和社区对心理健康护理的支持.
科学领域:
- 全球心理健康全球心理健康
- 精神疾病的社会学精神疾病的社会学
- 定性研究方法 定性研究方法
背景情况:
- 严重精神疾病 (SMI) 患者的受害是全球关注的问题,比普通人群的比例更高.
- 在低收入国家,特别是撒哈拉以南非洲的SMI个体中,关于受害的经验存在重大知识差距.
- 这项研究的重点是了解乌干达SMI患者受害的经历和意义.
研究的目的:
- 探索乌干达严重精神疾病患者中受害者的生活经验和意义.
- 确定受害者对SMI.个体的形式和影响.
- 通过了解家庭和社区的作用,为心理健康护理策略提供信息.
主要方法:
- 进行了一项多元化的定性研究.
- 18名参与者 (13名女性,5名男性) 患有严重精神疾病,经历过受害,在症状缓解后,从乌干达两家转诊医院故意抽取样本.
- 通过深入采访收集数据,并使用解释性现象学分析和主题内容分析进行分析.
主要成果:
- 受害表现出三种主要形式:心理 (耻辱,值),身体 (殴打,监禁,束) 和性 (强奸).
- 家庭成员经常是受害者的事者.
- 负面影响包括自杀风险增加,社会退缩,仇恨感,以及对进一步受害的脆弱性增加.
结论:
- 在乌干达,家庭环境对严重精神疾病患者的受害有很大影响.
- 建议为心理健康干预提供一个整体框架,整合生物医学和社会决定因素.
- 干预措施应侧重于改善家庭关系,社会支持,并在家庭和社区内培养归属感.
相关概念视频
Bullying
8.4K
A modern form of aggression is bullying. As you learn in your study of child development, socializing and playing with other children is beneficial for children’s psychological development. However, as you may have experienced as a child, not all play behavior has positive outcomes. Some children are aggressive and want to play roughly. Other children are selfish and do not want to share toys. One form of negative social interactions among children that has become a national concern is...
8.4K
Community Based Intervention
41
Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
Foundations of Community Mental Health Programs
Central to the success of community-based interventions is the...
41
Fundamental Attribution Error
12.8K
According to some social psychologists, people tend to overemphasize internal factors as explanations—or attributions—for the behavior of other people. They tend to assume that the behavior of another person is a trait of that person, and to underestimate the power of the situation on the behavior of others. They tend to fail to recognize when the behavior of another is due to situational variables, and thus to the person’s state. This erroneous assumption is...
12.8K
Schizophrenia
76
Schizophrenia, a term introduced by Swiss psychiatrist Eugen Bleuler in 1911, describes a severe psychological disorder marked by profound disruptions in attention, thought processes, language, emotion, and interpersonal relationships. The core feature of schizophrenia is psychosis — a state characterized by a fundamental detachment from reality. This disconnection manifests through distorted logic, impaired perception, and atypical behavior, severely affecting the lives of those...
76
Stereotype Content Model
14.7K
The Stereotype Content Model (SCM) was first proposed by Susan Fiske and her colleagues (Fiske, Cuddy, Glick & Xu, 2002; see also Fiske, 2012 and Fiske, 2017). The SCM specifies that when someone encounters a new group, they will stereotype them based on two metrics: warmth—or that group’s perceived intent, and how likely they are to provide help or inflict harm—and competence—or their ability to carry out that objective. Depending on the warmth-competence...
14.7K
Positive Symptoms Schizophrenia: Hallucinations and Delusions
55
Schizophrenia is a complex psychiatric disorder characterized by a range of symptoms that significantly impact cognition, behavior, and emotional regulation. Among these, the positive symptoms stand out as they involve the addition or exaggeration of normal mental functions, deviating markedly from typical behavior and perception. Hallucinations and delusions are prominent positive symptoms, each profoundly affecting the individual's experience of reality.
Hallucinations
Hallucinations in...
Hallucinations
Hallucinations in...
55


