支持就业教练和辅导员与被诊断为人格障碍和其他障碍的客户的困难:一种定性研究
Noëllie Dunand1,2, Marine Seydoux2, Melissa Teixeira Magalhaes2
1Community Psychiatry Service, Department of Psychiatry, Lausanne University Hospital and University of Lausanne, Lausanne, Switzerland.
Heliyon
|July 8, 2024
概括
支持就业 (SE) 显示了严重精神疾病 (SMI) 和人格障碍 (PD) 患者面临的挑战. 由于困难的行为影响治疗关系和工作成功,SE实践可能需要适应PD客户.
科学领域:
- 精神病学是一个精神病学.
- 职业疗法 职业疗法 职业疗法
- 康复心理学 康复心理学
背景情况:
- 支持就业 (SE) 是对患有严重精神疾病 (SMI) 的人员的一种经过验证的干预措施.
- 对个性障碍 (PD) 患者的SE疗法的有效性不太清楚.
- 在SMI和PD人群中,职业挑战有所不同.
研究的目的:
- 确定SMI客户和PD客户之间的SE实践差异.
- 探讨这些不同的客户群体在 SE 中的促进者和困难.
主要方法:
- 质量研究涉及采访六名SE职业教练.
- 对面试数据进行主题分析,以确定模式和主题.
主要成果:
- 据报道,与SMI相比,患有PD的客户遇到的挑战和促进者更多.
- 客户的症状对两组人的就业重新融入产生了负面影响.
- 对于PD客户来说,困难的行为及其对治疗关系的影响是SE成功的关键因素,与SMI不同.
结论:
- SE实践可能受到人格障碍的阻碍.
- 适应SE,包括针对工作教练的专门培训,以管理与PD相关的行为,可以改善结果.
- 进一步研究为患有PD的个人量身定制的SE方法是有必要的.
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