患有严重精神障碍的生活经验:关于个人康复过程的叙述
Yasmin Furtado1, Lilian Miranda1, Angélica Ferreira Fonseca2
1Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil. furtadoyasmin@yahoo.com.br.
这项研究探讨了严重精神障碍患者的康复过程. 虽然社会和人际关系因素有助于恢复,但它们也会因为耻辱和权力动态造成障碍.
科学领域:
- 精神病学是一个精神病学.
- 社会学 社会学 社会学
- 医学哲学 医学哲学
背景情况:
- 康复是一个社会政治运动和研究领域,专注于改善精神障碍患者的预后.
- 了解那些患有严重精神障碍的人的生活经历对于推进以康复为导向的护理至关重要.
研究的目的:
- 探索严重精神障碍患者的康复过程.
- 在康复过程中识别促进者,障碍物和诊断的作用.
主要方法:
- 使用加达梅里亚语解释学的定性研究.
- 与五个从严重精神障碍中恢复过来的个人进行了深入的生活叙事采访.
- 围绕关键主题组织叙事分析.
主要成果:
- 确定了促进恢复过程的跨主体和社会文化资源.
- 突出了这些相同的元素如何成为创造性存在的障碍.
- 诊断和相关的耻辱感,以及等级权力关系,被确定为重要因素.
结论:
- 跨主体和社会文化资源对于恢复至关重要,但可能会受到耻辱和权力不平衡的阻碍.
- 受到污名的影响的社会规范,可以阻碍精神障碍患者的真正创造性和充实存在.
- 对心理社会护理和康复概念的细微理解是必不可少的.
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