Selby Susan, Moulding Nicole, Clark Sheila, Jones Alison, Braunack-Mayer Annette, Beilby Justin
the discipline of General Practice, The University of Adelaide.
Omega (Westport). 2009;59(1):19-38. doi: 10.2190/OM.59.1.b.
Over 200 Australian, American, and British Non-Government Organizations send aid workers overseas including missionaries. On re-entry, they may suffer psychological distress; however, there is little research about their psychosocial issues and management in the family practice setting. Research suggests loss and grief as a suitable paradigm for family practitioners dealing with psychosocial issues. The aim of this study was to explore loss and grief issues for adult Australian missionary cross-cultural aid workers during their re-entry adjustment. Mixed methods were used and this study reports the qualitative method: semi-structured interviews conducted with 15 participants. Results were analyzed using framework analysis. Themes of re-entry loss and grief were identified with sub-themes of multiple varied losses, mechanisms of loss, loss of control, common grief phenomena, disenfranchised grief, and reactivation of past grief. Theoretical and clinical implications are discussed. Findings of this study suggest that loss and grief is an appropriate paradigm for the management of these workers in the family practice setting. Further research is needed to enable appropriate care.
200多个澳大利亚、美国和英国的非政府组织向海外派遣援助工作者，其中包括传教士。回国后，他们可能会遭受心理困扰；然而，在家庭医疗环境中，关于他们心理社会问题及管理的研究却很少。研究表明，丧失与悲痛是家庭医生处理心理社会问题的合适范例。本研究的目的是探讨成年澳大利亚传教士跨文化援助工作者回国调整期间的丧失与悲痛问题。研究采用了混合方法，本研究报告了定性方法：对15名参与者进行的半结构化访谈。结果采用框架分析法进行分析。确定了回国丧失与悲痛的主题以及多个不同丧失、丧失机制、失控、常见悲痛现象、被剥夺权利的悲痛和过去悲痛的重新激活等子主题。讨论了理论和临床意义。本研究结果表明，丧失与悲痛是在家庭医疗环境中管理这些工作者的合适范例。需要进一步研究以提供适当的护理。
