Department of Community Medicine and Rehabilitation, Division of Occupational Therapy, Umeå University, Sweden.
Int J Soc Psychiatry. 2011 May;57(3):284-99. doi: 10.1177/0020764009354834. Epub 2010 Jan 12.
The study illuminated how persons with psychiatric disabilities experienced the processes of change in a residential context.
Qualitative interviews with residents living in supported housing were conducted and analyzed using constant comparative analysis.
Residential conditions appear to provide a complex structure that facilitates rehabilitative interactions, in which 'progressive tensions' arise between opposing values, such as authentic versus artificial, and independence versus dependence, both of which are important in the process of change.
A client-centred approach could be taken further if clients are engaged in productive discussions about challenging these 'progressive tensions'. Awareness of the meaning of home also emerged as central.
本研究阐明了精神障碍患者如何在居住环境中经历改变过程。
对居住在支持性住房中的居民进行了定性访谈，并使用恒定性比较分析进行了分析。
居住条件似乎提供了一个复杂的结构，促进了康复性互动，在这种互动中，真实与虚假、独立与依赖等对立价值观之间产生了“渐进性紧张”，而这两者在改变过程中都很重要。
如果让客户参与到关于应对这些“渐进性紧张”的富有成效的讨论中，以客户为中心的方法可以更进一步。对家庭意义的认识也变得至关重要。
