University of Pennsylvania School of Social Policy & Practice, 3701 Locust Walk, Philadelphia, PA 19104, USA.
Qual Health Res. 2010 May;20(5):654-67. doi: 10.1177/1049732310361610. Epub 2010 Feb 12.
In this article we describe a focus group study of the perspectives of diverse groups of mental health consumers on the concept of community. We identify the core domains that constitute the notion of community, and commonalities and differences in the perception of community along the lines of ethnicity and sexual orientation/gender identity. Seven focus groups were conducted with a total of 62 participants. Transcripts were analyzed using the grounded theory approach.Two domains-togetherness and community acceptance-emerged as common to four types of communities that were most frequently mentioned in the focus group discussion. Our findings show that identities other than those associated with mental illness and the role of service user are critical to the understanding of the psychological sense of community among persons with psychiatric disabilities. We suggest that mental health providers empower consumers to expand their "personal communities" beyond that of mental health clients using their diverse identities, and design interventions for addressing the stigma emanating from identities that are discriminated against by the wider society.
在本文中，我们描述了一项焦点小组研究，该研究探讨了不同群体的心理健康消费者对社区概念的看法。我们确定了构成社区概念的核心领域，以及沿着族裔和性取向/性别认同的路线对社区的看法的共性和差异。共进行了 7 次焦点小组讨论，共有 62 名参与者。使用扎根理论方法对转录本进行了分析。两个领域——团结和社区接纳——作为在焦点小组讨论中最常提到的四种类型的社区的共同特征出现。我们的研究结果表明，除了与精神疾病相关的身份和服务使用者的角色之外，与精神障碍者的心理社区感相关的其他身份对于理解这一点至关重要。我们建议精神卫生服务提供者赋予消费者权力，使其能够利用自己的多种身份，将其“个人社区”扩展到心理健康客户之外，并设计干预措施，以解决因更广泛的社会歧视身份而产生的耻辱感。
