Department of Philosophy, School of Humanities and Social Sciences, Faculty of Arts, Media and Design, Staffordshire University, Stoke-on-Trent, Staffordshire, UK.
J Psychiatr Ment Health Nurs. 2010 May;17(4):289-94. doi: 10.1111/j.1365-2850.2009.01508.x.
The active involvement of those people who have at one time used, or who continue to use, mental health services has come to be seen as a central feature of both the policy and the practice of modern mental health care. However, while those people who use mental health services may face a variety of obstacles to active participation in their care and in the provision of mental health services more generally, this paper will draw on the work of Gilles Deleuze, arguably one of the most important philosophers of the late 20th century, to suggest that the language of psychiatry--and, in particular, the attendant valuations or 'sense' of psychiatry's diagnostic categories--serve to restrict the participation of people in their individual care and in the provision of mental health services. Accordingly, it will be suggested that the challenge, as well as the opportunity, that confronts mental health nurses is to facilitate greater, more active user participation by practising in a manner that elicits the resources, capabilities and potential that service users possess, thereby challenging the prevailing and restrictive sense of the diagnostic categories by which people are identified, and by which they come to identify themselves.
那些曾经使用过、或仍在使用精神卫生服务的人积极参与，已被视为现代精神卫生保健政策和实践的核心特征。然而，尽管那些使用精神卫生服务的人在积极参与自身护理以及更广泛的精神卫生服务方面可能面临各种障碍，但本文将借鉴 20 世纪后期最重要的哲学家之一吉尔·德勒兹（Gilles Deleuze）的工作，认为精神病学的语言——特别是相关的评估或精神病学诊断类别的“意义”——限制了人们在个人护理和精神卫生服务提供方面的参与。因此，精神科护士面临的挑战和机遇是，通过实践来促进更多、更积极的用户参与，这种实践方式可以激发服务使用者所拥有的资源、能力和潜力，从而挑战人们被识别的、以及他们自我认同的诊断类别的主流和限制意义。
