Argentzell Elisabeth, Håkansson Carita, Eklund Mona
Department of Health Sciences, Division of Occupational Therapy and Gerontology, Lund University, Lund, Sweden.
Scand J Occup Ther. 2012 Jan;19(1):49-58. doi: 10.3109/11038128.2010.540038. Epub 2010 Dec 20.
The aim of this qualitative study was to examine the different facets of meaning that people who are severely mentally ill and unemployed may find in their everyday occupations. Twelve unemployed people with severe mental illness, six who attended day centres and six who did not, were interviewed regarding their experience of meaning in everyday occupations. The data were analysed with content analysis. The results showed that meaning was experienced when feeling competent and having a balance between different meaningful occupations that helped the informants control their mental illness. Themes of meaning were: being socially engaged, feeling competent and accepted by society, creating routines and being productive, being creative and seeking knowledge, and taking care of body and mind. Substitutes for paid work were found in occupations such as taking care of the household or being productive at a day centre. The results suggest that people with severe mental illness should be encouraged to play an active role in their rehabilitation process, and receive support from the occupational therapist in addressing aspects such as forming a social network and daily routines, and finding a balance between work-like occupations and rest.
这项定性研究的目的是探究患有严重精神疾病且失业的人群在日常活动中可能发现的不同意义层面。对12名患有严重精神疾病的失业者进行了访谈，其中6人参加日间护理中心，6人未参加，访谈内容涉及他们在日常活动中的意义体验。采用内容分析法对数据进行分析。结果显示，当感觉有能力且在不同有意义的活动之间保持平衡，从而帮助受访者控制其精神疾病时，他们体验到了意义。意义的主题包括：参与社交、感觉有能力且被社会接纳、建立日常规律并富有成效、富有创造力并寻求知识，以及照顾身心健康。在诸如料理家务或在日间护理中心有所作为等活动中找到了有偿工作的替代方式。结果表明，应鼓励患有严重精神疾病的人在康复过程中发挥积极作用，并在形成社交网络和日常规律以及在类似工作的活动与休息之间找到平衡等方面获得职业治疗师的支持。
