Discipline of Public Health, The University of Adelaide, Australia.
Omega (Westport). 2010;62(4):329-51. doi: 10.2190/om.62.4.b.
Nearly half a million foreign aid workers currently work worldwide, including over 140,000 missionaries. During re-entry these workers may experience significant psychological distress. This article positions previous research about psychological distress during re-entry, emphasizing loss and grief. At present there is no identifiable theoretical framework to provide a basis for assessment, management, and prevention of re-entry distress in the clinical setting. The development of theoretical concepts and frameworks surrounding loss and grief including the Dual Process Model (DPM) are discussed. All the parameters of the DPM have been shown to be appropriate for the proposed re-entry model, the Dual Process Model applied to Re-entry (DPMR). It is proposed that the DPMR is an appropriate framework to address the processes and strategies of managing re-entry loss and grief. Possible future clinical applications and limitations of the proposed model are discussed. The DPMR is offered for further validation and use in clinical practice.
目前全球有近 50 万外国援助工作者，其中包括 14 万多名传教士。这些工作者在回国后可能会经历严重的心理困扰。本文以前期关于归国后心理困扰的研究为基础，强调了丧失和悲伤的重要性。目前，还没有一个可识别的理论框架为临床环境中归国人员的评估、管理和预防提供依据。本文讨论了包括双过程模型（DPM）在内的有关丧失和悲伤的理论概念和框架的发展。已经证明，DPM 的所有参数都适用于拟议的归国模型，即应用于归国的双过程模型（DPMR）。本文提出，DPMR 是处理归国人员丧失和悲伤的过程和策略的合适框架。本文还讨论了拟议模型的可能未来临床应用和局限性。本文提出 DPMR 以进一步验证和应用于临床实践。
