School of Nursing & Midwifery, University of Salford, Salford, Greater Manchester, UK.
Clin Psychol Psychother. 2013 Mar-Apr;20(2):136-48. doi: 10.1002/cpp.785. Epub 2011 Aug 31.
Evidence suggests that empowerment is central to improving the effectiveness and quality of mental health care. Empowerment includes increased involvement, choice and access to health information for service users. Within the process of empowerment, individuals may better understand their health needs and accordingly improve their prognoses. Despite the widespread use of the term 'empowerment' within mental health, there have been no studies examining how young people with psychosis understand and conceptualize the term empowerment or which factors are conductive to them developing a sense of empowerment. This study aims to qualitatively conceptualize empowerment from the perspective of young people aged 14-18 years experiencing psychosis. Individual interviews were conducted with nine young people with a diagnosis of a psychotic disorder regarding their understanding and experience of empowerment. The interviews were audiotaped, transcribed verbatim and analysed using interpretative phenomenological analysis. Results indicated that young people who have experienced psychosis conceptualized empowerment as being listened to, being understood, taking control and making decisions for themselves. Young people place high importance on experiencing personal empowerment in relation to being users of mental health services and regard being empowered as the most important factor for determining their own recovery. Results also revealed that young people view mental health workers as very variable in their ability and willingness to address and help facilitate empowerment. They also identified daily routine, structure and avoidance of inactivity as additional means of increasing empowerment. The implications for research and practice are discussed.
The way practitioners interact with young people impacts upon their experience of empowerment. Young people with psychosis equate being listened to with being empowered. Young people with psychosis, especially when hospitalized, want to develop and use their own coping styles. Clinicians who give choices and have a sense of humour are valued by young people with psychosis. Clinicians must consider whose needs are being met when decisions are made for young people with psychosis.
有证据表明，赋权对于提高心理健康护理的效果和质量至关重要。赋权包括增加服务使用者对健康信息的参与、选择和获取。在赋权过程中，个人可以更好地了解自己的健康需求，并相应地改善自己的预后。尽管“赋权”一词在心理健康领域被广泛使用，但尚未有研究探讨患有精神病的年轻人如何理解和概念化赋权，以及哪些因素有助于他们获得赋权感。本研究旨在从 14-18 岁患有精神病的年轻人的角度对赋权进行定性概念化。对 9 名被诊断患有精神病的年轻人进行了关于他们对赋权的理解和体验的个体访谈。访谈进行了录音、逐字转录，并使用解释性现象学分析进行了分析。结果表明，经历过精神病的年轻人将赋权概念化为被倾听、被理解、掌控自己的生活并为自己做决定。年轻人非常重视在使用心理健康服务方面获得个人赋权，并认为赋权是决定自己康复的最重要因素。结果还表明，年轻人认为心理健康工作者在帮助促进赋权方面的能力和意愿非常多变。他们还确定了日常生活、结构和避免无所事事是增加赋权的额外手段。讨论了对研究和实践的影响。
从业者与年轻人互动的方式会影响他们的赋权体验。患有精神病的年轻人将被倾听等同于被赋权。患有精神病的年轻人，尤其是住院时，希望发展和使用自己的应对方式。给予选择和有幽默感的临床医生受到患有精神病的年轻人的重视。在为患有精神病的年轻人做出决策时，临床医生必须考虑满足谁的需求。
