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“解决老问题的老方法”:新墨西哥州提供者对以康复为导向的服务及消费者能力的看法

"An Old Way to Solve an Old Problem": Provider Perspectives on Recovery-Oriented Services and Consumer Capabilities in New Mexico.

作者信息

Watson Marnie K, Bonham Caroline A, Willging Cathleen E, Hough Richard L

机构信息

Marnie Watson, Cathleen Willging, and Richard Hough are affiliated with the Behavioral Health Research Center of the Southwest. Watson and Willging are further affiliated with the Anthropology Department at the University of New Mexico (UNM). Hough and Bonham have affiliations with the Center for Rural and Community Behavioral Health at UNM.

出版信息

Hum Organ. 2011 Summer;70(2):107-117. doi: 10.17730/humo.70.2.d4213w7928457280.

Abstract

The goal of recovery has emerged as a core value in the reformation of public and private mental health services in the last twenty years. However, definitions of recovery remain as varied as methods of implementation. Through an ethnographic lens, we examine meanings of recovery in the context of a major statewide reform of mental health services in New Mexico, focusing specifically on provider-voiced concerns regarding recovery and recovery-oriented care. We argue that the concept of recovery functions as a symbol that seemingly reconciles the long-standing tension between biological and social explanations of mental illness. Drawing upon provider perspectives, we also discuss concerns that popular rhetoric about recovery may mask some needed fundamental changes to transform the mental health system to a recovery orientation. Finally, we consider recovery from a capabilities standpoint and discuss how this view lends itself to addressing both individual and social components of mental illness.

摘要

在过去二十年里,康复目标已成为公共和私人心理健康服务改革中的一项核心价值。然而,康复的定义与实施方法一样多种多样。通过人种志视角,我们在新墨西哥州一项重大的全州心理健康服务改革背景下审视康复的意义,特别关注提供者表达的对康复及以康复为导向的护理的担忧。我们认为,康复概念起到了一种象征作用,似乎调和了对精神疾病的生物学和社会学解释之间长期存在的紧张关系。借鉴提供者的观点,我们还讨论了有关康复的流行言辞可能掩盖将心理健康系统转变为以康复为导向所需的一些根本性变革的担忧。最后,我们从能力角度考虑康复,并讨论这种观点如何有助于解决精神疾病的个体和社会层面问题。

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本文引用的文献

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Recovery: an international perspective.康复:国际视角
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