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康复的希望——临床医生如何在工作中促进这一点。

Hope for recovery - how clinicians may facilitate this in their work.

机构信息

Central and North West London NHS Foundation Trust, London, UK.

出版信息

J Ment Health. 2012 Apr;21(2):144-53. doi: 10.3109/09638237.2011.648345. Epub 2012 Feb 8.

Abstract

BACKGROUND

The importance of having hope for recovery has been highlighted in numerous qualitative studies of recovery. It is identified as a vital part of this process, and guidelines suggest that service providers should therefore facilitate hope in their clinical work; however, they do not indicate how this guidance can be operationalised.

AIMS

To identify the sources of hope for recovery based on the accounts of people with experience of recovery; to ascertain how these accounts show service providers can facilitate such hope in their therapeutic work.

METHOD

Semi-structured interviews were conducted with eight people with experience of recovering from mental health problems. A grounded theory analysis was undertaken.

RESULTS

A model conceptualising the role of hope in recovery was developed with three categories: "influence of others on hope", "personal hope" and "doing recovery". The model indicates a complex interaction between hope and recovery with an important role for social context and interpersonal relationships, including those with clinicians.

CONCLUSIONS

Mental health service providers occupy a powerful position in relation to service users' hope, and must carefully consider how they communicate their own hopefulness about clients' recovery. Suggestions are made about facilitating hope for recovery.

摘要

背景

在众多关于康复的定性研究中,都强调了对康复抱有希望的重要性。它被认为是这一过程的重要组成部分,指南建议服务提供者在临床工作中应促进希望;然而,他们并没有说明如何将这一指导付诸实践。

目的

根据有康复经验的人的描述,确定康复希望的来源;确定这些描述如何表明服务提供者可以在他们的治疗工作中促进这种希望。

方法

对 8 名有心理健康问题康复经验的人进行了半结构化访谈。采用扎根理论分析。

结果

提出了一个关于希望在康复中作用的模型,该模型有三个类别:“他人对希望的影响”、“个人希望”和“做康复”。该模型表明,希望与康复之间存在着复杂的相互作用,社会背景和人际关系,包括与临床医生的关系,都起着重要作用。

结论

精神卫生服务提供者在服务使用者的希望方面处于强有力的地位,他们必须仔细考虑如何传达自己对客户康复的希望。对促进康复希望提出了建议。

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