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早期精神病住院治疗的体验影响:服务使用者对住院环境的描述

The experiential impact of hospitalisation in early psychosis: service-user accounts of inpatient environments.

作者信息

Fenton Kelly, Larkin Michael, Boden Zoë V R, Thompson Jessica, Hickman Gareth, Newton Elizabeth

机构信息

University of Birmingham, UK; Birmingham and Solihull Mental Health Foundation Trust, UK.

University of Birmingham, UK.

出版信息

Health Place. 2014 Nov;30:234-41. doi: 10.1016/j.healthplace.2014.09.013. Epub 2014 Oct 21.

Abstract

Early Intervention in Psychosis services aim to keep young people out of hospital, but this is not always possible. This research used in-depth interviews to explore the experience of hospitalisation amongst young people with psychosis. Findings describe fear and confusion at admission, conflicting experiences of the inpatient unit as both safe and containing, and unsafe and chaotic, and the difficult process of maintaining identity in light of the admission. We discuss the need to move from construing psychiatric hospitals as places for 'passive seclusion', to developing more permeable and welcoming environments that can play an active role in recovery.

摘要

早期精神病干预服务旨在避免年轻人住院,但这并非总是可行。这项研究采用深度访谈来探究患有精神病的年轻人的住院经历。研究结果描述了入院时的恐惧和困惑、住院部既安全又包容以及既不安全又混乱的矛盾体验,以及鉴于入院情况而难以维持自我身份认同的过程。我们讨论了需要从将精神病医院视为“被动隔离”场所,转变为营造更具渗透性和包容性的环境,使其能在康复过程中发挥积极作用。

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