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男性退伍军人关于创伤后应激障碍、男子气概和健康的叙述。

Male combat veterans' narratives of PTSD, masculinity, and health.

作者信息

Caddick Nick, Smith Brett, Phoenix Cassandra

机构信息

European Centre for Environment and Human Health, University of Exeter Medical School, Exeter, UK; Peter Harrison Centre for Disability Sport, Loughborough University, Loughborough, UK.

出版信息

Sociol Health Illn. 2015 Jan;37(1):97-111. doi: 10.1111/1467-9566.12183.

DOI:10.1111/1467-9566.12183
PMID:25601067
Abstract

This article uniquely examines the ways a group of male combat veterans talk about masculinity and how, following post-traumatic stress disorder (PTSD), they performed masculinities in the context of a surfing group, and what effects this had upon their health and wellbeing. Participant observations and life history interviews were conducted with a group of combat veterans who belonged to a surfing charity for veterans experiencing PTSD. Data were rigorously explored via narrative analysis. Our findings revealed the ways in which veterans enacted masculinities in accordance with the values that were cultivated during military service. These masculine performances in the surfing group had important effects both on and for the veterans' wellbeing. Significantly, the study highlights how masculine performances can be seen alternately as a danger and as a resource for health and wellbeing in relation to PTSD. The article advances knowledge on combat veterans and mental health with critical implications for the promotion of male veterans' mental health. These include the original suggestion that health-promoting masculine performances might be recognised and supported in PTSD treatment settings. Rather than automatically viewing masculinity as problematic, this article moves the field forward by highlighting how hegemonic masculinities can be reconstructed in positive ways which might improve veterans' health and wellbeing. A video abstract of this article can be found at: https://www.youtube.com/watch?v=BaYzaOP1kAY.

摘要

本文独特地审视了一群男性退伍军人谈论男子气概的方式,以及在创伤后应激障碍(PTSD)之后,他们如何在一个冲浪团体的背景下展现男子气概,以及这对他们的健康和幸福产生了什么影响。对一群属于为患有创伤后应激障碍的退伍军人设立的冲浪慈善团体的退伍军人进行了参与观察和生活史访谈。通过叙事分析对数据进行了严格探究。我们的研究结果揭示了退伍军人按照在服役期间培养的价值观展现男子气概的方式。在冲浪团体中的这些男子气概表现对退伍军人的幸福既有重要影响,也为他们的幸福发挥了作用。值得注意的是,该研究强调了男子气概表现如何既可以被视为一种危险,也可以被视为与创伤后应激障碍相关的健康和幸福的一种资源。本文推进了关于退伍军人和心理健康的知识,对促进男性退伍军人的心理健康具有重要意义。这些意义包括最初提出的在创伤后应激障碍治疗环境中可能认可并支持促进健康的男子气概表现这一建议。本文没有自动将男子气概视为有问题的,而是通过强调如何以积极的方式重建霸权男子气概,从而推动了该领域的发展,这可能会改善退伍军人的健康和幸福。本文的视频摘要可在以下网址查看:https://www.youtube.com/watch?v=BaYzaOP1kAY。

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