Caddick Nick, Phoenix Cassandra, Smith Brett
University of Exeter Medical School, UK Loughborough University, UK.
University of Exeter Medical School, UK.
J Health Psychol. 2015 Mar;20(3):286-99. doi: 10.1177/1359105314566612.
Using a dialogical narrative approach, this original research explored how combat veterans experiencing post-traumatic stress disorder made sense of peer relationships with other veterans and what effects these relationships had on their well-being. Interviews and participant observations were conducted with 15 male combat veterans (aged 27-60 years) and one member of the civilian emergency services, the majority of whom were diagnosed with post-traumatic stress disorder following traumatic exposure in a range of armed conflicts. All participants were part of a surfing charity for veterans experiencing post-traumatic stress disorder. Data were rigorously analysed using a dialogical narrative analysis (DNA). Findings revealed the collective story that veterans used to make sense of peer relationships within the group. This collective story worked for the veterans to shape their experiences of well-being by fostering camaraderie, stimulating deeper connections and countering the negative effects of post-traumatic stress disorder. Potential therapeutic effects of the collective story were also identified. This article extends previous knowledge on combat veterans and social relationships and advances the field of narrative health psychology through the empirical application of a sophisticated dialogical narrative approach.
本原创研究采用对话叙事方法,探讨了患有创伤后应激障碍的退伍军人如何理解与其他退伍军人的同伴关系,以及这些关系对他们的幸福感有何影响。对15名男性退伍军人(年龄在27至60岁之间)和一名平民应急服务人员进行了访谈和参与观察,其中大多数人在一系列武装冲突中经历创伤性暴露后被诊断患有创伤后应激障碍。所有参与者都是一个为患有创伤后应激障碍的退伍军人设立的冲浪慈善机构的成员。使用对话叙事分析(DNA)对数据进行了严格分析。研究结果揭示了退伍军人用来理解群体内同伴关系的集体故事。这个集体故事帮助退伍军人通过培养同志情谊、促进更深入的联系以及对抗创伤后应激障碍的负面影响来塑造他们的幸福感体验。还确定了集体故事的潜在治疗效果。本文扩展了先前关于退伍军人与社会关系的知识,并通过一种复杂的对话叙事方法的实证应用推进了叙事健康心理学领域的发展。