Knibbe Mare, de Vries Marten, Horstman Klasien
Research Institute CAPHRI, Department of Health Ethics and Society, Faculty of Health Medicine and Life Sciences, Maastricht University, Maastricht, The Netherlands.
Health Promot Int. 2017 Jun 1;32(3):567-576. doi: 10.1093/heapro/dav095.
Community-based participatory media projects form a promising new strategy for mental health promotion that can help address the mental health-gap identified by the World Health Organization. (2008b) mhGAP, Mental Health Gap Action Programme: Scaling Up Care for Mental, Neurological and Substance Use Disorders. World Health Organization, Geneva. In this article we present an ethnographic study about a participatory media project that was developed to promote mental health in selected Dutch low socio-economic status neighborhoods. Through narrowcastings (group film viewings), participant observation and interviews we mapped the ways in which the media project effected and facilitated the collective sense-making process of the audience with regard to sources of stress impacting mental health and opportunities for action. These determinants of mental health are shaped by cultural dimensions, since the cultural context shapes everyday experiences of stress as well as the resources and skills to manage them. Our analysis shows that the media project engaged cultural resources to challenge stressful social scripts. We conclude that more attention should be paid to cultural narratives in a community to understand how health promotion strategies can support social resilience.
基于社区的参与式媒体项目构成了一种颇具前景的促进心理健康的新策略，有助于解决世界卫生组织所确定的心理健康差距问题。（2008年b版）《mhGAP，心理健康差距行动纲领：扩大对精神、神经和物质使用障碍的治疗》。世界卫生组织，日内瓦。在本文中，我们展示了一项关于一个参与式媒体项目的人种志研究，该项目旨在促进荷兰选定的低社会经济地位社区的心理健康。通过窄播（小组电影观看）、参与观察和访谈，我们梳理了媒体项目影响和促进受众就影响心理健康的压力源及行动机会进行集体意义建构过程的方式。心理健康的这些决定因素受文化维度的影响，因为文化背景塑造了日常压力体验以及应对压力的资源和技能。我们的分析表明，该媒体项目利用文化资源来挑战充满压力的社会脚本。我们得出结论，应更加关注社区中的文化叙事，以了解健康促进策略如何能够支持社会复原力。
