Brooks Helen, Rushton Kelly, Walker Sandra, Lovell Karina, Rogers Anne
Division of Nursing, Midwifery and Social Work, Faculty of Biology, Medicine and Health, University of Manchester, Jean McFarlane Building, Oxford Road, Manchester, M13 9PL, UK.
NIHR CLAHRC Wessex, Faculty of Health Sciences, University of Southampton, Southampton, UK.
BMC Psychiatry. 2016 Dec 9;16(1):409. doi: 10.1186/s12888-016-1111-3.
Despite evidence that connecting people to relevant wellbeing-related resources brings therapeutic benefit, there is limited understanding, in the context of mental health recovery, of the potential value and contribution of pet ownership to personal support networks for self-management. This study aimed to explore the role of pets in the support and management activities in the personal networks of people with long-term mental health problems.
Semi-structured interviews centred on 'ego' network mapping were conducted in two locations (in the North West and in the South of England) with 54 participants with a diagnosis of a long-term mental health problem. Interviews explored the day-to-day experience of living with a mental illness, informed by the notion of illness work undertaken by social network members within personal networks. Narratives were elicited that explored the relationship, value, utility and meaning of pets in the context of the provision of social support and management provided by other network members. Interviews were recorded, then transcribed verbatim before being analysed using a framework analysis.
The majority of pets were placed in the central, most valued circle of support within the network diagrams. Pets were implicated in relational work through the provision of secure and intimate relationships not available elsewhere. Pets constituted a valuable source of illness work in managing feelings through distraction from symptoms and upsetting experiences, and provided a form of encouragement for activity. Pets were of enhanced salience where relationships with other network members were limited or difficult. Despite these benefits, pets were unanimously neither considered nor incorporated into individual mental health care plans.
Drawing on a conceptual framework built on Corbin and Strauss's notion of illness 'work' and notions of a personal workforce of support undertaken within whole networks of individuals, this study contributes to our understanding of the role of pets in the daily management of long-term mental health problems. Pets should be considered a main rather than a marginal source of support in the management of long-term mental health problems, and this has implications for the planning and delivery of mental health services.
尽管有证据表明,将人们与相关的健康福祉资源相联系能带来治疗益处,但在心理健康康复的背景下,对于养宠物对自我管理个人支持网络的潜在价值和贡献,人们的了解有限。本研究旨在探讨宠物在长期心理健康问题患者个人网络中的支持和管理活动中所起的作用。
在两个地点(英格兰西北部和南部)对54名被诊断患有长期心理健康问题的参与者进行了以“自我”网络映射为中心的半结构化访谈。访谈探讨了患有精神疾病的日常生活经历,这一经历受个人网络中社会网络成员所进行的疾病工作概念的启发。访谈引出了一些叙述,这些叙述探讨了在其他网络成员提供的社会支持和管理背景下,宠物的关系、价值、效用和意义。访谈进行了录音,然后逐字转录,之后使用框架分析法进行分析。
在网络图中,大多数宠物被置于核心的、最有价值的支持圈中。宠物通过提供其他地方无法获得的安全和亲密关系,参与到关系工作中。宠物是疾病工作的宝贵来源,通过分散对症状和令人不安经历的注意力来管理情绪,并提供一种活动鼓励形式。在与其他网络成员的关系有限或困难的情况下,宠物的重要性会增强。尽管有这些益处,但宠物无一被考虑纳入个人心理健康护理计划。
本研究借鉴了基于科尔宾和施特劳斯的疾病“工作”概念以及个人在整个个体网络中承担的支持性个人力量概念构建的概念框架,有助于我们理解宠物在长期心理健康问题日常管理中的作用。在长期心理健康问题的管理中,宠物应被视为主要而非边缘的支持来源,这对心理健康服务的规划和提供具有启示意义。