Bower Marlee, Conroy Elizabeth, Perz Janette
Translational Health Research Institute, Western Sydney University, Sydney, NSW, Australia.
Health Soc Care Community. 2018 Mar;26(2):e241-e248. doi: 10.1111/hsc.12505. Epub 2017 Oct 4.
Both loneliness and a lack of social integration are associated with serious physical and psychological health issues. One population highly susceptible to social isolation and loneliness are individuals who are homeless, who also experience high rates of mental disorder and relationship breakdown. Despite this, little research has explored how social networks, isolation and loneliness are experienced for those with a history of homelessness. In-depth, semi-structured interviews were used to get a nuanced understanding of how social networks and isolation are experienced and understood by individuals experiencing homelessness. Sixteen participants who were either homeless (n = 11) or previously homeless (n = 5) in Sydney, Australia, completed one-off interviews that were audio-recorded and transcribed. Data were analysed using thematic analysis. Participants constructed their social networks as being both constrained and enabled by marginalisation. They experienced rejection from the non-homeless: the loss of critical network members, including rejection from family and a lack of companionship, and low quality and precarious relationships within the homeless community. These accounts were best conceptualised through loneliness theory. Participant's accounts signal that the homeless will likely continue feeling isolated if mainstream attitudes towards homelessness remain stigmatising and discriminatory.
孤独和缺乏社会融入都与严重的身心健康问题相关。一个极易遭受社会孤立和孤独的群体是无家可归者,他们还经历着高比例的精神障碍和人际关系破裂。尽管如此,很少有研究探讨有过无家可归经历的人如何体验社交网络、孤立和孤独。采用深入的半结构化访谈,以细致入微地了解无家可归者如何体验和理解社交网络与孤立。在澳大利亚悉尼,16名要么无家可归(n = 11)要么曾经无家可归(n = 5)的参与者完成了一次性访谈,访谈进行了录音并转录。使用主题分析法对数据进行了分析。参与者认为他们的社交网络既受到边缘化的限制,又因边缘化而得以形成。他们遭到无家可归者的排斥:失去了关键的网络成员,包括来自家人的排斥和缺乏陪伴,以及在无家可归者社区内低质量且不稳定的人际关系。这些描述通过孤独理论来理解最为恰当。参与者的描述表明,如果主流社会对无家可归的态度仍然带有污名化和歧视性,无家可归者可能会继续感到孤立。