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从有心理健康问题者的经历看英国心理健康护理中纳入“精神层面”的情况

Including the 'Spiritual' Within Mental Health Care in the UK, from the Experiences of People with Mental Health Problems.

作者信息

Forrester-Jones R, Dietzfelbinger L, Stedman D, Richmond P

机构信息

Tizard Centre, School of Social Policy, Sociology and Social Research, University of Kent, Canterbury, UK.

出版信息

J Relig Health. 2018 Feb;57(1):384-407. doi: 10.1007/s10943-017-0502-1.

Abstract

Spirituality as a dimension of quality of life and well-being has recently begun to be more valued within person-centred treatment approaches to mental health in the UK. The aim of this paper is to provide indicators of the extent to which accessing a spiritual support group may be useful within mental health recovery from the view point of those in receipt of it. The study design was a small-scale exploratory study utilising mixed methods. Quantitative methods were used to map the mental health, general well-being and social networks of the group. These were complimented by a semi-structured open-ended interview which allowed for Interpretative Phenomenological Analysis (IPA) of the life-history accounts of nine individuals with mental health problems who attended a 'spirituality support group'. Data from unstructured open-ended interviews with five faith chaplains and a mental health day centre manager were also analysed using thematic analysis. The views of 15 participants are therefore recounted. Participants reported that the group offered them: an alternative to more formal religious organisations, and an opportunity to settle spiritual confusions/fears. The 'group' was also reported to generally help individual's subjective feelings of mental wellness through social support. Whilst the merits of spiritual care are appealing, convincing services to include it within treatment may still be difficult.

摘要

在英国,精神性作为生活质量和幸福感的一个维度,最近在以个人为中心的心理健康治疗方法中开始受到更多重视。本文的目的是从接受精神支持小组的人的角度,提供有关参加精神支持小组在心理健康康复过程中可能有多大用处的指标。该研究设计是一项采用混合方法的小规模探索性研究。定量方法用于描绘该小组的心理健康、总体幸福感和社交网络。这些通过半结构化开放式访谈得到补充,该访谈允许对参加“精神支持小组”的九名有心理健康问题的个体的生活史叙述进行解释现象学分析(IPA)。还使用主题分析法对与五名神职人员和一名心理健康日间中心经理进行的非结构化开放式访谈的数据进行了分析。因此,讲述了15名参与者的观点。参与者报告说,该小组为他们提供了:一种替代更正式宗教组织的选择,以及一个解决精神困惑/恐惧的机会。据报告,“小组”通常还通过社会支持帮助个人的心理健康主观感受。虽然精神关怀的优点很有吸引力,但要说服服务机构将其纳入治疗可能仍然很困难。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4d5/5762776/7179d80c70a4/10943_2017_502_Fig1_HTML.jpg

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