Dahl Catarina Magalhães, de Souza Flavia Mitkiewicz, Lovisi Giovanni Marcos, Cavalcanti Maria Tavares
Psychologist and PhD Student, Institute of Psychiatry, Federal University of Rio de Janeiro, Brazil, email
Psychologist and PhD Student, Institute of Psychiatry, Federal University of Rio de Janeiro, Brazil.
BJPsych Int. 2015 Nov 1;12(4):83-85. doi: 10.1192/s2056474000000611. eCollection 2015 Nov.
Stigma attaching to mental illness has been considered a major challenge to public policies, to the provision of care and to the well-being of people who live with the experience of mental illness worldwide. Here we discuss narratives from peer support workers which we obtained during the assessment of a new psychosocial intervention programme in Rio de Janeiro. We used a range of focus groups, in-depth interviews and clinical supervision notes to derive these narratives, which covered topics such as the peer support workers' perceptions of family and social views, their sense of self and the experience of being stigmatised. We conclude that stigma appears to be a barrier to recovery. Peer support work for people with severe mental illness is a strategy that may help them to overcome stigma and discrimination. Fostering mutuality and hope in the context of peer support helps affected individuals to make sense of their being in the world and can facilitate their recovery.
精神疾病所带来的污名被认为是全球公共政策、医疗服务提供以及患有精神疾病者福祉面临的一项重大挑战。在此，我们讨论来自同伴支持工作者的叙述，这些叙述是我们在评估里约热内卢一项新的社会心理干预项目期间获得的。我们运用了一系列焦点小组、深度访谈以及临床监督记录来得出这些叙述，其涵盖的主题包括同伴支持工作者对家庭和社会观点的看法、他们的自我认知以及被污名化的经历。我们得出结论，污名似乎是康复的一个障碍。为重度精神疾病患者提供同伴支持工作是一项可能帮助他们克服污名和歧视的策略。在同伴支持的背景下培养相互性和希望有助于受影响个体理解自己在世界中的存在，并能促进他们的康复。
