联结、归属与重新重视:通过参与心理健康生活方式干预小组进行意义建构的过程

Joining, belonging, and re-valuing: A process of meaning-making through group participation in a mental health lifestyle intervention.

作者信息

Lund Kristine, Argentzell Elisabeth, Leufstadius Christel, Tjörnstrand Carina, Eklund Mona

机构信息

a Department of Health Sciences/Mental Health, Activity and Participation , Lund University , Lund , Sweden.

b Department of Health Sciences/Occupational Therapy and Occupational Science , Lund University , Sweden.

出版信息

Scand J Occup Ther. 2019 Jan;26(1):55-68. doi: 10.1080/11038128.2017.1409266. Epub 2017 Nov 28.

Abstract

BACKGROUND

Balancing Everyday Life (BEL), a new group-based intervention for mental health service users, was implemented in Sweden. Mental health service users often experience group interventions as meaningful, but knowledge of the process of meaning-making in a group is lacking.

AIM

To explore participants' perceptions of the group in the Balancing Everyday Life (BEL) lifestyle intervention; specifically, personal experiences of what brings meaning when participating in a group.

METHODS

This qualitative Grounded Theory study included 26 interviews with 19 BEL participants.

RESULTS

A process of meaning-making in a group was constructed: Joining with others: from feeling alone to connected, A sense of belonging: mutual support and understanding, and Re-valuing Self: respect and self-worth. No longer feeling alone contributed to meaning. Peers and group leaders were considered important parts of the group, and participants appreciated feeling understood, respected, and helping others.

CONCLUSION

The proposed process of meaning-making, as well as 'Joining' as a unique step, seems to be new contributions which could help practitioners when organizing groups. Overcoming fear of joining could break a cycle of isolation and lead to connecting and belonging. The value of participants finding purpose through helping others should be further explored.

摘要

背景

“平衡日常生活”(BEL)是一项针对心理健康服务使用者的新型团体干预措施,已在瑞典实施。心理健康服务使用者常常认为团体干预很有意义,但对于团体中意义建构过程的了解却很匮乏。

目的

探讨参与者对“平衡日常生活”(BEL)生活方式干预中团体的认知;具体而言,是参与团体时能带来意义的个人体验。

方法

这项定性的扎根理论研究包括对19名BEL参与者进行的26次访谈。

结果

构建了团体中的意义建构过程:与他人联结:从感到孤独到建立联系;归属感:相互支持与理解;重新评估自我:尊重与自我价值。不再感到孤独促成了意义的产生。同伴和团体领导者被视为团体的重要组成部分,参与者对被理解、被尊重以及帮助他人的感受表示赞赏。

结论

所提出的意义建构过程以及“联结”这一独特步骤,似乎是新的贡献,可为从业者组织团体时提供帮助。克服加入的恐惧可以打破孤立的循环,实现联结与归属。参与者通过帮助他人找到意义的价值值得进一步探索。

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