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精神疾病的污名与康复

The Stigma of Mental Illness and Recovery.

作者信息

Avdibegović Esmina, Hasanović Mevludin

机构信息

Department of Psychiatry, University Clinical Center Tuzla, Trnovac b.b., 75000 Tuzla, Bosnia and Herzegovina.

出版信息

Psychiatr Danub. 2017 Dec;29(Suppl 5):900-905.

Abstract

Stigma and recovery "from" and "in" mental illness are associated in many various ways. While recovery gives opportunities, makes person stronger, gives purpose and meaning to their lives and leads to social inclusion, in the same time stigma reduces opportunities, reduces self-esteem and self-efficacy, reduces the belief in own abilities and contributes to social exclusion through discrimination. The recovery of a person with mental illness means to get and keep hope, to understand their own possibilities and impossibilities, active living, to be autonomous, to have a social identity and to give meaning and purpose of our own lives. The care system, recovery-oriented, provides help and support to people with mental disorders in his/her recovery, which contributes to reduction of self-stigma, to the elimination of stigmatizing attitudes and beliefs in mental health services which consequently may have a positive reflection in reducing the stigma of mental illness in the community. It is important to look at the stigma and recovery from the perspective of individual experience of each person with a mental illness in the process of recovery. A support to the recovery concept and the development of a recovery-oriented system of care should be one of the key segments of any strategy to combat the stigma of mental illness. Also, the cultural and the social stigma aspects of stigma would be taken into account in the developing of the recovery concept and on the recovery-oriented care system.

摘要

耻辱感与精神疾病“康复”及“康复中”存在诸多关联。康复带来机遇,让人更强大,赋予生活目标和意义,促进社会融入;与此同时,耻辱感减少机遇,降低自尊和自我效能感,削弱对自身能力的信念,并通过歧视导致社会排斥。精神疾病患者的康复意味着获得并保持希望,了解自身的可能性与不可能性,积极生活,实现自主,拥有社会身份,赋予自己生活意义和目标。以康复为导向的照护系统为精神障碍患者的康复提供帮助和支持,这有助于减少自我耻辱感,消除精神卫生服务中的耻辱性态度和观念,进而可能对减少社区中精神疾病的耻辱感产生积极影响。在康复过程中,从每位精神疾病患者的个体经历角度看待耻辱感与康复至关重要。支持康复理念并发展以康复为导向的照护系统应是抗击精神疾病耻辱感的任何战略的关键部分之一。此外,在制定康复理念和以康复为导向的照护系统时,将考虑耻辱感的文化和社会层面。

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