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意义建构、社会化和污名化:探索家庭中讲述的精神疾病叙事。

Sense-making, Socialization, and Stigma: Exploring Narratives Told in Families About Mental Illness.

机构信息

a STEM Translational Communication Center, College of Journalism and Communications, University of Florida.

b Clinical Translational Science Institute, University of Florida.

出版信息

Health Commun. 2019 May;34(6):607-617. doi: 10.1080/10410236.2018.1431016. Epub 2018 Feb 2.

DOI:10.1080/10410236.2018.1431016
PMID:29393663
Abstract

Guided by Communicated Narrative Sense-making Theory (CNSM), the current study investigated mental illness (MI) narratives told within families and the lessons younger members learned from these stories. Individual, semi-structured interviews with young adults (N = 24) revealed that family members, mainly parents, share stories about the MIs of individual family members and narratives reflected themes of struggle and caution. Participants reported learning important lessons from these MI narratives (i.e., MI awareness, importance of understanding MI). Findings illuminate the ways family narratives about MI teach younger members lessons and expectations for managing MI despite sometimes reinforcing MI stigma. Limitations, future directions, and implications for narrative interventions are also discussed.

摘要

本研究以沟通叙事意义建构理论(CNSM)为指导,探讨了家庭中讲述的精神疾病(MI)叙事以及年轻成员从这些故事中吸取的经验教训。对 24 名年轻成年人的个体半结构化访谈揭示,家庭成员主要是父母,分享关于个别家庭成员的 MI 故事,叙事反映了奋斗和谨慎的主题。参与者报告从这些 MI 叙事中学习到重要的经验教训(即 MI 意识、理解 MI 的重要性)。研究结果阐明了家庭 MI 叙事教导年轻成员管理 MI 的方式和期望,尽管有时会强化 MI 污名。还讨论了研究的局限性、未来方向以及对叙事干预的影响。

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