Clarke Jenelle M, Waring Justin
Business School North, University of Nottingham, Nottingham, UK.
Sociol Health Illn. 2018 Nov;40(8):1277-1293. doi: 10.1111/1467-9566.12773. Epub 2018 Jun 29.
Mental health settings are fraught with emotion as clients address difficult life experiences and relational patterns. Clients spend a substantial amount of time together outside of structured therapy, but little is known about how these moments are potentially therapeutic, especially as sites of emotional change. We draw on interaction ritual chain theory to explore how negative emotions in situations outside of formal therapy can be transformed into positive emotions and facilitate personal change. The research is based upon a narrative ethnography of two therapeutic communities for individuals with a diagnosis of personality disorder. Despite the presence of negative transient emotions in these rituals, clients experienced positive feelings of solidarity and belonging, and the majority of clients reported increased feelings of confidence and positive change. Conversely, dynamics between clients showed clients were not always supportive of one another and at times, could exclude others, resulting in isolation and alienation. We argue interactions that generate feelings of inclusion or exclusion over time are a key component in whether clients gain positive or negative emotional feeling and experience personal change.
心理健康环境中充满了情感，因为来访者要面对艰难的生活经历和人际关系模式。来访者在结构化治疗之外会花大量时间相处，但对于这些时刻如何具有潜在治疗作用，尤其是作为情感变化的场所，我们却知之甚少。我们运用互动仪式链理论来探讨正式治疗之外的情境中的负面情绪如何转化为正面情绪并促进个人改变。该研究基于对两个针对人格障碍患者的治疗社区的叙事民族志。尽管在这些仪式中存在短暂的负面情绪，但来访者体验到了团结和归属感等积极感受，并且大多数来访者报告称自信心增强且有积极的改变。相反，来访者之间的动态关系表明，他们并非总是相互支持，有时还会排斥他人，导致孤立和疏离。我们认为，随着时间推移产生包容或排斥感的互动是来访者获得正面或负面情感感受并经历个人改变的关键因素。
