Counties Manukau Health, Auckland, New Zealand.
Int J Soc Psychiatry. 2018 Nov;64(7):660-667. doi: 10.1177/0020764018796538. Epub 2018 Aug 30.
: Medicine is traditionally considered a healing profession, yet concepts of healing are rarely applied to mental illness, recovery being the dominant discourse. This article reports one aspect of the results of a broader exploration, through a service user lens, of aspects of place that facilitate healing in mental health care, with a resulting conceptualisation of healing.
: The research material comprised the author's historical writings of her experience of mental illness and recovery and in-depth individual interviews with 10 mental health service users. Analysed thematically, emerging ideas were further developed through an autoethnographically informed, reflexive and iterative process.
: Healing is necessary when there has been a disruption of integrity and wholeness, experienced as suffering. Offering opportunities for connection, integration and transformation, and acquiring wisdom along the way, healing is a journey of exploration that takes time and is hard work.
: Healing is conceptualised as the intensely personal experience at the heart of recovery, reminding us of the fundamental personal processes at the heart of our journeys. As a universal human experience, healing potentially removes the sense of othering that is at the heart of mental illness stigma.
医学传统上被认为是一门治疗学科,但治愈的概念很少应用于精神疾病,康复是占主导地位的话语。本文通过服务使用者的视角,报告了更广泛探索的结果之一,即探讨了促进精神卫生保健中治愈的各个方面的场所,以及由此产生的治愈概念。
研究材料包括作者对自己精神疾病和康复经历的历史著作以及对 10 名精神健康服务使用者的深入个人访谈。通过主题分析,通过自传体知情、反思和迭代过程进一步发展了新出现的想法。
当完整性和整体性受到破坏,即感到痛苦时,就需要治愈。提供连接、整合和转化的机会,并在此过程中获得智慧,治愈是一段需要时间和努力的探索之旅。
治愈被概念化为康复核心的强烈个人体验,提醒我们关注我们旅程核心的基本个人过程。作为一种普遍的人类体验,治愈有可能消除精神疾病污名化核心的异类感。