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策略叙事:精神健康同行照护者专业实践的探索。

Strategic Storytelling: An Exploration of the Professional Practices of Mental Health Peer Providers.

机构信息

1 Saint Louis University, St. Louis, Missouri, USA.

出版信息

Qual Health Res. 2019 Jul;29(9):1266-1276. doi: 10.1177/1049732318821689. Epub 2019 Jan 7.

DOI:10.1177/1049732318821689
PMID:30616464
Abstract

Peer providers of mental health services use their personal illness and recovery narratives to help other mental health service users. Despite a substantial body of evidence supporting the effectiveness of these providers, little is known about the underlying strategies they employ in their professional practice. In this study, I used in-depth interviews with 23 peers to explore the most important practices they used in their day-to-day work with others. Results indicated that peers engaged in a reflexive process to strategically use their personal illness and recovery stories to help others re-story their life narratives. Peers also used communication strategies from motivational and cognitive-behavioral treatment approaches to engage, inspire, and mentor other service users. Findings suggest the need for research that further explores the rhetorical strategies used by peers using narrative methods. The development and testing of professional development opportunities to assist peers in maximizing their therapeutic potential are also warranted.

摘要

精神健康服务的同伴提供者利用他们个人的患病和康复经历来帮助其他精神健康服务使用者。尽管有大量证据支持这些提供者的有效性,但对于他们在专业实践中使用的基本策略知之甚少。在这项研究中,我使用深入访谈的方法采访了 23 名同伴,以探讨他们在日常工作中与他人合作时使用的最重要的实践方法。结果表明,同伴们进行了反思性的过程,策略性地使用他们个人的患病和康复故事来帮助他人重新讲述他们的生活经历。同伴们还使用来自动机和认知行为治疗方法的沟通策略来吸引、激发和指导其他服务使用者。研究结果表明,需要进一步研究同伴使用叙事方法的修辞策略。还需要开发和测试专业发展机会,以帮助同伴最大限度地发挥他们的治疗潜力。

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