Pelletier Jean-François
Department of Psychiatry and Addictology, University of Montreal, Canada.
Department of Psychiatry, Yale University School of Medicine, USA.
AIMS Public Health. 2019 Apr 15;6(2):135-142. doi: 10.3934/publichealth.2019.2.135. eCollection 2019.
In a globalized world health and illness know no frontiers. Pandemics have never been limited to political borders and the contemporary campaigns to prevent them can be effective only when addressed not only internationally but also with the application of integrated disease management in order to respond to problems caused by the silo approach. In any case, it appears that global health has been constantly in redefinition. With this commentary a phenomenological redefinition of global health is proposed as an integrative strategy. Phenomenology prioritizes and investigates from the first-person point of view how the human being experiences the world, as it explores the unique meaning of the lived experience of being human. We are particularly interested in verifying if and how, from a first-person point of view, the lived experience of mental illness and of recovery can contribute to a more integrated definition of global health. In the field of mental health, formal peer support is a mentor/mentee relationship, and as such it is an emotional and practical support between two people who share a common experience of a mental health challenge or illness. Peer support is a system of giving and receiving help founded on key principles of respect, shared responsibility, and mutual agreement of what is helpful. It is about understanding another's situation empathically through the shared experience of emotional and psychological pain. And when speaking in public, a recovery mentor accepts to disclose and to be recognized as a (former) mental health service user. That person knows that there is a possibility of being stigmatized, but yet remains courageously engaged towards the promotion of change and in solidarity with people who are suffering worldwide and who may not have this opportunity to speak freely.
在全球化的世界中,健康与疾病没有国界。大流行病从来不受政治边界的限制,当代预防大流行病的行动只有在不仅从国际层面应对,而且应用综合疾病管理以应对由筒仓式方法导致的问题时才会有效。无论如何,全球健康似乎一直在重新定义。通过这篇评论文章,我们提出对全球健康进行现象学的重新定义,将其作为一种综合策略。现象学优先考虑并从第一人称视角研究人类如何体验世界,因为它探索人类生存体验的独特意义。我们特别感兴趣的是,从第一人称视角验证精神疾病和康复的生存体验是否以及如何能有助于对全球健康进行更综合的定义。在心理健康领域,正式的同伴支持是一种导师/学员关系,因此它是两个有共同心理健康挑战或疾病经历的人之间的情感和实际支持。同伴支持是一个基于尊重、共同责任以及对何为有益达成相互一致等关键原则的给予和接受帮助的系统。它是通过情感和心理痛苦的共同经历来感同身受地理解他人的处境。并且在公开场合发言时,康复导师会接受披露自己曾是心理健康服务使用者的身份并被认可。那个人知道有可能会被污名化,但仍勇敢地致力于推动变革,并与世界各地正在受苦且可能没有机会自由发言的人们团结在一起。