Lecturer in Health Sciences, School of Nursing, Ulster University, Derry City, UK.
Medical School Development, Ulster University, Coleraine, UK.
J Psychiatr Ment Health Nurs. 2021 Oct;28(5):794-803. doi: 10.1111/jpm.12728. Epub 2021 Feb 8.
WHAT IS KNOWN ON THE SUBJECT?: The conceptual components of mental health recovery have been proposed, however, the barriers to their sustainability within the context of internal and external stressors require further exploration. Within their emerging adult role, young people will experience the personal challenges that will directly impact their understanding of their recovery, which will be different from other age groups. WHAT THE PAPER ADDS TO EXISTING KNOWLEDGE?: Findings revealed recovery is understood as an uncharted, timely and personal process of engaging and transcending pain. Perceived barriers to mental health recovery and the internal dynamics experienced within the process have been explored. Recovery in young adulthood involved the reclaiming of their active and purposeful life force. It acquires real-life relevance when applied to the social and cultural factors that provide meaning in life for young adults. WHAT ARE THE IMPLICATIONS FOR PRACTICE?: This research will impact how mental health nurses understand the catalytic effects of personal, social and cultural meaning of suffering in young adults' actualization of mental health recovery. Findings have significance for practice as the process of mental health recovery must not be presented as a clinical pathway, but understood as a personalized strategy of individual wellness in young adulthood.
INTRODUCTION: Within their emerging adult role, young people will embark on employment, form intimate relationships and live independently. This indicates that how recovery is experienced and actualized in young adulthood may be different from other age groups.
AIM/QUESTION: To explore young adult service user's perspectives of mental health recovery in Northern Ireland.
Semi-structured individual qualitative interviews were analysed using a Gadamerian-based hermeneutic method and interpreted using a novel theoretical framework. The sample comprised 25 participants with an average age of 28 years.
Five key themes evolved: Services: A Losing Battle Straight Away; From your Foundations to a Step in the Dark; Let Go of the Pain not the Experience; Surviving Out of the Ashes Recovery; and Needs to be More than a Word.
The main findings were that recovery involved the reclaiming of their active and purposeful life force. It is suggested that young adults have developed an explanatory model of "use that stuff you wanna bury" to transform an illness narrative to a wellness strategy.
This research has implications for mental health nursing so the process of mental health recovery is not presented as a clinical pathway, but a personalized strategy of individual wellness.
心理健康康复的概念性组成部分已经提出，然而，在内部和外部压力因素的背景下，它们可持续性的障碍需要进一步探讨。在他们的成年早期角色中，年轻人将经历直接影响他们对康复理解的个人挑战，这将与其他年龄组有所不同。
研究结果表明，康复被理解为一个未被探索、及时和个人的参与和超越痛苦的过程。已经探讨了心理健康康复的障碍以及在这个过程中经历的内部动态。在成年早期，康复涉及到重新获得他们积极和有目的的生命力。当应用于为年轻人提供生活意义的社会和文化因素时，它就具有了现实意义。
这项研究将影响心理健康护士如何理解个人、社会和文化意义在年轻人实现心理健康康复中的催化作用。研究结果对实践具有重要意义，因为心理健康康复的过程不能被视为临床途径，而应被理解为年轻人个体健康的个性化策略。
在他们的成年早期角色中，年轻人将开始就业、建立亲密关系和独立生活。这表明，年轻人在成年早期体验和实现康复的方式可能与其他年龄组不同。
目的/问题：探索北爱尔兰年轻服务使用者对心理健康康复的看法。
采用伽达默尔基础的解释学方法对半结构化的个体定性访谈进行分析，并采用一种新的理论框架进行解释。样本由 25 名平均年龄为 28 岁的参与者组成。
出现了五个关键主题：服务：一开始就是一场败仗；从你的基础到黑暗中的一步；放下痛苦而不是经历；从灰烬中幸存下来的康复；需要不仅仅是一个词。
主要发现是康复涉及到重新获得他们积极和有目的的生命力。有研究表明，年轻人已经发展出一种解释模式，即“利用你想埋葬的东西”，将疾病叙述转变为健康策略。
这项研究对心理健康护理具有重要意义，因此，心理健康康复的过程不应被视为临床途径，而应被视为个人健康的个性化策略。
