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互惠学习:探索合作、知识和角色在康复导向服务发展中的作用。一种解释学-现象学研究。

Mutual learning: exploring collaboration, knowledge and roles in the development of recovery-oriented services. A hermeneutic-phenomenological study.

机构信息

Center for Mental Health and Substance Abuse, Faculty of Health and Social Sciences, University of South-Eastern Norway, Drammen, Norway.

Department of Psychosocial Health, University of Agder, Grimstad, Norway.

出版信息

Int J Qual Stud Health Well-being. 2021 Dec;16(1):2001898. doi: 10.1080/17482631.2021.2001898.

Abstract

PURPOSE

The concept of recovery is commonly described as multifaceted and contested in the field of mental health and substance abuse. The aim of this study is to explore how understandings of recovery and recovery orientation of services are developed through daily practices and collaboration between service users and professionals.

METHODS

Eight pairs of participants were interviewed together, in accordance with the dyadic interview method. The dyads/pairs consisted of service users and professional helpers. A collaborative hermeneutic-phenomenological analysis was used to analyse data.

RESULTS

Data were analysed into three overarching and entangled themes, exploring how recovery-oriented collaboration and knowledge encompasses (a) recovery as relational processes. These processes are entangled with (b) recovery as situated in time and place. Furthermore, relational processes and dimensions of time and place are situated in and supported or hindered by (c) recovery orientation as part of the municipal policies, understood as the regulations, frameworks and decisions guiding mental health and substance abuse services in the municipality.

CONCLUSIONS

The further development of recovery-oriented services should focus on facilitating open-ended and flexible ways of developing practices and relationships. This involves recognizing how relationships contribute to the development of knowledge and practices.

摘要

目的

在心理健康和药物滥用领域,“康复”的概念通常被描述为多方面的,存在争议。本研究旨在探讨通过服务使用者和专业人员之间的日常实践和合作,如何形成对康复和服务康复方向的理解。

方法

根据对偶访谈法,对 8 对参与者进行了联合访谈。这些对偶/对由服务使用者和专业帮助者组成。采用协作解释学-现象学分析方法来分析数据。

结果

数据分析为三个总体上相互交织的主题,探讨了面向康复的协作和知识如何包含(a)作为关系过程的康复。这些过程与(b)作为时间和地点定位的康复交织在一起。此外,时间和地点的关系过程和维度存在于并由(c)作为市政政策一部分的康复方向所支持或阻碍,这些政策被理解为指导该市心理健康和药物滥用服务的法规、框架和决策。

结论

面向康复的服务的进一步发展应侧重于促进灵活和开放的实践和关系发展方式。这涉及到认识到关系如何有助于知识和实践的发展。

相似文献

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Contested understandings of recovery in mental health.精神健康领域中对康复的不同理解。
J Ment Health. 2018 Oct;27(5):475-481. doi: 10.1080/09638237.2018.1466037. Epub 2018 May 17.

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