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有精神疾病和痛苦经历者的繁衍力。

Generativity among people with lived experience of mental illness and distress.

作者信息

Jordan Gerald, Davidson Larry, Bellamy Chyrell

机构信息

Department of Psychiatry, Douglas Research Centre, McGill University.

Department of Psychiatry, School of Medicine, Yale University.

出版信息

Am J Orthopsychiatry. 2022;92(3):280-290. doi: 10.1037/ort0000614. Epub 2022 Feb 3.

Abstract

Generativity refers to the contributions that people make toward the betterment of others, communities, and future generations. Engaging in generativity may add purpose and meaning to one's life, elements which people with mental illness often feel is relevant for their recovery. Despite its importance, what is known about how people with mental health problems engage in generativity, and the relationship between generativity and recovery is unclear. Addressing this knowledge gap may inform recovery-oriented interventions; and may help shift stigmatizing views that people with mental illnesses are a burden on society. This study explored generativity and its relationship to recovery among people with mental illnesses. The objectives were evaluated using a mixed methods sequential explanatory design over two phases. During the quantitative phase, participants completed questionnaires measuring generativity, recovery, and distress. During the qualitative phase, participants interpreted and elaborated upon the quantitative results. Phase one participants endorsed many items reflecting generativity. Generativity was correlated with overall recovery scores, as well as with domains reflecting no domination by symptoms ( = .32), a willingness to ask for help ( = .46), and personal confidence and hope ( = .48). Phase two participants discussed how the quantitative results resonated with their own experiences; their own generative behaviors, which included ephemeral and concrete forms of generativity; and how engaging in generativity improved their recovery. People with lived experience of mental illness make important contributions to the lives of other people and their communities; and these contributions can support recovery. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

摘要

繁衍力是指人们为他人、社区和后代的改善所做出的贡献。参与繁衍力活动可能会给一个人的生活增添目标和意义,而患有精神疾病的人常常觉得这些要素与他们的康复相关。尽管其很重要,但关于有心理健康问题的人如何参与繁衍力活动,以及繁衍力与康复之间的关系尚不清楚。填补这一知识空白可能会为以康复为导向的干预措施提供信息;并可能有助于改变那种认为患有精神疾病的人是社会负担的污名化观点。本研究探讨了患有精神疾病的人的繁衍力及其与康复的关系。研究目标通过两阶段的混合方法序列解释性设计进行评估。在定量阶段,参与者完成了测量繁衍力、康复和痛苦程度的问卷。在定性阶段,参与者对定量结果进行了解释和阐述。第一阶段的参与者认可了许多反映繁衍力的项目。繁衍力与总体康复得分相关,也与反映不受症状控制(r = 0.32)、求助意愿(r = 0.46)以及个人信心和希望(r = 0.48)的领域相关。第二阶段的参与者讨论了定量结果如何与他们自己的经历产生共鸣;他们自己的繁衍行为,包括短暂和具体形式的繁衍力;以及参与繁衍力活动如何改善他们的康复。有精神疾病生活经历的人对他人及其社区的生活做出了重要贡献;这些贡献可以支持康复。(PsycInfo数据库记录(c)2022美国心理学会,保留所有权利)

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