School of Health Sciences, Institute of Mental Health, 6123University of Nottingham, Nottingham, UK.
School of Health Sciences, 6123University of Nottingham, Nottingham, UK.
Qual Health Res. 2022 Oct;32(12):1828-1842. doi: 10.1177/10497323221118239. Epub 2022 Aug 18.
Mental health 'recovery narratives' are increasingly used within teaching, learning and practice environments. The mainstreaming of their use has been critiqued by scholars and activists as a co-option of lived experience for organisational purposes. But how people report their experiences of telling their stories has not been investigated at scale. We present accounts from 71 people with lived experience of multiple inequalities of telling their stories in formal and informal settings. A reflexive thematic analysis was conducted within a critical constructivist approach. Our overarching finding was that questions of power were central to all accounts. Four themes were identified: (1) Challenging the status quo; (2) Risky consequences; (3) Producing 'acceptable' stories; (4) Untellable stories. We discuss how the concept of narrative power foregrounds inequalities in settings within which recovery stories are invited and co-constructed, and conclude that power imbalances complicate the seemingly benign act of telling stories of lived experience.
心理健康“康复叙事”在教学、学习和实践环境中被越来越多地使用。学者和活动家批评这种使用的主流化是为了组织目的而对生活经历的收编。但是,人们报告自己讲述故事的经历的方式并没有被大规模调查过。我们展示了 71 名经历过多种不平等的人在正式和非正式环境中讲述自己故事的叙述。在批判的建构主义方法内进行了反思性主题分析。我们的主要发现是,权力问题是所有叙述的核心。确定了四个主题:(1)挑战现状;(2)有风险的后果;(3)产生“可接受”的故事;(4)无法讲述的故事。我们讨论了叙事权力的概念如何突出了在邀请和共同构建康复故事的环境中的不平等现象,并得出结论,权力失衡使讲述生活经历故事这一看似良性的行为变得复杂。