Bergen Clara, Bortolotti Lisa, Tallent Katherine, Broome Matthew, Larkin Michael, Temple Rachel, Fadashe Catherine, Lee Carmen, Lim Michele C, McCabe Rose
City University London.
University of Birmingham.
Theory Psychol. 2022 Oct;32(5):667-690. doi: 10.1177/09593543221095079. Epub 2022 Jun 22.
When young people seek support from mental health care practitioners, the encounters may affect the young people's sense of self, and in particular undermine their sense of agency. For this study, an interdisciplinary team of academics and young people collaboratively analysed video-recorded encounters between young people and mental healthcare practitioners in emergency services. They identified five communication techniques that practitioners can use to avoid undermining the young person's sense of agency in the clinical encounter. They conceptualise the use of those techniques as the adoption of an agential stance towards the young person. The agential stance consists of: (a) validating the young person's experiences, (b) legitimising the young person's choice to seek help, (c) refraining from objectifying the young person, (d) affirming the young person's capacity to contribute to positive change, and (e) involving the young person in the decision-making process.
当年轻人向心理健康护理从业者寻求支持时，这些会面可能会影响年轻人的自我认知，尤其是会削弱他们的自主意识。在本研究中，一个由学者和年轻人组成的跨学科团队合作分析了年轻人与急诊服务中的心理健康护理从业者之间的视频记录会面。他们确定了五种沟通技巧，从业者可以使用这些技巧来避免在临床会面中削弱年轻人的自主意识。他们将这些技巧的运用概念化为对年轻人采取一种能动立场。能动立场包括：(a) 认可年轻人的经历，(b) 使年轻人寻求帮助的选择合法化，(c) 避免将年轻人客体化，(d) 肯定年轻人促成积极改变的能力，以及 (e) 让年轻人参与决策过程。
