Tenzek Kelly E, Lattimer Tahleen A, Heneveld Kyle, Lapan Emily, Neurohr Madison, Gillis Stephanie
Department of Communication, University at Buffalo, The State University of New York, Buffalo, NY, United States.
Front Psychiatry. 2023 Jun 16;14:1204973. doi: 10.3389/fpsyt.2023.1204973. eCollection 2023.
Mental health and delivery of care is a global issue, that was only magnified by COVID-19. Over the past 3 years, people's time spent watching television increased, while the way that mental health care was delivered changed. Audiences can gain insight into mental health issues through positive or negative mediated depictions on television. We argue that mental health is a chronic condition and the importance of literacy through different domains is critical for how the characters in media content and audience viewers make sense of mental health.
The current study uses qualitative narrative analysis to examine the narrative probability and fidelity at the intersection of mental health depictions, the chronic care model, and different types of literacy in the award-winning series, .
Findings reveal that Randall's experiences with mental health ( = 38 episodes) depict moments of narrative coherence and fidelity to varying degrees. We see Randall's experiences align most with the self-management support and community elements of the CCM, but the overall depiction is unbalanced. Randall's literacy level is high, but if inspected on a deeper level, analysis points to differing levels of health and mental health literacy, thus enabling and constraining positive and realistic portrayals of mental health.
Implications for mental health as a chronic issue and care delivery through CCM are discussed along with the importance of different types of literacy for audience members who may be struggling with a mental health disorder or trying to navigate the health care system. We offer recommendations for using Randall's narrative as a teaching tool, integrating CCM into clinical visits to help guide delivery of care and understand literacy levels, and finally future work should continue this line of work from an Entertainment-Education perspective.
心理健康与医疗服务是一个全球性问题，新冠疫情更是加剧了这一问题。在过去三年里，人们看电视的时间增加了，而心理健康护理的提供方式也发生了变化。观众可以通过电视上正面或负面的媒介描绘来深入了解心理健康问题。我们认为，心理健康是一种慢性病，通过不同领域的素养对于媒体内容中的角色和观众理解心理健康至关重要。
本研究采用定性叙事分析方法，以考察在获奖剧集《》中心理健康描绘、慢性病护理模式和不同类型素养交叉点处的叙事可能性和忠实性。
研究结果表明，兰德尔的心理健康经历（共38集）在不同程度上展现了叙事连贯性和忠实性。我们发现兰德尔的经历与慢性病护理模式的自我管理支持和社区元素最为契合，但整体描绘并不平衡。兰德尔的素养水平较高，但深入分析表明，其健康素养和心理健康素养水平存在差异，从而对心理健康的积极和现实描绘产生了促进和限制作用。
我们讨论了将心理健康视为慢性病问题以及通过慢性病护理模式提供护理的意义，以及不同类型素养对于可能正在与心理健康障碍作斗争或试图在医疗系统中寻求帮助的观众的重要性。我们提出了一些建议，包括将兰德尔的故事作为教学工具，将慢性病护理模式融入临床问诊以帮助指导护理提供并了解素养水平，最后，未来的工作应从娱乐教育的角度继续开展这方面的研究。
