Hegde Srishti, Quadros Shalini, Appaji Rashmi, Acharya Vinita A
Department of Occupational Therapy, Manipal College of Health Professions, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Department of Psychiatry, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Community Ment Health J. 2025 Feb;61(2):281-292. doi: 10.1007/s10597-024-01312-4. Epub 2024 Jul 4.
Traditional medical models have given way to recovery-oriented approaches over the years in the management of individuals with serious mental illnesses. However, very little is known about such recovery-based models in the Indian context. This qualitative study used a phenomenological approach to explore the experiences and meanings of recovery among individuals with serious mental illness in southern India. Purposive sampling with maximum variation was used to recruit participants. In-depth interviews were conducted with ten participants, using a semi-structured interview guide. Thematic analysis resulted in three themes: "The illness journey," "Life minus illness = Recovery," and "It takes a village to recover,". Illness and recovery seemed to be two sides of the same coin with the context playing an influential role in the perceptions of recovery. The term "recovery" seemed to be a misnomer giving the impression that one is expected to return to an illness free state.
多年来，在严重精神疾病患者的管理方面，传统医学模式已让位于以康复为导向的方法。然而，在印度背景下，对于这种基于康复的模式知之甚少。这项定性研究采用现象学方法，探索印度南部严重精神疾病患者的康复经历和意义。采用具有最大变异性的目的抽样法招募参与者。使用半结构化访谈指南对十名参与者进行了深入访谈。主题分析得出了三个主题：“患病历程”、“减去疾病的生活 = 康复”以及“康复需要全村人的支持”。疾病和康复似乎是同一枚硬币的两面，背景在康复认知中起着重要作用。“康复”这个词似乎用词不当，给人一种期望患者回归无病状态的印象。
