Rohr Eliana, Antebi Lara, Jarvis G Eric, Whitley Rob
Faculty of Medicine, McGill University.
Department of Sociology, University of British Columbia.
Psychiatr Rehabil J. 2025 Mar;48(1):54-61. doi: 10.1037/prj0000625. Epub 2024 Jul 25.
The overall aim of this study was to elicit and document the recovery-related perspectives and experiences of Haredi Jews with lived experience of mental illness living in Canada. A more focused objective was to specifically explore self-identified facilitators and barriers toward recovery from mental illness in this group.
We conducted a qualitative study involving semistructured interviews with 20 women who (a) identified as Haredi Jews, (b) had used mental health services in recent years, and (c) were 18+ years of age. Interviews were transcribed and analyzed using thematic analysis techniques.
Four prominent themes emerged from the analysis. The first two themes were predominantly facilitators, and the last two themes were predominantly barriers. These themes were (i) a close-knit, supportive, and lively community with considerable social capital; (ii) Judaic beliefs and practices regarding Gd, daily life, and health care giving structure, meaning, and purpose; (iii) community stigma and self-stigma, often related to marriageability of self or offspring, as well as notions of perfection; and (iv) a lack of wider mental health literacy, despite participants speaking positively about mental health services such as medication and therapy.
This study indicates several individual-level and community-level factors that are reported to facilitate recovery in Haredi Jews. However, problems of stigma and mental health literacy remain an issue. Targeted antistigma programs, such as co-constructed contact-based educational interventions, may be helpful in contributing to a community climate that further facilitates recovery. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
本研究的总体目标是引出并记录加拿大有精神疾病生活经历的哈雷迪犹太人与康复相关的观点和经历。一个更具针对性的目标是具体探索该群体中自我认同的促进康复和阻碍康复的因素。
我们开展了一项定性研究，对20名女性进行了半结构化访谈，这些女性：（a）自认为是哈雷迪犹太人；（b）近年来使用过心理健康服务；（c）年龄在18岁及以上。访谈内容进行了转录，并采用主题分析技术进行分析。
分析得出了四个突出的主题。前两个主题主要是促进因素，后两个主题主要是阻碍因素。这些主题分别是：（i）一个紧密、支持性强且充满活力的社区，拥有可观的社会资本；（ii）关于上帝、日常生活和医疗保健的犹太信仰及习俗赋予了结构、意义和目的；（iii）社区污名和自我污名，通常与自身或后代的适婚性以及完美观念有关；（iv）尽管参与者对药物治疗和心理治疗等心理健康服务评价积极，但缺乏更广泛的心理健康知识。
本研究指出了一些据报道有助于哈雷迪犹太人康复的个人层面和社区层面的因素。然而，污名和心理健康知识问题仍然存在。有针对性的反污名项目，如共同构建的基于接触的教育干预措施，可能有助于营造一个更有利于康复的社区氛围。（PsycInfo数据库记录（c）2025美国心理学会，保留所有权利）
