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严重精神障碍患者的生活体验:个人康复过程的叙述。

Experiences of living with severe mental disorder: narratives about the personal recovery process.

机构信息

Escola Nacional de Saúde Pública Sergio Arouca, Fundação Oswaldo Cruz. R. Leopoldo Bulhões 1480, Manguinhos. 21041-210 Rio de Janeiro RJ Brasil.

Escola Politécnica de Saúde Joaquim Venâncio, Fundação Oswaldo Cruz. Rio de Janeiro RJ Brasil.

出版信息

Cien Saude Colet. 2024 Oct;29(10):e11352023. doi: 10.1590/1413-812320242910.11352023. Epub 2023 Sep 19.

Abstract

The article approaches the subject of recovery, a sociopolitical movement, field of studies and practices that aims, from the experience of people living with mental disorders, to promote a more optimistic outlook of the prognosis. Aiming to understand the recovery process of people who experience severe mental disorders, qualitative research was developed, based on Gadamerian hermeneutics. We conducted in-depth interviews, in the form of life narratives, with five people who recognize themselves in the process of recovery, and are part of a mental health patient group. Based on narrative analysis, three axes were organized: recovery process facilitators and coping strategies; barriers of recovery process; and relationship with diagnosis. The discussion is based on Canguilhem's theory; in the logic of psychosocial care, and in theories about the notion of recovery. We identified important intersubjective and sociocultural resources for recovery, however, we concluded that these same elements may constitute barriers to a creative existence, as the social norm remains crossed by the stigma that accompanies mental disorders, and by hierarchical power relations.

摘要

本文探讨了康复这一主题,它既是一场社会政治运动,也是一个研究和实践领域,旨在从精神障碍患者的经验出发,对预后持更乐观的态度。为了了解经历严重精神障碍的人的康复过程,我们开展了一项基于伽达默尔解释学的定性研究。我们对五名自认为处于康复过程中的人进行了深入访谈,他们是一个心理健康患者群体的一部分。基于叙事分析,我们组织了三个轴:康复过程的促进因素和应对策略;康复过程的障碍;以及与诊断的关系。讨论基于康吉莱姆的理论;在心理社会关怀的逻辑中,并在关于康复概念的理论中。我们确定了对康复很重要的主体间和社会文化资源,但我们得出的结论是,这些相同的因素也可能成为创造性存在的障碍,因为社会规范仍然受到伴随精神障碍的污名和等级权力关系的影响。

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