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内心的平静:通过个人有意义的改变应对与气候危机相关的心理健康问题。

Peace in mind: responding to mental ill health associated with the climate crisis through personally meaningful change.

作者信息

Burns K, Doran D, Pearson M

机构信息

School of Health SciencesB236, Medical SchoolQueen's Medical CentreNottingham, University of Nottingham, NG7 2HA, UK.

School of Health Sciences, University of Nottingham, Nottingham, UK.

出版信息

Perspect Public Health. 2025 Jul;145(4):202-208. doi: 10.1177/17579139251350828. Epub 2025 Jul 15.

Abstract

AIMS

To explore the principles of the Wellness Recovery Action Plan (WRAP) framework in relation to climate change as a global threat to mental health. To introduce WRAP to public health practitioners involved in improving the mental health of diverse populations in response to climate change. To critically review how privileging the principles of WRAP can inform public and healthcare practitioner approaches to tackling rising distress resulting from climate change.

METHODS

A selective, iterative, purposive review of theoretical and empirical studies, within a critical realist epistemology, was undertaken. Analysis was undertaken deductively.

FINDINGS

The WRAP principles of personal responsibility, self-advocacy, hope, support, and education are considered in turn. While exploring the principles of WRAP, additional frameworks and concepts in mental health are explored in relation to climate change. Each of the principles explored has a link to the work already being undertaken informally by those involved in climate activism. Principles of recovery from distress draw our attention to 'active hope' and 'citizenship' through reconnection with people and planet, and sharing common experiences.

CONCLUSIONS

Experiences of those experiencing distress and those involved in climate activism can provide new ways to re-formulate theory and practice for public health initiatives. By meeting the concerns of citizens in relation to their health in the context of a changing climate, health practitioners have the opportunity to improve psychological and material circumstances by using accessible, personally meaningful, and community-connecting frameworks such as WRAP. By encouraging hope-full re-orientation and action, healthcare workers and the citizens they aim to serve can improve their mutual health and inform future individual or collective action in relation to climate change.

摘要

目标

探讨健康恢复行动计划(WRAP)框架在应对气候变化这一全球心理健康威胁方面的原则。向参与改善不同人群心理健康以应对气候变化的公共卫生从业者介绍WRAP。批判性地审视重视WRAP原则如何为公共和医疗从业者应对气候变化导致的日益增加的痛苦提供方法。

方法

在批判实在论认识论的框架下,对理论和实证研究进行了选择性、迭代性、目的性的综述。分析采用演绎法。

结果

依次考虑了WRAP的个人责任、自我倡导、希望、支持和教育原则。在探讨WRAP原则的同时,还探讨了心理健康方面与气候变化相关的其他框架和概念。所探讨的每一项原则都与气候行动主义者已经在非正式开展的工作相关联。从痛苦中恢复的原则通过与人和地球重新建立联系并分享共同经历,将我们的注意力引向“积极的希望”和“公民身份”。

结论

经历痛苦的人和参与气候行动主义的人的经验可以为重新制定公共卫生倡议的理论和实践提供新方法。通过在气候变化的背景下满足公民对自身健康的关注,健康从业者有机会通过使用诸如WRAP这样易于理解、个人有意义且与社区相关联的框架来改善心理和物质状况。通过鼓励充满希望的重新定位和行动,医护人员及其旨在服务的公民可以改善彼此的健康状况,并为未来与气候变化相关的个人或集体行动提供参考。

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