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重塑康复:通过印度回忆录重新审视心理健康康复叙事框架

Reframing Recovery: Revisiting Mental Health Recovery Narratives Framework Through Indian Memoirs.

作者信息

Settrisman Ryno, Mishra Ajit K

机构信息

Indian Institute of Technology (BHU) Varanasi, Varanasi, India.

出版信息

J Eval Clin Pract. 2025 Aug;31(5):e70229. doi: 10.1111/jep.70229.

Abstract

RATIONALE

Mental Health Recovery Narratives (MHRN) play a crucial role in the recovery paradigm within mental health policy and practice. However, an existing conceptual framework characterising MHRN lacks representation from Indian narratives thereby raising further questions regarding its suitability in the Indian mental health care system and practice.

OBJECTIVES

The present article aims (1) to assess the overall applicability of the framework characterising MHRN, conceptualised by Llewellyn-Beardsley et al. and consisting of nine overarching dimensions vis-a-vis Indian narratives, and (2) to develop a typology characterising MHRN that can inform research, practice, and narrative-based interventions within the Indian context.

METHODS

Nineteen Indian MHRN in the form of life memoirs were analysed deductively and inductively to assess the relevance of the dimensions and types of the existing MHRN framework.

RESULTS

Most of the components of the existing MHRN framework were found to be corresponding with the dimensions of recovery in the select Indian narratives. However, a few other components were identified in the indian memoirs, and were incorporated into a more comprehensive typology expanding the scope of the MHRN framework.

CONCLUSION

The refined typology provides evidence for research, practice, and narrative-based interventions within the Indian context. The implications for the Indian mental health care system and practice are also discussed.

摘要

理论依据

心理健康康复叙事(MHRN)在心理健康政策与实践中的康复范式里发挥着关键作用。然而,现有的表征MHRN的概念框架缺乏印度叙事的呈现,因此引发了关于其在印度心理健康护理体系及实践中适用性的更多问题。

目标

本文旨在(1)评估由卢埃林 - 比尔兹利等人概念化的、包含九个总体维度的表征MHRN的框架相对于印度叙事的整体适用性,以及(2)构建一种表征MHRN的类型学,可为印度背景下的研究、实践及基于叙事的干预提供参考。

方法

对19篇以生活回忆录形式呈现的印度MHRN进行了演绎和归纳分析,以评估现有MHRN框架各维度及类型的相关性。

结果

现有的MHRN框架的大多数组成部分被发现与所选印度叙事中的康复维度相对应。然而,在印度回忆录中还识别出了一些其他组成部分,并将其纳入一个更全面的类型学中,从而扩展了MHRN框架的范围。

结论

完善后的类型学为印度背景下的研究、实践及基于叙事的干预提供了依据。同时还讨论了其对印度心理健康护理体系及实践的影响。

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