Segal S P, Silverman C, Temkin T
School of Social Work, University of California at Berkeley 94720.
Soc Work. 1993 Nov;38(6):705-12.
During the past 15 years, there has been tremendous growth in the number of self-help groups and agencies for mental health clients. This article examines the self-help perspective in relation to problems with traditional mental health services and the need for client-run services. Self-help agencies see their goal as empowerment on an individual, organizational, and societal level. They strive to accomplish this by helping members obtain needed resources and develop coping skills; providing means of enhancing members' self-concept and lessening the stigma of perceived mental disability; giving members control in the agencies' governance, administration, and service delivery; and furthering member involvement in social policy-making. The goal of this article is not to endorse the self-help perspective but to use it as the basis for raising research questions that will further the mental health practitioner's understanding of this service modality.
在过去15年里,为心理健康服务对象设立的自助团体和机构数量大幅增长。本文探讨了与传统心理健康服务问题相关的自助观点以及对由服务对象运营的服务的需求。自助机构将其目标设定为在个人、组织和社会层面实现赋权。他们努力通过以下方式来实现这一目标:帮助成员获取所需资源并培养应对技能;提供增强成员自我概念以及减轻感知到的精神残疾耻辱感的方法;让成员在机构的治理、管理和服务提供方面拥有控制权;以及促进成员参与社会政策制定。本文的目的不是支持自助观点,而是将其作为提出研究问题的基础,以增进心理健康从业者对这种服务模式的理解。