Improving exchange with consumers within mental health organizations: Recognizing mental ill health experience as a ‘sneaky, special degree’
Improving exchange with consumers within mental health organizations: Recognizing mental ill health experience as a ‘sneaky, special degree’
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改善心理健康组织内与消费者的交流：将心理疾病经历视为“偷偷摸摸的特殊学位”
DOI：
10.1111/inm.12312
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发表时间：
2018
影响因子：
5.6
通讯作者：
B. Happell
中科院分区：
文献类型：
--
作者：
Brett Scholz;Julia Bocking;B. Happell
甚至在精神卫生组织工作的人也可能持有对消费者的污名化观点。当代精神卫生政策要求各组织在提供和提供服务方面与消费者合作。利用社会交换理论（强调相互交换以使伙伴关系中的利益最大化），本研究探讨了在具有某种程度的消费者领导的组织中工作的人的观点。与来自各种心理健康组织的14名参与者进行了访谈。数据被转录，并使用主题分析和话语心理学技术进行分析。调查结果表明，即使在有消费者担任领导职务的组织中，耻辱感仍然普遍存在，而且消费者通常被认为比非消费者更不能在精神卫生组织中工作。一些论述对这种观点提出了挑战——展示了消费者如何通过他们在精神卫生系统中的专业知识为精神卫生组织带来价值，以及他们为其他消费者提供安全和支持的能力。通过社会交换理论的视角，作者呼吁组织挑战耻辱，促进消费者可以带来的价值，以最大限度地提高双方的利益。
Stigmatizing views towards consumers may be held even by those working within mental health organizations. Contemporary mental health policies require organizations to work collaboratively with consumers in producing and delivering services. Using social exchange theory, which emphasises mutual exchange to maximise benefits in partnership, the current study explores the perspectives of those working within organizations that have some level of consumer leadership. Interviews were conducted with 14 participants from a range of mental health organizations. Data were transcribed, and analyzed using thematic analytic and discursive psychological techniques. Findings suggest stigma is still prevalent even in organizations that have consumers in leadership positions, and consumers are often perceived as less able to work in mental health organizations than non-consumers. Several discourses challenged such a view - showing how consumers bring value to mental health organizations through their expertise in the mental health system, and their ability to provide safety and support to other consumers. Through a social exchange theory lens, the authors call for organizations to challenge stigma and promote the value that consumers can bring to maximize mutual benefits.