Counselling strategies for bereaved people offered in primary care
Counselling strategies for bereaved people offered in primary care
复制标题
初级保健中为失去亲人的人提供的咨询策略
DOI：
10.1080/09515070110115680
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发表时间：
2002
影响因子：
3
通讯作者：
D. Field
中科院分区：
文献类型：
--
作者：
Sheila Payne;N. Jarrett;Rose Wiles;D. Field
本研究的目的是确定战略，一般的做法为基础的辅导员提供支持时，丧亲的客户。在过去十年中，与英国初级保健服务有关的咨询服务迅速增长。设计了一项研究，涉及数据收集（半结构化访谈）和分析（扎根理论方法）的定性方法。顾问是从英国南部的两个城市（普利茅斯和南安普顿）招募的。29名（76%的应答率）顾问同意参与（南安普顿n = 15，普利茅斯n = 14）。半结构化的面对面的录音采访引起了他们的看法，全科医生转介，咨询策略和丧亲之痛的模式的适当性的信息。分析表明，咨询人员将丧亲之痛咨询纳入了与损失和关系管理有关的更广泛的工作议程。许多人借鉴了折衷的方法来进行丧亲咨询，具体的策略包括：促进讲述失去亲人的“故事”;积极倾听和重视允许人们交谈;建立支持性关系;使丧亲之人能够处理未完成的事情并说“再见”。心理咨询师利用了悲伤的内隐阶段/阶段模型，该模型假设悲伤水平随着时间的推移而降低。这些战略的价值需要更多的探索。
The aim of this study was to identify strategies that general practice-based counsellors used when offering support to bereaved clients. Over the last decade, there has been a rapid growth in the provision of counselling services associated with British primary care services. A study was designed involving qualitative methods of data collection (semi-structured interviews) and analysis (a grounded theory approach). Counsellors were recruited from two cities in Southern Britain (Plymouth and Southampton). Twenty nine (76% response rate) counsellors agreed to participate (Southampton n = 15, Plymouth, n = 14). Semi-structured face-to-face audio-taped interviews elicited information about their perceptions of the appropriateness of general practitioner referrals, counselling strategies and models of bereavement. Analysis indicated that counsellors saw bereavement counselling within a broader agenda of work concerned with loss and relationship management. Many drew on eclectic approaches to bereavement counselling and specific strategies included: facilitating telling of the 'story' of the loss; engaging in active listening and valuing allowing people to talk; establishing a supportive relationship; and enabling the bereaved person to deal with unfinished business and to say 'goodbye'. Counsellors drew on implicit stage/phase models of grief that assumed levels of distress reduced over time. The value of these strategies requires more exploration.