Care Wounds: Precarious Vulnerability and the Potential of Exposure
Care Wounds: Precarious Vulnerability and the Potential of Exposure
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DOI：
10.1007/s11013-018-9577-8
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发表时间：
2018-09-01
影响因子：
1.7
通讯作者：
Cubellis, Lauren
中科院分区：
文献类型：
--
作者：
Cubellis, Lauren
当关心的行为伤害了给予者时，提供关心意味着什么？对于同行专家-个人的生活经验，作为病人在精神病系统-这个问题塑造了他们如何使用自己的历史，以提供支持个人经历精神病危机。同伴支持的独特之处在于它利用了同理心的共鸣，并依赖于精心部署的脆弱性;一个人通过承认共同的经历和相互的伤害与他人联系。对于同龄人来说，当这种指导、保证和“陪伴”--所有这些都借鉴了他们自己的创伤历史和多样化的痛苦故事--减轻了另一个人正在经历的当前危机时，护理就会发挥作用。我在美国东部一个由同行组成的危机缓解中心进行了28个月的实地调查，我认为，同行专家成为亲密关系和补偿的一个新交叉点的体现;这种交叉点并不是将脆弱性作为护理商品化的后果、伤亡或风险因素，而是作为其共鸣的主要载体和它所基于的假设。对同伴来说，起作用的照顾--因为它能为顺从者创造一种相互的共鸣--同时也会成为伤害给予者的照顾。
What does it mean to offer care when the act of caring is wounding to its giver? For peer specialists-individuals with lived experience as patients in the psychiatric system-this question shapes how they use their own histories to provide support for individuals experiencing psychiatric crisis. Peer support is unique in the way it draws on empathetic resonance and depends on carefully deployed vulnerability; where one connects with others through the recognition of shared experience and mutual hurt. For peers, care works when this guidance, reassurance, and "being with"-all of which draw upon their own stories of traumatic history and variegated suffering-mitigate the present crisis being experienced by another. Drawing on twenty-eight months of fieldwork with a peer-staffed crisis respite center in the eastern United States, I argue that the peer specialist becomes the embodiment of a novel intersection of intimacy and compensation; one that poses vulnerability not as a consequence, casualty, or risk factor in the commodification of care, but as its principle vector of resonance and the assumption on which it is based. For peers, care that works-in that it creates a mutual resonance for the recipient-becomes simultaneously care that wounds its giver.