Experience of meaning in everyday occupations among unemployed people with severe mental illness
Experience of meaning in everyday occupations among unemployed people with severe mental illness
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DOI：
10.3109/11038128.2010.540038
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发表时间：
2012-01-01
影响因子：
1.9
通讯作者：
Eklund, Mona
中科院分区：
文献类型：
--
作者：
Argentzell, Elisabeth;Hakansson, Carita;Eklund, Mona
这项定性研究的目的是研究那些患有严重精神疾病和失业的人在日常工作中可能发现的意义的不同方面。研究人员采访了12名患有严重精神疾病的失业者，其中6人参加了日托中心，6人没有参加日托中心。采用内容分析法对数据进行分析。结果表明，当感觉有能力并在不同有意义的职业之间取得平衡时，体验到意义，这有助于被调查者控制他们的精神疾病。意义的主题是：参与社会，感觉自己有能力并被社会接受，创造惯例并富有成效，富有创造力并寻求知识，照顾好身心。人们发现，诸如照顾家庭或在日托中心从事生产性工作等职业可以替代有偿工作。结果表明，应鼓励重度精神疾病患者在康复过程中发挥积极作用，并从职业治疗师那里得到支持，如建立社会网络和日常生活，以及在工作和休息之间找到平衡。
The aim of this qualitative study was to examine the different facets of meaning that people who are severely mentally ill and unemployed may find in their everyday occupations. Twelve unemployed people with severe mental illness, six who attended day centres and six who did not, were interviewed regarding their experience of meaning in everyday occupations. The data were analysed with content analysis. The results showed that meaning was experienced when feeling competent and having a balance between different meaningful occupations that helped the informants control their mental illness. Themes of meaning were: being socially engaged, feeling competent and accepted by society, creating routines and being productive, being creative and seeking knowledge, and taking care of body and mind. Substitutes for paid work were found in occupations such as taking care of the household or being productive at a day centre. The results suggest that people with severe mental illness should be encouraged to play an active role in their rehabilitation process, and receive support from the occupational therapist in addressing aspects such as forming a social network and daily routines, and finding a balance between work-like occupations and rest.