'Stealing me from myself': identity and recovery in personal accounts of mental illness.

'Stealing me from myself': identity and recovery in personal accounts of mental illness.
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“从我自己那里偷走我”:精神疾病个人账户中的身份和康复。

DOI:
10.1080/00048670802050579
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发表时间:
2008
期刊:
The Australian and New Zealand journal of psychiatry
影响因子:
--
通讯作者:
Green,CarlaA
Green,CarlaA
中科院分区:
--
文献类型:
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作者:
Wisdom,JenniferP;Bruce,Kevin;Saedi,GoalAuzeen;Weis,Teresa;Green,CarlaA

文献摘要

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目的:为了理解和促进严重精神疾病的康复,研究那些正在应对精神健康问题的人的观点是很重要的。本研究旨在探讨严重精神疾病患者的家庭成员和个体的自我叙述中与身份相关的主题。它增加了身体的研究解决身份如何影响恢复的过程,并确定潜在的机会,使用出版的叙述,以支持个人,因为他们走向积极的身份,促进recovery.Method:45个个人帐户,从个人与严重的精神疾病,这是发表在两个著名的研究期刊之间的1998年和2003年,进行了定性分析。患有精神疾病的人及其家人描述了必须克服或至少管理的自我和身份的丧失,以使康复成为可能。作家描述(一)失去自我,(二)的双重性(病/好)的自我,(三)正常的看法,(四)具体关注养育和身份,(五)希望与reconciliation.Conclusions:个人的故事,他们的经验,严重的精神疾病描述了严重的挑战管理的身份。努力发布个人账户,专注于以患者为中心的优势故事,而不是缺陷,可能有助于为患者提供希望。这些已发表的叙述强调了在患者、家属和临床医生群体中将康复和希望放在首位的重要性。增加这些信息和榜样可以为个人提供重要的资源,帮助他们重新定义自己,创造一种自我价值感和稳定的身份,以支持富有成效的幸福生活。
Objectives: To understand and promote recovery from serious mental illnesses, it is important to study the perspectives of individuals who are coping with mental health problems. The aim of the present study was to examine identity-related themes in published self-narratives of family members and individuals with serious mental illness. It adds to the body of research addressing how identity affects the process of recovery and identifies potential opportunities for using published narratives to support individuals as they move toward positive identities that facilitate recovery.Method: Forty-five personal accounts from individuals with severe mental illness, which were published in two prominent research journals between 1998 and 2003, were qualitatively analysed.Results: Individuals with mental illness and their family members described a loss of self and identity that had to be overcome, or at least managed, for recovery to become possible. Writers described (i) a loss of self, (ii) the duality of (ill/well) selves, (iii) perceptions of normality, (iv) specific concerns about parenting and identity, and (v) hope and reconciliation.Conclusions: Individuals’ stories of their experiences of severe mental illness describe severe challenges managing identity. Efforts to publish personal accounts that focus on strengths-based patient-centred stories, rather than on deficits, could be helpful to provide hope for patients. These published narratives highlight the importance of moving recovery and hope to the forefront among patient, family, and clinician groups. Increasing such information and role models can provide important resources to individuals working to redefine themselves and create a sense of self-worth and stable identity that will support productive, happy lives.