Tackling loneliness together: A three-tier social identity framework for social prescribing

IF 4 2区 心理学 Q1 PSYCHOLOGY, SOCIAL
S. Alexander Haslam, Catherine Haslam, Tegan Cruwys, Leah S. Sharman, Shaun Hayes, Zoe Walter, Jolanda Jetten, Niklas K. Steffens, Magnolia Cardona, Crystal J. La Rue, Niamh McNamara, Blerina Këllezi, Juliet R. H. Wakefield, Clifford Stevenson, Mhairi Bowe, Peter McEvoy, Alysia M. Robertson, Mark Tarrant, Genevieve Dingle
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Abstract

In recent years, there has been growing recognition of the threats to health posed by loneliness. One of the main strategies that has been recommended to address this is social prescribing (SP). This typically involves general practitioners (GPs) and other health practitioners directing clients who are experiencing loneliness and related conditions to take part in social activities—typically in recreational and community contexts. However, evidence for the effectiveness of SP is mixed—leading some to suggest that enthusiasm for it might be misplaced. In this review, we argue that a core problem with most existing approaches to SP is that they lack a strong theoretical base. This has been a barrier to (a) understanding when SP will work and why, (b) designing optimally effective SP programmes, and (c) developing practitioner skills and appropriate infrastructure to support them. As a corrective to this state of affairs, this review outlines a three-tier social identity framework for SP and five associated hypotheses. These hypotheses predict that SP will be more effective when (a) clients join groups and (b) these groups are ones with which they identify, and when SP is supported by (c) social-identity-enhancing social infrastructure, (d) a social-identity-based therapeutic alliance, and (e) identity leadership that builds and shapes this alliance as well as clients’ identification with prescribed groups. This framework is supported by a range of evidence and provides an agenda for much-needed future research and practice.
共同应对孤独:社会处方的三层社会认同框架
近年来,人们越来越认识到孤独对健康造成的威胁。解决这一问题的主要策略之一是社会处方(SP)。这通常是指全科医生(GP)和其他医疗从业人员指导那些经历过孤独和相关疾病的客户参加社交活动--通常是在娱乐和社区环境中。然而,有关社交活动有效性的证据不一,导致一些人认为对社交活动的热衷可能是错误的。在这篇综述中,我们认为大多数现有的 SP 方法的核心问题是缺乏坚实的理论基础。这阻碍了(a)了解 SP 何时有效及其原因,(b)设计最佳有效的 SP 方案,以及(c)发展实践者技能和适当的基础设施以支持这些方案。为了纠正这种状况,本综述概述了 SP 的三层社会认同框架和五个相关假设。这些假设预测,当(a)服务对象加入团体,(b)这些团体是他们认同的团体,以及当(c)社会认同增强型社会基础设施、(d)基于社会认同的治疗联盟和(e)建立和塑造这种联盟以及服务对象对规定团体的认同的认同领导力支持 SP 时,SP 将更加有效。这一框架得到了一系列证据的支持,并为亟需的未来研究和实践提供了议程。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
8.50
自引率
4.50%
发文量
76
期刊介绍: Group Processes & Intergroup Relations is a scientific social psychology journal dedicated to research on social psychological processes within and between groups. It provides a forum for and is aimed at researchers and students in social psychology and related disciples (e.g., organizational and management sciences, political science, sociology, language and communication, cross cultural psychology, international relations) that have a scientific interest in the social psychology of human groups. The journal has an extensive editorial team that includes many if not most of the leading scholars in social psychology of group processes and intergroup relations from around the world.
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