Politicising crisis support: learning from autonomous self-organising in Bochum, Germany

IF 1.4 Q3 PSYCHIATRY
Jasna Russo, S. von Peter
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引用次数: 3

Abstract

ABSTRACT Objective In distinction to research on ‘peer work’ within mental health systems, crisis support in grass-roots organisations of people with psychiatric experience has been researched to a far lesser extent. The topic of our study was the work of a German self-advocacy and crisis respite project that has been operating for 25 years. The purpose was to (a) understand the project’s core principles within its particular history and development context, and (b) to assess the value of this approach against its own criteria of what constitute good quality responses to psychosocial crises. Method This was a qualitative exploration with a collaborative-participatory approach. The inquiry was divided into exploratory, evaluation and developmental phases. The methods included in-depth interviews with project workers and former residents (26) and seven focus groups as a means of validation and joint interpretation of the findings. Findings The work of Bochum respite de-professionalises crisis support, approaching it as integral to collective efforts aimed at social justice. The main features of crisis support include a fluid and changeable division of roles, individual definition of goals and achievements, accessibility and adaptability of support, as well as a focus on both personal and collective responsibility. Discussion The findings expand the understanding of human crisis beyond mental health and demonstrate community potential to work against psychocentrism and put forward a wide range of responses. We reflect on how the research approach itself can strengthen the transformative potential of grassroots initiatives rather than ready them for co-option within mental health care systems.
危机支持的政治化:从德国波鸿的自治自组织中学习
【摘要】目的区别于对精神卫生系统内“同伴工作”的研究,对有精神病学经验的人的基层组织的危机支持的研究程度要小得多。我们的研究主题是一个德国自我倡导和危机缓解项目的工作,该项目已经运行了25年。目的是(a)在其特定的历史和发展背景下了解项目的核心原则,(b)根据其自身的标准评估这种方法的价值,即什么是对社会心理危机的高质量反应。方法采用协作-参与式方法进行定性研究。调查分为探索、评价和发展三个阶段。方法包括与项目工作人员和前居民进行深入访谈(26)和七个焦点小组,作为验证和联合解释研究结果的手段。波鸿的工作将危机支持非专业化,将其视为旨在实现社会正义的集体努力的组成部分。危机支持的主要特点包括:角色分工灵活多变、个人对目标和成就的定义、支持的可及性和适应性,以及对个人和集体责任的关注。研究结果扩展了对人类危机的理解,超越了心理健康,展示了社区对抗心理中心主义的潜力,并提出了广泛的应对措施。我们反思研究方法本身如何能够加强基层倡议的变革潜力,而不是让它们准备好在精神卫生保健系统内进行选择。
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
3.20
自引率
7.10%
发文量
19
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