Beyond conventional healthcare for mental health problems: Experiences of existential group conversations.

IF 1.9 4区 医学 Q2 REHABILITATION
Inger Jansson, Karin Thörne, Daniel Masterson
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引用次数: 0

Abstract

Background: Mental health problems (MHP) are a major public health challenge. Conventional healthcare has shown limitation on reducing MHP and there is a call for offering methods beyond healthcare as well as improve access to healthcare.

Aims: To explore experiences among people having MHP of (i) taking part in existential conversations in groups beyond conventional healthcare and (ii) seeking and receiving conventional healthcare.

Materials and methods: Four focus group interviews were conducted after finishing existential conversations in groups. Data was analyzed following thematic analysis.

Results: The theme Access to a community for exploration and acceptance describes communication through impressions and expressions together with others. A reflective perspective on everyday life, describes re-evaluation through reflection. Within the theme Experiences of healthcare related encounters, referring to the second aim, participants recollected feelings of disconnectedness, difficulties verbalizing MHP and dealing with rigid, standardized measures.

Conclusion: Existential conversations in group may contribute to a more reflected doing in accordance with one's own values as well as improved mental health literacy. Design and measures within healthcare need to explicitly address MHP and consider individual's own preferences.

Significance: This study contributes to understanding of coping with MHP in everyday life from an existential perspective.

超越心理健康问题的传统医疗保健:存在主义群体对话的经验。
背景:心理健康问题(MHP)是一个重大的公共卫生挑战。传统医疗保健在降低MHP方面显示出局限性,有人呼吁提供医疗保健之外的方法,并改善获得医疗保健的机会。目的:探索MHP患者的经历:(i)在传统医疗保健之外的群体中参与生存对话,以及(ii)寻求和接受传统医疗保健。材料和方法:在完成小组生存对话后,进行四次焦点小组访谈。根据专题分析对数据进行了分析。结果:主题“进入社区进行探索和接受”描述了通过印象和表达与他人的交流。对日常生活的反思性视角,描述了通过反思进行的重新评价。在主题“医疗保健相关遭遇的经历”中,提到第二个目标,参与者回忆了脱节的感觉、MHP的语言表达困难以及处理僵化、标准化的措施。结论:小组中的存在性对话可能有助于更多地反映自己的价值观,并提高心理健康素养。医疗保健的设计和措施需要明确解决MHP问题,并考虑个人的偏好。意义:本研究有助于从存在主义的角度理解日常生活中应对MHP的问题。
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
3.40
自引率
15.80%
发文量
45
审稿时长
6-12 weeks
期刊介绍: The Scandinavian Journal of Occupational Therapy is an internationally well-recognized journal that aims to provide a forum for occupational therapy research worldwide and especially the Nordic countries. Scandinavian Journal of Occupational Therapy welcomes: theoretical frameworks, original research reports emanating from quantitative, qualitative and mixed methods studies, literature reviews, case studies, presentation and evaluation of instruments, evaluation of interventions, learning and teaching in OT, letters to the editor.
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