重建康复:通过印度回忆录重新审视心理健康康复叙事框架

IF 2.1 4区 医学 Q3 HEALTH CARE SCIENCES & SERVICES
Ryno Settrisman, Ajit K. Mishra
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引用次数: 0

摘要

心理健康康复叙事(MHRN)在心理健康政策和实践中的康复范式中起着至关重要的作用。然而,现有的表征MHRN的概念框架缺乏来自印度叙事的代表,从而进一步提出了关于其在印度精神卫生保健系统和实践中的适用性的问题。本文旨在(1)评估由Llewellyn-Beardsley等人提出的MHRN特征框架的整体适用性,该框架由九个总体维度组成,相对于印度叙事;(2)开发一种表征MHRN的类型学,该类型学可以为印度背景下的研究、实践和基于叙事的干预提供信息。方法对19份以生活回忆录形式出现的印度MHRN进行演绎和归纳分析,以评估现有MHRN框架的维度和类型的相关性。结果发现现有MHRN框架的大部分组成部分与选定的印度叙事中的恢复维度相对应。然而,在印度回忆录中确定了其他一些组成部分,并将其纳入更全面的类型学,扩大了MHRN框架的范围。精炼的类型学为印度环境下的研究、实践和基于叙事的干预提供了证据。对印度精神卫生保健系统和实践的影响也进行了讨论。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reframing Recovery: Revisiting Mental Health Recovery Narratives Framework Through Indian Memoirs

Rationale

Mental Health Recovery Narratives (MHRN) play a crucial role in the recovery paradigm within mental health policy and practice. However, an existing conceptual framework characterising MHRN lacks representation from Indian narratives thereby raising further questions regarding its suitability in the Indian mental health care system and practice.

Objectives

The present article aims (1) to assess the overall applicability of the framework characterising MHRN, conceptualised by Llewellyn-Beardsley et al. and consisting of nine overarching dimensions vis-a-vis Indian narratives, and (2) to develop a typology characterising MHRN that can inform research, practice, and narrative-based interventions within the Indian context.

Methods

Nineteen Indian MHRN in the form of life memoirs were analysed deductively and inductively to assess the relevance of the dimensions and types of the existing MHRN framework.

Results

Most of the components of the existing MHRN framework were found to be corresponding with the dimensions of recovery in the select Indian narratives. However, a few other components were identified in the indian memoirs, and were incorporated into a more comprehensive typology expanding the scope of the MHRN framework.

Conclusion

The refined typology provides evidence for research, practice, and narrative-based interventions within the Indian context. The implications for the Indian mental health care system and practice are also discussed.

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来源期刊
CiteScore
4.80
自引率
4.20%
发文量
143
审稿时长
3-8 weeks
期刊介绍: The Journal of Evaluation in Clinical Practice aims to promote the evaluation and development of clinical practice across medicine, nursing and the allied health professions. All aspects of health services research and public health policy analysis and debate are of interest to the Journal whether studied from a population-based or individual patient-centred perspective. Of particular interest to the Journal are submissions on all aspects of clinical effectiveness and efficiency including evidence-based medicine, clinical practice guidelines, clinical decision making, clinical services organisation, implementation and delivery, health economic evaluation, health process and outcome measurement and new or improved methods (conceptual and statistical) for systematic inquiry into clinical practice. Papers may take a classical quantitative or qualitative approach to investigation (or may utilise both techniques) or may take the form of learned essays, structured/systematic reviews and critiques.
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