年长、自我认同的男同性恋者对心理健康的概念化(PWB):加拿大视角。

IF 2.6 3区 医学 Q1 NURSING
Nursing Philosophy Pub Date : 2024-01-01 Epub Date: 2023-10-13 DOI:10.1111/nup.12466
Ingrid Handlovsky, Tessa Wonsiak, Anthony T Amato
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引用次数: 0

摘要

许多年长的男同性恋者由于独特的环境,包括歧视、感染艾滋病毒和因艾滋病毒/艾滋病危机而衰老,心理健康状况下降。然而,对于年长的男同性恋如何定义和理解PWB,仍然存在歧义。我们的团队采访并分析了居住在加拿大不列颠哥伦比亚省西南部的26名年龄较大(50岁以上)、自称会说英语的男性的描述。我们借鉴了建构主义基础理论和交叉性的原则,来解释独特的语境考虑和权力关系。半结构化Zoom访谈于2022年8月至10月进行。对访谈记录进行比较,以产生高阶的概念性发现,这些发现以被理解为PWB核心的过程为基础。PWB的三个时间过程强调了与权力和成熟相交的相互关联的社会和背景环境:(1)情感平衡,(2)感恩(3)充分接受自我。情感平衡支持了情感和可持续的满足状态,生活感恩从积累的经验中汲取智慧,培养了一种积极的情感状态,包括承认社会位置特权,同时充分接受自我,纠正了男性一生中所忍受的反同性恋话语的危害。这些知识与服务和资源开发相关,为老年男同性恋者提供量身定制的PWB支持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Older, self-identifying gay men's conceptualisations of psychological well-being (PWB): A Canadian perspective.

Many older gay men experience diminished psychological well-being (PWB) due to unique circumstances including discrimination, living with HIV, and aging through the HIV/AIDS crisis. However, there remains ambiguity as to how older gay men define and understand PWB. Our team interviewed and analyzed the accounts of 26 older (50+) self-identifying English-speaking men living in southwestern British Columbia, Canada. We drew on tenets of constructivist grounded theory and intersectionality to account for unique contextual considerations and power relations. Semi-structured Zoom interviews were conducted from August-October 2022. Interview transcripts were compared to generate high-order conceptual findings underpinned by processes understood as central to PWB. Three PWB temporal processes highlighted interlocking social and contextual circumstances intersecting with power and maturation: (1) being emotionally balanced, (2) living gratitude (3) and fully embracing self-acceptance. Being emotionally balanced supported the affective and sustainable state of contentment, living gratitude drew from the wisdom of accrued experiences to cultivate a positive affective state inclusive to recognising social location privileges, whilst fully embracing self-acceptance redressed the harms of anti-gay discourses that men endured throughout their lives. The knowledge is relevant to service and resource development to deliver tailored PWB supports to older gay men.

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来源期刊
CiteScore
4.80
自引率
9.10%
发文量
39
审稿时长
>12 weeks
期刊介绍: Nursing Philosophy provides a forum for discussion of philosophical issues in nursing. These focus on questions relating to the nature of nursing and to the phenomena of key relevance to it. For example, any understanding of what nursing is presupposes some conception of just what nurses are trying to do when they nurse. But what are the ends of nursing? Are they to promote health, prevent disease, promote well-being, enhance autonomy, relieve suffering, or some combination of these? How are these ends are to be met? What kind of knowledge is needed in order to nurse? Practical, theoretical, aesthetic, moral, political, ''intuitive'' or some other? Papers that explore other aspects of philosophical enquiry and analysis of relevance to nursing (and any other healthcare or social care activity) are also welcome and might include, but not be limited to, critical discussions of the work of nurse theorists who have advanced philosophical claims (e.g., Benner, Benner and Wrubel, Carper, Schrok, Watson, Parse and so on) as well as critical engagement with philosophers (e.g., Heidegger, Husserl, Kuhn, Polanyi, Taylor, MacIntyre and so on) whose work informs health care in general and nursing in particular.
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