Writing and falling through the cracks

IF 0.8 Q4 SOCIAL WORK Mental Health and Social Inclusion Pub Date : 2023-12-26 DOI:10.1108/mhsi-11-2023-0125
Kirsty Lilley
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Abstract

Purpose The purpose of this paper is to explore the many ways in which those who have experienced early life adversity and trauma can continue to be failed within health-care settings and other organisations. The author explores the impact that repeated exposure to indifference and a lack of help and support has on the ability to recover and rebuild a meaningful life. The author takes the reader through a journey of various autoethnographic vignettes to explore the living experience of continuing to be unseen. The author hopes to contribute to improving the lives of service users. Design/methodology/approach The author has written about the many ways in which distressing experiences and mental health difficulties were left unsupported by various professionals and organisations. The writing is rich and evocative and gives voice to the distress experienced from a lack of caring attention. Findings The author concludes that whilst it has been painful to remember the varied ways people with lived experience of early life trauma continue to be failed it has also been cathartic and helpful. It is noted that the writing of these events brings some perspective and enables the author to limit the potential for self-blame which is a regular feature of the psychology of those living with early-life relational trauma. The writing of these events serves to highlight the ways institutions might improve responses to those seeking support. The author concludes that this is a meaningful way to use such harmful experiences. Research limitations/implications The author concludes that recovery and the ability to rebuild a meaningful life after early-life trauma is often hindered and denied by the responses received when seeking support from various institutions and people who may be able to intervene to prevent further harm occurring. These testimonies may contribute to the wider learnings about the impacts and lived experience of early life trauma and how institutions might support and encourage recovery. The author notes the helpfulness of writing about these experiences to bring perspective and remind those who seek help that it is a great act of courage despite unhelpful responses. Practical implications The author has found that writing about these experiences helps to soothe any feelings of self-blame in terms of being unable to recover sooner from early life trauma and that recovery and moving forward must be positioned as a social phenomenon and not a solely individual pursuit. It is noted that writing about difficult experiences can be cathartic and bring fresh perspective and hope. Contributing to ongoing research in terms of how helping professionals can respond wisely is satisfying and meaningful for the author. Originality/value This is the author’s firsthand and unique testimony of how easy it can be for survivors of trauma to continue to be unseen and failed. The author also shows that there are many opportunities to support and help which are inadvertently missed which contributes to ongoing distress. The author hopes that the courage taken to write of these experiences will contribute to learnings within many professions and organisations of how to notice, support and help those in distress and living with the effects of early life trauma. The author has found the writing of this paper to be meaningful. The process has helped the author to make sense of previously distressing events. It is hoped it will be of value to the reader.
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写作与纰漏
目的 本文旨在探讨早年经历过逆境和创伤的人在医疗机构和其他组织中继续遭受失败的多种方式。作者探讨了反复遭受冷漠、缺乏帮助和支持对恢复和重建有意义生活的能力所产生的影响。作者通过各种自述小故事,带领读者探索继续被忽视的生活经历。作者希望能为改善服务使用者的生活做出贡献。 设计/方法/途径 作者通过多种方式写下了自己的痛苦经历和心理健康困难,而这些经历和困难却得不到各种专业人士和组织的支持。文章内容丰富,令人回味,表达了因缺乏关爱而经历的痛苦。 研究结果 作者总结道,尽管回忆起那些有早年生活创伤经历的人继续被辜负的各种方式让人痛苦,但这也是一种宣泄和帮助。我们注意到,对这些事件的书写带来了一些视角,使作者能够限制自责的可能性,而自责是那些生活在早期亲情创伤中的人的心理常态。对这些事件的书写有助于强调机构如何改进对寻求支持者的回应。作者的结论是,这是利用这些有害经历的一种有意义的方式。 研究局限性/影响 作者得出结论认为,在早期生活创伤之后,康复和重建有意义生活的能力往往会因为向各种机构和人员寻求支持时所得到的回应而受到阻碍和否认,而这些机构和人员可能能够进行干预,以防止进一步伤害的发生。这些证词可能有助于更广泛地了解早期生活创伤的影响和生活经历,以及机构如何支持和鼓励康复。作者指出,将这些经历写下来有助于透视问题,并提醒那些寻求帮助的人,尽管会得到无益的回应,但这是一种巨大的勇气。 实际意义 作者发现,书写这些经历有助于舒缓因无法早日从早年的生活创伤中恢复而产生的自责感,而且必须将恢复和前进定位为一种社会现象,而不仅仅是个人的追求。有人指出,书写艰难的经历可以起到宣泄作用,并带来新的视角和希望。在帮助专业人员如何做出明智回应方面为正在进行的研究做出贡献,这对作者来说是令人满意和有意义的。 原创性/价值 这是作者亲身经历的独特见证,说明创伤幸存者是多么容易继续被忽视和失败。作者还表明,有许多支持和帮助的机会在不经意间被错过,从而导致持续的痛苦。作者希望,将这些经历写成文章的勇气将有助于许多行业和组织学习如何关注、支持和帮助那些处于痛苦中和生活在早期生活创伤影响下的人。作者认为撰写本文的过程非常有意义。这个过程帮助作者理清了以前令人痛苦的事件。希望本文对读者有所帮助。
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来源期刊
CiteScore
1.80
自引率
25.00%
发文量
42
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