Experiences of living with severe mental disorder: narratives about the personal recovery process.

IF 1.1 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Ciencia & saude coletiva Pub Date : 2024-10-01 Epub Date: 2023-09-19 DOI:10.1590/1413-812320242910.11352023
Yasmin Furtado, Lilian Miranda, Angélica Ferreira Fonseca
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Abstract

The article approaches the subject of recovery, a sociopolitical movement, field of studies and practices that aims, from the experience of people living with mental disorders, to promote a more optimistic outlook of the prognosis. Aiming to understand the recovery process of people who experience severe mental disorders, qualitative research was developed, based on Gadamerian hermeneutics. We conducted in-depth interviews, in the form of life narratives, with five people who recognize themselves in the process of recovery, and are part of a mental health patient group. Based on narrative analysis, three axes were organized: recovery process facilitators and coping strategies; barriers of recovery process; and relationship with diagnosis. The discussion is based on Canguilhem's theory; in the logic of psychosocial care, and in theories about the notion of recovery. We identified important intersubjective and sociocultural resources for recovery, however, we concluded that these same elements may constitute barriers to a creative existence, as the social norm remains crossed by the stigma that accompanies mental disorders, and by hierarchical power relations.

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严重精神障碍患者的生活经历:关于个人康复过程的叙述。
康复是一项社会政治运动,也是一个研究和实践领域,文章从精神障碍患者的经历出发,探讨了康复这一主题,旨在促进人们对预后持更加乐观的态度。为了了解严重精神障碍患者的康复过程,我们以伽达默尔诠释学为基础,开展了定性研究。我们以生活叙事的形式,对五位在康复过程中认识到自己的精神疾病患者群体成员进行了深入访谈。在叙事分析的基础上,我们组织了三个轴心:康复过程的促进因素和应对策略;康复过程的障碍;以及与诊断的关系。讨论基于坎吉尔姆的理论、社会心理护理的逻辑以及有关康复概念的理论。我们发现了促进康复的重要主体间和社会文化资源,但我们得出的结论是,这些因素也可能构成创造性存在的障碍,因为社会规范仍然受到伴随精神障碍而来的耻辱感和等级权力关系的影响。
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来源期刊
Ciencia & saude coletiva
Ciencia & saude coletiva PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
3.60
自引率
11.80%
发文量
533
审稿时长
12 weeks
期刊介绍: Ciência & Saúde Coletiva publishes debates, analyses, and results of research on a Specific Theme considered current and relevant to the field of Collective Health. Its abbreviated title is Ciênc. saúde coletiva, which should be used in bibliographies, footnotes and bibliographical references and strips.
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