“总有进步”:关于心理健康支持户外治疗性娱乐的反思性叙述

IF 0.7 Q4 REHABILITATION Therapeutic Recreation Journal Pub Date : 2021-05-12 DOI:10.18666/TRJ-2021-V55-I2-10653
J. Leighton, K. Lopez, Corey Johnson
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引用次数: 0

摘要

由于精神疾病的边缘化影响,从各种精神健康诊断中早期康复的个人的故事往往是无效的。为了解决这一问题,辅助疗法(如按摩疗法、自然疗法、艺术疗法、园艺疗法)与治疗性娱乐、心理治疗和户外实践领域一起出现。关于如何在住院护理环境中使用社会/社区实践方法来补充更传统的模式(即认知行为治疗(CBT),谈话治疗,创伤暴露治疗,药物治疗等),我们所知甚少。目前的研究项目旨在了解个体在寻求创伤后应激障碍和物质使用障碍住院治疗的同时,参与户外体验工作坊的经历和反思。叙事探究是我们用来阐明裂缝中的声音的方法论方法(Jackson & Mazzei, 2005),这些声音经常被排除在主流医学话语之外,让人们听到。采用焦点小组和深度半结构化叙事生活体验访谈,讲述个体在参加户外体验工作坊时对早期康复的反思,超越了以医学为中心的住院治疗的传统界限和结构。
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“There is Always Progress to Be Made”: Reflective Narratives on Outdoor Therapeutic Recreation for Mental Health Support
Due to the marginalizing effects of mental illness, the stories of individuals in early recovery from various mental health diagnoses are often invalidated. To address this concern, complementary modalities (e.g., massage therapy, naturopathy, arts-based therapy, horticulture therapy) have emerged alongside the fields of therapeutic recreation, psychotherapy, and outdoor-based practices. Less is known about how social/community approaches to practice are used within in-patient care settings to complement more traditional modalities (i.e., cognitive behaviour therapy (CBT), talk-based therapy, trauma exposure therapy, pharmaceutical medication etc.). The current research project aimed to understand individuals’ experiences and reflections of engaging in an outdoor experiential workshop while seeking in-patient care for post-traumatic stress disorder and substance-use disorder. Narrative inquiry was the methodological approach we used to illuminate the voice in the cracks (Jackson & Mazzei, 2005), voices that are often left out of dominant medical discourses, to be heard. Focus groups and in-depth semi-structured narrative life-experience interviews were used to story individuals’ reflections of early recovery while participating in an outdoor experiential workshop beyond the conventional boundaries and structures of medicine-focused in-patient care.
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