心理健康服务中的 "康复",现在和未来:对专制国家机器影响的后结构主义审视。

IF 2.2 4区 医学 Q1 NURSING Nursing Inquiry Pub Date : 2024-01-01 Epub Date: 2023-05-01 DOI:10.1111/nin.12558
Jim A Johansson, Dave Holmes
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引用次数: 0

摘要

康复是西方国家(法医)精神卫生机构的一种护理模式,旨在摆脱 20 世纪机构护理中家长式和惩罚性的模式,转而采用更加以患者为中心的方法。但正如我们在本文中所论述的那样,从这一解放运动的早期阶段发展而来的以康复为导向的服务标志着护理实践的转变,而这种转变不能仅仅被视为护理实践的改进。实际上,随着 "康复 "护理实践变得更加成熟、更加成文、更加制度化,一种停滞状态逐渐形成。恢复已被重新领土化。本文的目的是通过后结构主义哲学家吉尔-德勒兹(Gilles Deleuze)和费利克斯-瓜塔里(Felix Guattari)的视角,研究康复的一些线索,从其早期的反精神病行动主义,到其被编入精神卫生机构(包括法医精神卫生机构)。我们认为,德勒兹和瓜塔里的学术研究为这一批判性研究提供了必要的框架,尽管这种框架会让人感到不舒服。从复苏作为一种组合的概念出发,我们批判性地审视了我们如何才能在停滞与变化的紧张关系中创造新的东西。
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"Recovery" in mental health services, now and then: A poststructuralist examination of the despotic State machine's effects.

Recovery is a model of care in (forensic) mental health settings across Western nations that aims to move past the paternalistic and punitive models of institutional care of the 20th century and toward more patient-centered approaches. But as we argue in this paper, the recovery-oriented services that evolved out of the early stages of this liberating movement signaled a shift in nursing practices that cannot be viewed only as improvements. In effect, as "recovery" nursing practices became more established, more codified, and more institutional(ized), a stasis developed. Recovery had been reterritorialized. The purpose of this paper is to examine some of the threads of recovery, from its early days of antipsychiatry activism to its codification into mental health-including forensic mental health-institutions through the lens of poststructuralist philosophers Gilles Deleuze and Felix Guattari. We believe that Deleuze and Guattari's scholarship provides the necessary, albeit uncomfortable, framework for this critical examination. From a conceptualization of recovery as an assemblage, we critically examine how we can go about creating something new, caught in a tension between stasis and change.

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来源期刊
Nursing Inquiry
Nursing Inquiry 医学-护理
CiteScore
4.30
自引率
13.00%
发文量
61
审稿时长
>12 weeks
期刊介绍: Nursing Inquiry aims to stimulate examination of nursing''s current and emerging practices, conditions and contexts within an expanding international community of ideas. The journal aspires to excite thinking and stimulate action toward a preferred future for health and healthcare by encouraging critical reflection and lively debate on matters affecting and influenced by nursing from a range of disciplinary angles, scientific perspectives, analytic approaches, social locations and philosophical positions.
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