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首页> 外文期刊>BMC Psychiatry >Negotiating support from relationships and resources: a longitudinal study examining the role of personal support networks in the management of severe and enduring mental health problems
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Negotiating support from relationships and resources: a longitudinal study examining the role of personal support networks in the management of severe and enduring mental health problems

机译：从关系和资源谈判支持：纵向研究检查个人支持网络在严重和持久心理健康问题管理中的作用

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Personal communities or personal support networks comprise a variety of social ties considered important to individuals in their everyday lives. This set of active and significant ties influence the capacity to manage mental health problems because of the potential to access social support. However, little is known in the context of people’s everyday management of mental health about how relationships with people, places, objects and activities are navigated and negotiated. This study aimed to explore the nature and negotiation of support from personal communities in the everyday management of severe and enduring mental health problems. A longitudinal qualitative study undertaken in the UK incorporating 79 interviews with 29 participants based on personal network mapping. 29 users of mental health services with a diagnosis of severe and enduring mental illness were interviewed at three time points. Data was analysed using an inductive thematic approach underpinned by the Network Episode Model. The presence and maintenance of interpersonal trust was a fundamental condition of the relational work required to develop, undertake and sustain relationships with others. Whilst relationships with spouses, family members and friends were generally viewed positively, the work required to engage human others was contingent, vicarious and overlain with felt and enacted stigma. Developing relationships with others was hindered by a lack of confidence fuelled by the experience of mental illness and a fear of rejection or failure. By contrast, weaker ties and inanimate objects and places offered and provided a sense of reliability and security. Strategies employed by participants in order to garner sufficient support for condition management in the light of these particular challenges are illuminated by the discussion of who and what is relevant and valued in personal support networks. Access to valued?activities, hobbies and things should be considered alongside human relationships in providing a means of ongoing support and resource for the everyday management of life for those experiencing severe and enduring mental health problems.
机译：个人社区或个人支持网络包括在日常生活中对个人很重要的各种社交关系。由于潜力访问社会支持，这一组活跃和重要的关系会影响管理心理健康问题的能力。然而，在人们日常管理心理健康的背景下，关于与人，地方，物品和活动的关系的日常管理的背景下都很熟知，并谈判。本研究旨在探讨个人社区在严重和持久心理健康问题的日常管理中支持的性质和谈判。在英国进行了纵向定性研究，该研究纳入了79个面试，基于个人网络映射。 29用户诊断严重和持久精神疾病的心理健康服务的用户在三个时间点进行了面试。使用由网络剧集模型为基础的归纳专题方法进行分析数据。人际信任的存在和维护是制定，承担和维持他人关系所需的关系工作的基本条件。虽然与配偶的关系，家庭成员和朋友普遍认为是积极的，但聘请人类所需的工作是偶然的，替代的，羞辱和煽动耻辱。通过精神疾病的经验和害怕拒绝或失败的恐惧来阻碍与他人的关系受到阻碍。相比之下，较弱的关系和无生命的物体以及提供的地方，提供了可靠性和安全感。参与者雇用的策略是为了鉴于这些特殊挑战，讨论个人支持网络的讨论和估值的讨论，参与者借助于这些特殊挑战的足够支持条件管理。获得有价值的？活动，爱好和事物应与人际关系一起考虑为在经历严重和持久的心理健康问题的人的日常生活中提供持续的支持和资源。

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