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A Narrative Study Exploring Survivor/Service-User Professionals' Accountsudof Sharing Personal Experiences at Work

机译：叙事研究，探讨幸存者/服务使用者专业人士的帐户 ud在工作中分享个人经验

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Fighting for voice, equal rights and greater power has been central to theudsurvivor/service-user movement. 'User involvement' (UI) can be seen as a State response to this. UI proliferates throughout policies but is neither routine nor extensive. Limitations may relate to contradictions between assumptions/practices underlying UI, and other dominant discourses constructing survivors/service-users (especially with ‘psychosis’) as irrational, incapable and dependent on ‘expert’ professionals. UI neglects survivor/service-user professionals but limited research (Adame, 2011; Lindow & Rook-Matthews, 1998) suggests similarities with 'peer workers'. Aiming to understand the function of UI, this research explored how survivor/service-user professionals negotiate these different discourses, and to what effect, through asking: How and why do mental health professionals who have experienced ‘psychosis’ share their personal experiences in their work?udA social constructionist epistemology was employed, with a qualitative,ud'unstructured' interview design. Four professionals working in the 'mental health' system in England, who self-reported a label of 'psychosis', participated. Data was analysed using a 'critical poetic breaks' (Emerson & Frosh, 2004) approach to narrative analysis, which sits within Mishler's (1995) politics of narrative group of models, working with 'narrative as praxis' (Mishler, 1999).udDifferent narrative forms storied: a precarious, chameleon-like position; the ability to share changing over time; that being believed is key (and paradoxical); a relationship between ‘crossed-roles’, power and safety. A mirroring of the narratives and UI literature informs an understanding of UI,ud'mental illness' and 'professional boundaries' discourses, functioning to maintain power relations. Strategies of resistance are highlighted, with survivor discourse key for constructing an alternative subjectivity. Recommendations are made for research, policy, service planning/delivery, and education/training.
机译：争夺语音，平等权利和增强权力一直是幸存者/服务使用者运动的核心。 “用户参与”（UI）可以看作是国家对此的回应。用户界面在整个政策中泛滥成灾，但既不常规也不广泛。局限性可能与UI的假设/做法之间的矛盾以及其他将幸存者/服务使用者（尤其是“精神病”）构建为非理性，无能且依赖“专家”专业人士的主导话语相关。 UI忽视了幸存者/服务使用者的专业知识，但研究有限（Adame，2011年； Lindow＆Rook-Matthews，1998年），表明与“同伴”相似。为了了解UI的功能，本研究探讨了幸存者/服务使用者专业人员如何协商这些不同的话语，以及通过询问：经历过“精神病”的精神卫生专业人员如何以及为什么在他们的经历中分享自己的经验而产生了什么效果？ ud采用了社会建构论的认识论，并进行了定性的，“非结构化”的采访设计。自我报告有“精神病”标签的四名在英格兰“精神卫生”系统工作的专业人员参加了会议。数据是通过“批判性的诗歌突破”（Emerson＆Frosh，2004）的叙事分析方法进行分析的，该方法属于Mishler（1995）的叙事模型模型政治体系，并与“叙事作为实践”（Mishler，1999）合作。 ud叙事形式的不同：不稳定，变色龙般的立场；随时间变化的共享能力；被认为是关键的（并且自相矛盾）； “交叉角色”，权力和安全之间的关系。叙事和用户界面文献的镜像反映了对用户界面，“精神疾病”和“专业界限”话语的理解，起到维持权力关系的作用。强调了抵抗的策略，幸存者话语是构建替代主观性的关键。针对研究，政策，服务计划/提供以及教育/培训提出了建议。

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    Wasyliw Rowena;

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