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心理健康危机:进化概念分析

已有 20 次阅读2024-12-23 20:18 |个人分类:心理学、心理健康、心理咨询|系统分类:科技教育分享到微信

心理健康危机:进化概念分析
Mental Health Crisis: An Evolutionary Concept Analysis

——《国际心理健康护理杂志》第33卷第6期, 2024年——
<International Journal of Mental Health Nursing> Volume 33, Issue 6, 2024

      【摘要】“心理健康危机”这一术语是临床实践和研究中广泛使用的概念,在医疗保健和社会科学学科的心理健康文献中占有重要地位。在这些情况下,该术语通常要么未定义,要么定义得相当狭隘,仅限于针对医疗保健提供者的临床观察或指南,否定了那些有生活经验的人所描述的危机的多面性。因此,本文的目的是探索“心理健康危机”概念的特征并提供概念定义。采用罗杰斯的进化概念分析方法,分析了1994年至2021年各种学科的34篇文章。结果突出了临床导向的替代术语和相关概念与有生活危机经历的个人使用的替代术语和相关概念之间的对比。危机的前因包括潜在的脆弱性、关系功能障碍、生活结构崩溃和日常生活活动的挣扎。该概念的属性包括危机的时间性、危机的迹象和症状、功能衰退以及家庭和护理人员的危机。最后,后果包括向内寻求帮助、向外寻求帮助以及机会和危险。这一概念分析是理解“心理健康危机”及其各个方面的基础步骤,有助于在心理保健领域进行更细致的讨论和干预。
      【关键词】概念解析、危机干预、心理健康、心理健康护理、精神病学

      [Abstract] The term ‘mental health crisis’ is a widely used concept in clinical practice and research, appearing prominently in mental health literature across healthcare and social science disciplines. Within these contexts, the term is frequently either left undefined or defined rather narrowly, confined to clinical observations or guidelines targeted at healthcare providers and negating the multifaceted nature of crisis as described by those with lived experience. Therefore, the aim of this paper is to explore the characteristics of and provide a conceptual definition for the concept of ‘mental health crisis’. Rodgers' method of evolutionary concept analysis was employed and 34 articles, ranging from 1994 to 2021 and a variety of disciplines, were analysed. The results highlighted the contrast between clinically oriented surrogate terms and related concepts and those used by individuals with lived crisis experience. Antecedents of crisis included underlying vulnerabilities, relational dysfunction, collapse of life structure and struggles with activities of daily living. The concept's attributes encompassed the temporality of crisis, signs and symptoms of crisis, functional decline and crisis in family and caregivers. Finally, the consequences comprised looking inward for help, looking outward for help, and opportunities and dangers. This concept analysis serves as a foundational step in understanding ‘mental health crisis’ and its various dimensions, facilitating more nuanced discussions and interventions in the realm of mental healthcare.
      [Key words] concept analysis, crisis intervention, mental health, mental health nursing, psychiatry

      论文原文:Emilie Hudson, Pierre Pariseau-Legault, Christine Cassivi, Chad Chouinard, Marie-Hélène Goulet (2024). Mental Health Crisis: An Evolutionary Concept Analysis. International Journal of Mental Health Nursing, Volume33, Issue 6, Pages 1908-1920. December 2024.
https://doi.org/10.1111/inm.13412 

(需要英文原文的朋友,请联系微信:millerdeng95 或 iacmsp)


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