慢性精神疾病患者的家庭韧力研究

【作者】 刘芳；

【导师】 高万红；

【作者基本信息】 云南大学 ， 社会学， 2012， 硕士

【摘要】 世界卫生组织的调查结果显示,全球逾10亿人存在精神健康问题,包括慢性精神疾病到创伤、大量痛苦体验等。当前我国精神卫生工作面临着巨大的挑战,精神疾病在我国疾病总负担中排名已居首位,约占疾病总负担的20%。面对严峻的精神疾病形势,本研究采用质性研究方法,通过对11名在M会所接受社区康复服务的慢性精神疾病患者及其家属进行访谈,其家庭韧力的建构历程是一个动态的过程,慢性精神疾病患者家庭韧力是通过以下三个维度进行建构的：家庭信念系统的建构；家庭组织模式的调整；家庭沟通过程的转变。本研究发现促进慢性精神疾病患者家庭韧力建构的关键因子：直接照料者与社区康复机构。本研究着重探究了阻碍慢性精神疾病患者家庭韧力建构的诸多因子,如家庭成员间的冲突；依然存在于家庭成员中的“病耻感”；沉重的经济压力；逐渐丧失的康复信心；积聚的仇恨与愤怒；脆弱的社会支持网络；严重的社会歧视等。最后,本研究依据慢性精神疾病患者家庭韧力的研究成果,提出了从社会工作角度增强家庭韧力的对策和建议。更多还原

【Abstract】 The conclusion of World Health Organization’s survey:more than1billion people around the world exists mental health problems, including chronic mental illness to trauma, a lot of painful experience. In China, Mental health is facing enormous challenges, mental illness is in the total burden of disease ranking in the first place, accounting for20%of the total burden of disease.In facing of the situation about serious mental illness, this study, used qualitative research method, through interviewing with11people with chronic mental illness, who was accepting community rehabilitation services in the M club, have found that the course of the construction of chronic mental disease family resilience is a dynamic process. The family resilience construct following three dimensions:the construction of the family belief system; the adjustment of the organizational model in the family; changes in the process of family communication.This study found that the promotion of the key factors of the construct of chronic mental illness family resilience are direct caregivers, and community rehabilitation institution.This study focused on exploring many factors that hinder the construction of chronic mental illness family resilience, such as the conflict between family members; still exist in the "stigma" in the family members; heavy economic pressure; gradual loss of confidence in the rehabilitation; accumulation hatred and anger; fragile social support network; serious social discrimination.Finally, based on the research of family resilience of patients with chronic mental illness, this study put forward some countermeasures and suggestions to enhance family resilience from the perspective of social work.更多还原