Betekenis geven aan psychische problematiek; discoursanalyse van ervaringsverhalen

N. van Sambeek; G. E.H.I. Franssen; A. J. Baart; S. van Geelen; F. E. Scheepers

Betekenis geven aan psychische problematiek; discoursanalyse van ervaringsverhalen

Translated title of the contribution: Making meaning of mental distress; discourse analysis of service-users' narratives

N. van Sambeek, G. E.H.I. Franssen, A. J. Baart, S. van Geelen, F. E. Scheepers

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

BACKGROUND: Processes of meaning-making are central to personal recovery in mental distress. Scientific inquiry of meaning-making is scarce within psychiatry, while it has the potential to better attune care to the lived-experience and views of service-users. AIM: To gain insight into how service-users make meaning of mental distress; how this meaning is shaped by mental health discourses, and how these discourses influence the search for identity and recovery. METHODS: Qualitative study of service-users’ narratives (N = 25) from the Psychiatry Story Bank. Narratives were collected through an open interview and analyzed with discourse analysis. RESULTS: We identified four patterns of meaning: Mental distress as ‘weakness’, as ‘social isolation’, as ‘necessity for care’ and as ‘disconnection’. Disposal - and integration - of various discourses apparently helped participants to find meaning, attuned to their recovery phase and the particular recognition they pursued. The quest for recovery was complicated when they experienced a clash between their own meaning-making and dominant ideals in care. CONCLUSION: Caretakers can stimulate the creation of helpful meaning, by attuning to their patients’ context, recovery phase and plea for recognition. Awareness of the effects and limitations of their own assumptions on mental distress is of importance as well.

Translated title of the contribution	Making meaning of mental distress; discourse analysis of service-users' narratives
Original language	Dutch
Pages (from-to)	151-157
Number of pages	7
Journal	Tijdschrift voor Psychiatrie
Volume	65
Issue number	3
Publication status	Published - 2023

Keywords

Humans
Mental Health Services
Mental Disorders/therapy
Qualitative Research
Mental Health
Psychiatry

Cite this

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title = "Betekenis geven aan psychische problematiek; discoursanalyse van ervaringsverhalen",

abstract = "BACKGROUND: Processes of meaning-making are central to personal recovery in mental distress. Scientific inquiry of meaning-making is scarce within psychiatry, while it has the potential to better attune care to the lived-experience and views of service-users. AIM: To gain insight into how service-users make meaning of mental distress; how this meaning is shaped by mental health discourses, and how these discourses influence the search for identity and recovery. METHODS: Qualitative study of service-users’ narratives (N = 25) from the Psychiatry Story Bank. Narratives were collected through an open interview and analyzed with discourse analysis. RESULTS: We identified four patterns of meaning: Mental distress as ‘weakness’, as ‘social isolation’, as ‘necessity for care’ and as ‘disconnection’. Disposal - and integration - of various discourses apparently helped participants to find meaning, attuned to their recovery phase and the particular recognition they pursued. The quest for recovery was complicated when they experienced a clash between their own meaning-making and dominant ideals in care. CONCLUSION: Caretakers can stimulate the creation of helpful meaning, by attuning to their patients’ context, recovery phase and plea for recognition. Awareness of the effects and limitations of their own assumptions on mental distress is of importance as well.",

keywords = "Humans, Mental Health Services, Mental Disorders/therapy, Qualitative Research, Mental Health, Psychiatry",

author = "{van Sambeek}, N. and Franssen, {G. E.H.I.} and Baart, {A. J.} and {van Geelen}, S. and Scheepers, {F. E.}",

year = "2023",

language = "Dutch",

volume = "65",

pages = "151--157",

journal = "Tijdschrift voor Psychiatrie",

issn = "0303-7339",

publisher = "Uitgeverij Boom",

number = "3",

}

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T1 - Betekenis geven aan psychische problematiek; discoursanalyse van ervaringsverhalen

AU - van Sambeek, N.

AU - Franssen, G. E.H.I.

AU - Baart, A. J.

AU - van Geelen, S.

AU - Scheepers, F. E.

PY - 2023

Y1 - 2023

N2 - BACKGROUND: Processes of meaning-making are central to personal recovery in mental distress. Scientific inquiry of meaning-making is scarce within psychiatry, while it has the potential to better attune care to the lived-experience and views of service-users. AIM: To gain insight into how service-users make meaning of mental distress; how this meaning is shaped by mental health discourses, and how these discourses influence the search for identity and recovery. METHODS: Qualitative study of service-users’ narratives (N = 25) from the Psychiatry Story Bank. Narratives were collected through an open interview and analyzed with discourse analysis. RESULTS: We identified four patterns of meaning: Mental distress as ‘weakness’, as ‘social isolation’, as ‘necessity for care’ and as ‘disconnection’. Disposal - and integration - of various discourses apparently helped participants to find meaning, attuned to their recovery phase and the particular recognition they pursued. The quest for recovery was complicated when they experienced a clash between their own meaning-making and dominant ideals in care. CONCLUSION: Caretakers can stimulate the creation of helpful meaning, by attuning to their patients’ context, recovery phase and plea for recognition. Awareness of the effects and limitations of their own assumptions on mental distress is of importance as well.

AB - BACKGROUND: Processes of meaning-making are central to personal recovery in mental distress. Scientific inquiry of meaning-making is scarce within psychiatry, while it has the potential to better attune care to the lived-experience and views of service-users. AIM: To gain insight into how service-users make meaning of mental distress; how this meaning is shaped by mental health discourses, and how these discourses influence the search for identity and recovery. METHODS: Qualitative study of service-users’ narratives (N = 25) from the Psychiatry Story Bank. Narratives were collected through an open interview and analyzed with discourse analysis. RESULTS: We identified four patterns of meaning: Mental distress as ‘weakness’, as ‘social isolation’, as ‘necessity for care’ and as ‘disconnection’. Disposal - and integration - of various discourses apparently helped participants to find meaning, attuned to their recovery phase and the particular recognition they pursued. The quest for recovery was complicated when they experienced a clash between their own meaning-making and dominant ideals in care. CONCLUSION: Caretakers can stimulate the creation of helpful meaning, by attuning to their patients’ context, recovery phase and plea for recognition. Awareness of the effects and limitations of their own assumptions on mental distress is of importance as well.

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KW - Mental Health Services

KW - Mental Disorders/therapy

KW - Qualitative Research

KW - Mental Health

KW - Psychiatry

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SN - 0303-7339

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JO - Tijdschrift voor Psychiatrie

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ER -

Betekenis geven aan psychische problematiek; discoursanalyse van ervaringsverhalen

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Keywords

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