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个人康复与社会结构劣势:批判性概念回顾。

Personal recovery and socio-structural disadvantage: A critical conceptual review.

机构信息

University of Strathclyde, UK.

出版信息

Health (London). 2023 Mar;27(2):201-225. doi: 10.1177/13634593211014250. Epub 2021 May 7.

Abstract

Despite its seeming breadth and diversity, the bulk of the personal (mental health) recovery literature has remained strangely 'silent' about the impact of various socio-structural inequalities on the recovery process. Such an inadequacy of the empirical literature is not without consequences since the systematic omission or downplaying, at best, of the socio-structural conditions of living for persons with lived experience of mental health difficulties may inadvertently reinforce a reductionist view of recovery as an atomised, individualised phenomenon. Motivated by those limitations in extant scholarship, a critical literature review was conducted to identify and critique relevant research to problematise the notion of personal recovery in the context of socio-structural disadvantage such as poverty, homelessness, discrimination and inequalities. The review illuminates the scarcity of empirical research and the paucity of sociologically-informed theorisation regarding how recovery is shaped by the socio-structural conditions of living. Those inadequacies are especially pertinent to homelessness research, whereby empirical investigations of personal recovery have remained few and undertheorised. The gaps in the research and theorising about the relational, contextual and socio-structural embeddedness of recovery are distilled. The critical review concludes that personal recovery has remained underresearched, underproblematised and undertheorised, especially in the context of homelessness and other forms of socio-structural disadvantage. Understanding how exclusionary social arrangements affect individuals' recovery, and the coping strategies that they deploy to negotiate those, is likely to inform anti-oppressive interventions that could eventually remove the structural constraints to human emancipation and flourishing.

摘要

尽管个人(心理健康)康复文献的范围看似广泛且多样化,但奇怪的是,其中大量文献对于各种社会结构不平等对康复过程的影响保持“沉默”。由于实证文献的这种不足,其后果是严重的,因为系统地忽视或淡化有心理健康困难经历者的生活的社会结构条件,充其量只是将康复视为一种原子化、个体化现象的观点。受现有学术研究的这些局限性的启发,进行了批判性文献综述,以确定和批评相关研究,使个人康复的概念在贫困、无家可归、歧视和不平等之类的社会结构劣势的背景下成为问题。该综述阐明了实证研究的稀缺性以及关于社会结构生活条件如何塑造康复的社会学理论化的匮乏。这些不足在无家可归研究中尤为突出,因为个人康复的实证研究仍然很少且理论化不足。关于康复的关系、背景和社会结构嵌入性的研究和理论化的差距被提炼出来。批判性评论得出的结论是,个人康复的研究、问题化和理论化仍然不足,尤其是在无家可归和其他形式的社会结构劣势的背景下。了解排斥性社会安排如何影响个人的康复,以及他们为应对这些安排而采用的应对策略,很可能会为反压迫干预提供信息,这些干预最终可能会消除人类解放和繁荣的结构性限制。

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