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Yıl:2017; Cilt: 28; Sayı: 2>> Özet
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Türk Psikiyatri Dergisi; 2017;28(2):75-80
Mavi At Kafe'nin 6 Yılda Öğrettikleri: Şizofreni Hastalarının Gözünden İyileşmeye Katkıda Bulunan Etmenler-Nitel Bir Analiz
H Soygür, MM Yüksel, P Eraslan, SA Özden
Celal Bayar Üniversitesi, Manisa
Amaç: Son yıllarda ruh sağlığı hizmetleri ve politikalarının oluşturulmasında, iyileşme yönelimli yaklaşım ve hasta/hasta yakınlarının deneyim ve düşünceleri daha çok dikkate alınmaya başlamıştır. Bu çalışmada, Şizofreni Dernekleri Federasyonu tarafından kurulan Mavi At Kafe’de çalışan şizofreni hastalarının bakış açısından, iyileşmelerine katkıda bulunan etmenlerin saptanması amaçlanmıştır. Yöntem: Araştırmanın örneklemini Mavi At Kafe’de çalışan toplam 24 hasta oluşturmuştur. Fenomenolojik yaklaşım kullanılan araştırmada, hastalarla yapılan görüşmelere nitel analiz uygulanmıştır. Bulgular: Şizofreni hastalarının bakış açısına göre, iyileşmeye katkıda bulunduğu ifade edilen ortak etkenler tanımlanmıştır. Bu etkenler; 1-Ortamın resmiyetten uzak ve kucaklayıcı, ancak serbest bırakan doğası, 2-İlişkilerde insani yönlerin ağırlığı, 3-Umut ve yüreklenme, 4-Önemsenmek 5-Destek gerektiğinde birilerine ulaşabilme, 6-Arkadaşça paylaşım, 7- Amaç edinmek, sorumluluk üstlenmek, motive olmaya katkı, 8-Yaşamı anlamlandırmak olarak belirlenmiştir. Sonuç: Elde edilen bulgular, öncelikle ruh sağlığı profesyonellerinin profesyonel rollerinde bir dönüşümün gerekli olup olmadığını sorgulamaları için bir fırsat yaratmıştır. Ayrıca, Mavi At Kafe deneyimini yaşayan şizofreni hastalarının iyileşmeye katkıda bulunan etmenler konusunda dikkat çektiği noktalar, özellikle Toplum Ruh Sağlığı Merkezlerinin çalışma yöntemleri için yol gösterici olabilecektir.
Lessons Learned from Experiencing Mavi At Café (Blue Horse Café) during Six Years: A Qualitative Analysis of Factors Contributing to Recovery from the Perspective of Schizophrenia Patients
Objective: In recent years, the recovery-oriented approaches (along with experiences and thoughts of patients and patient’s relatives) have been taken into account for establishing mental health services and policies. This study aims to identify the factors contributing to recovery, as observed from the perspective of schizophrenia patients working at The Blue Horse Café which was founded by the Federation of Schizophrenia Associations. Method: The sample for the study consisted of 24 patients who worked at The Blue Horse Café. A phenomenological approach was used in the study, whereby interviews with patients were analyzed qualitatively. Results: Certain common factors, which were expressed as having contributed to recovery, were identified from the perspective of schizophrenia patients. These factors are: 1-The fact that the setting is informal and welcoming without being constrictive; 2-Predominance of the human element; 3-Hope and encouragement; 4-Being cared about; 5-Being able to reach someone when in need of support; 6-Friendly sharing; 7-Having a purpose, assuming responsibility, and being motivated; and 8-Giving meaning to life. Conclusion: The findings may serve as a stimulus since schizophrenia patients that contribute to recovery give mental health professionals the opportunity to question there need for a change in their professional roles. Additionally, schizophrenia patients that have experienced The Blue Horse Café draw attention to certain points and these points can serve as a guide, especially for establishing the working methods of Community Mental Health Centers.

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