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首页> 外文期刊>Culture, medicine and psychiatry >Moral Experiences of Crisis Management in a Child Mental Health Setting: A Participatory Hermeneutic Ethnographic Study
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Moral Experiences of Crisis Management in a Child Mental Health Setting: A Participatory Hermeneutic Ethnographic Study

机译:儿童心理健康环境中危机管理的道德经验:参与性诠释性民族志研究

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摘要

Restraints and seclusion are routinely used in child mental health settings for conflict and crisis management, but raise significant ethical concerns. Using a participatory hermeneutic ethnographic framework, we studied conflict and crisis management in a child mental health setting offering care to children aged 6-12 years old in Quebec, Canada. The use of this framework allowed for an in-depth examination of the local imaginaries, of what is morally meaningful to the people in the setting, in addition to institutional norms, structures and practices. Data collection involved participant observation, interviews, and documentation review, with an interpretive framework for data analysis. We argue that the prevalent view of children shared by staff members as "incomplete human becomings" led to the adoption and legitimization of authoritative norms, structures and practices guided largely by a behavioral approach, which sometimes led to an increased use of control measures for reasons other than imminent harm. Children experienced these controlling practices as abusive and hindering the development of trusting relationships, which impeded the implementation of more collaborative approaches staff members sought to put in place to prevent the use of control measures. Study results are discussed in light of conceptions of children as moral agents.
机译:克制和隐居是常规用于冲突和危机管理的儿童心理健康环境,但提高了重要的道德问题。使用参与性诠释学民族纪念框架,我们研究了在加拿大魁北克省魁北克6-12岁儿童的儿童心理健康环境中冲突和危机管理。除了制度规范,结构和实践之外,使用本框架的使用对当地富翁的深入检查,对环境中的人们在道德上有意义。数据收集涉及参与者观察,访谈和文档审查,具有数据分析的解释性框架。我们认为,工作人员共享的儿童视为“不完全人类成为”的普遍认为是通过行为方法的主要授权规范,结构和实践的采用和合法化,这有时会导致控制措施的使用增加除了即将伤害之外。儿童经历了这些控制实践,作为滥用和妨碍了信任关系的发展,这阻碍了更多协作方法的工作人员,寻求实施防止控制措施的工作人员。根据儿童的概念作为道德药剂的概念讨论了研究结果。

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