Résumés
Abstract
Despite increased interest in relationships and emotions in social work, not enough is known about the role of emotions in recovery-oriented mental health care settings. Reflecting on my graduate research, I explore the inconsistent understandings and comfort levels with emotions in mental health social work practice. I make connections with findings which show that uneven attempts at relationship-building lead to missed opportunities for connection, understanding, and supporting recovery. I discuss the tensions faced by mental health practitioners implementing recovery-oriented interventions within a new public management and risk reduction paradigm of care and the ways that attending to emotions might help critique or dismantle the status quo. These reflections suggest pathways to resist these tensions through realizing the potential of emotions as a source of knowledge in constructing recovery-oriented mental health care interventions.
Keywords:
- Relationships,
- relational social work,
- emotions,
- mental health,
- risk management
Résumé
Le rôle des émotions dans l’intervention axée sur le rétablissement en santé mentale demeure peu connu. En réfléchissant à mes recherches dans ce domaine, j’explore les diverses compréhensions et les niveaux de confort avec les émotions dans la pratique du travail social en santé mentale. Les résultats de mes recherches sur la pratique de la santé mentale axée sur le rétablissement montrent que des tentatives inégales de création de liens et de relations entre intervenant et usager entraînent des occasions manquées de connexion, de compréhension et de soutien au processus de rétablissement. Je discute des défis et des tensions auxquels sont confrontés les intervenants en santé mentale dans le cadre d’un paradigme de soins de la nouvelle gestion publique et de réduction des risques et les façons dont la prise en compte des émotions pourrait aider à critiquer ou à démanteler le statu quo. Ces réflexions suggèrent des voies pour résister à ces tensions et mettent en valeur l’importance de réaliser pleinement le potentiel des émotions en tant que source de connaissances dans la construction d’interventions axées sur le rétablissement en santé mentale.
Mots-clés :
- Lien,
- travail social relationnel,
- émotions,
- santé mentale,
- gestion des risques
Parties annexes
Bibliography
- Barsade, S. O.A. & O’Neill (2016). “Manage your emotional culture”, Harvard business review, 94(1), 58-66.
- Barsade, S. & C. O’Neill (2014). “What’s love got to do with it? A Longitudinal study of the culture of companionate love and employee and client outcomes in a long-term care setting”, Administrative Science Quarterly,59, 551.
- Barker (2004). Assessment in psychiatric and mental health nursing: in search of the whole person (2nd ed.), Cheltenham: Nelson Thrones.
- Barratt, C. (2016). “Exploring the potential of contemplative pedagogy in health professional Education”, Focus on Health Professional Education: A Multi-Disciplinary Journal, 17(2), 20-31.
- Barsky, A. (2015). « Risks of Risk Management”, The New Social Worker. Excerpt from the site, https://www.socialworker.com/feature-articles/ethics-articles/risks-of-risk-management/.
- Baskin, C. (2009). “Evolution and Revolution: Healing approaches with Aboriginal adults”: 133-153, in R. Sinclair, M. A. Hart & G. Bruyere (eds., Wìcihitowin: Aboriginal Social Work in Canada, Halifax: Fernwood Publishing.
- Baskin, C. (2016). Strong Helper’s Teachings: the value of Indigenous Knowledges in the Helping Professions, 2nd edition, Canadian Scholar’s Press: Toronto.
- Batada, A. (2017). “Utilizing Contemplative Practices With Undergraduate Students in a Community-Engaged Course on Health Disparities”, Pedagogy in Health Promotion, 4(1), 71-76. https://doi.org/10.1177/2373379917697992
- Berila, B. (2016). Integrating Mindfulness into Anti-oppression Pedagogy: Social Justice in Higher Education, New York: Routledge.
- Bryan, A., Hingley-Jones, H. & R. Gillian (2016). “Relationship-based Practice Revisited”, Journal of Social Work Practice, 30(3), 229-233.
- Barbezat, D. P. & M. Bush (2014). Contemplative practices in higher education: Powerful methods to transform teaching and learning, San Francisco: Jossey-Bass.
- Chamberlin, J. (1979). On our own: Patient controlled alternatives to the Mental Health System, New York: Hawthorn Books.
- Coleman, R. (2004). Recovery: An Alien Concept?, P&P Press: Wormit, Fife.
- Couturier, Y., Aubry, F. & D. Gagnon (2016). « La coordination de l'hôpital et de la communauté par les gestionnaires de cas dans le contexte de la Nouvelle gestion publique » : 23-23, dans Bourque, M. et Grenier J. (sous la dir.). Le système de santé et de services sociaux québécois. Une analyse de l'évolution des services sociaux et du travail social : idées, institutions, acteurs, Canada : Presses de l'Université du Québec.
- Deegan, P. (1988). “Recovery: The lived experience of rehabilitation”, Psychosocial Rehabilitation Journal, 6(4), 11-19.
- de Gaulejac, V. (2010). « La NGP : Nouvelle gestion paradoxante », Nouvelles pratiques sociales, 22(2), 83-98.
- de Montigny, G. (2007). « Ethnomethodology for Social Work », Qualitative Social Work,6(1), 95-120.
- Desbordes, G., Gard, T., Hoge, E. A., Hölzel, B. K., Kerr, C., Lazar, S. W., Olendzki, A. & D. R. Vago (2014). “Moving beyond Mindfulness: Defining Equanimity as an Outcome Measure in Meditation and Contemplative Research”, Mindfulness, January, 356-372. https://doi.org/10.1007/s12671-013-0269-8
- Dewees, M. (2002). “Contested Landscape”, Journal of Progressive Human Services, 13(1), 73-91.
- Fortier, I. (2010). « La modernisation de l’État québécois : la gouvernance démocratique à l’épreuve des enjeux du managérialisme », Nouvelles pratiques sociales, 22(2), 35-50.
- Fook, J. (2002). Social Work: Critical theory and practice, London: Sage.
- Garfinkel, H. (1967). Studies in Ethnomethodology, Prentice Hall: New Jersey.
- Grenier, J., Bourque, M. et St-Amour, N. (2016). « La souffrance psychique au travail : une affaire de gestion? », Revue Intervention, 144, 9-20.
- Hardy, M. (2017). “In defense of actuaralism: interrogating the logic of risk in social work practice”, Journal of Social Work Practice, 31(4), 395–410.
- Health Canada and Assembly of First Nations (2015). First Nations Mental Wellness Continuum Framework, Ottawa: Health Canada.
- Hopper, K. (2007). “Rethinking social recovery in schizophrenia: what a capabilities approach might offer”, Social Science and Medicine, 65, 868-879.
- Hood, C. C. (1990). “A public Management for all seasons?”, Public Administration, 69, 3-19.
- Howe, D. (1998). “Relationship-based thinking and practice in social work”, Journal of Social Work Practice, 12, 45-56.
- Howell, A. & J. Voronka (2012). “Introduction: The Politics of Resilience and Recovery in Mental Health Care”, Studies in Social Justice, 6(1), 1-7.
- Ingram, R. & M. Smith (2018). “Relationship-based practice: emergent themes in social work Literature”, Insights. Excerpt from https://www.iriss.org.uk/resources/insights/relationship-based-practice-emergent-themes-social-work-literature.
- Ingram R (2013). “Locating emotional intelligence at the heart of social work practice”, British Journal of Social Work, 43(5), 987-1004.
- Jacobson, N. (2004). In Recovery: the making of mental health policy. Nashville: Vanderbilt University Press.
- Jaggar, A. (1989). “Love and knowledge: Emotion in feminist epistemology”, Inquiry, 32(2), 151-176.
- Khoury, E. (2019). “Recovery attitudes and recovery practices have an impact on psychosocial outreach interventions in community mental health care”, Frontiers in Psychiatry,10, 560. doi: 10.3389/fpsyt.2019.00560
- Khoury, E. & L. Rodriguez del Barrio (2015). “Social Work’s Contribution to Mental Health Recovery Practice”, British Journal of Social Work, 45 (supplement 1), i27-i44.
- Khoury, E. & I. Ruelland (2020). “Accessing and utilizing one’s city space: the role of specialized community mental health teams in Canada and Brazil”, Canadian Journal of Community Mental Health, 39(1), 85-100.
- Lapuente, V. & S. Van de Walle (2020). « The effects of new public management on the quality of public services », Governance, 33(3), 461-475.
- Larivière, C. (2005). « Comprendre les enjeux de la nouvelle gestion publique : d’où viennent les changement actuels et où allons-nous? Comprendre les enjeux de la nouvelle gestion publique », RCIQ, vol. 5, no 1, 3-6.
- Leamy, M., Bird, V., Le Boutillier, C., Williams, J., & W. Slade (2011). “Conceptual framework for personal recovery in mental health: Systemic review and narrative synthesis”, The British Journal of Psychiatry,199, 445-452.
- Lee, E. O., MacDonald, S. A., Fontaine, A. et Caron, R. (2017). « Promouvoir une perspective anti-oppressive dans la formation en travail social », Intervention, no145, 7-19.
- Mead, S. & M. E. Copeland (2000). “What recovery means to us: Consumers’ perspectives”, Community Mental Health Journal,36(3), 315-328.
- Morrow, M. & J. Weisser (2012). “Towards a Social Justice Framework of Mental Health Recovery”, Studies in Social Justice,6(1), 27-43.
- MSSS. (2005). Plan d’action en santé mentale 2015-2020 : faire ensemble et autrement, Québec : Ministère de la Santé et des Services Sociaux.
- Mugumbate, J. & A. Chereni (2019). “Using African ubuntu theory in social work with children in Zimbabwe”, African Journal of Social Work, 9(1), 27-34.
- Munro, E. (2004). “The Impact of Audit on Social Work Practice”, The British Journal of Social Work, 34(8), 1075-1095. https://doi.org/10.1093/bjsw/bch130
- O’Connor, L. (2020). “How social workers understand and use their emotions in practice: A thematic synthesis literature review”, Qualitative Social Work, 19(4), 645-662.
- Pilgrim, D. (2008). “Recovery and current mental health policy”, Chronic Illness, 4, 295-304.
- Pillow, W. (2003). “Confession, catharsis, or cure? Rethinking the uses of reflexivity as methodological power in qualitative research”, International Studies in Education,16(2), 175-196.
- Poole, J. (2011). Behind the Rhetoric: Mental Health Recovery in Ontario, Fernwood: ON.
- Provencher, H. (2002). « L’expérience du rétablissement : perspectives théoriques », Santé mentale au Québec, 27(1), 35-64.
- Reamer, F. G. (2013). “Social work in a digital age: Ethical and risk management challenges”, Social Work, 58(2), 163-172.
- Reamer, F. (2015). “Clinical Social Work in a Digital Environment: Ethical and Risk-Management Challenges”, Clinical Social Work Journal,43(2), 120-132.
- Ridgway, P. (2001). “ReStorying Psychiatric Disability: Learning from First Person Recovery Narratives”, Psychiatric Rehabilitation Journal, 24(4), 335-342.
- Rollins, W. (2020). “Social Worker–Client Relationships: Social Worker Perspectives”, Australian Social Work, 73(4), 395-407.
- Ruch, G. (2005). “Relationship-based practice and reflective practice: holistic approaches to contemporary child care social work”, Child and Family Social Work,10, 111-123.
- Ruch, G. (2018a). “Theoretical frameworks informing relationship-based practice”: 37-55, in G. Ruch, D. Turney, A. Ward (eds), Relationship-based social work, 2nd edition, London: Jessica Kingsley.
- Ruch, G. (2018b). “The contemporary Context of Relationship-Based Practice”: 19-37, in G. Ruch, D. Turney, A. Ward (eds), Relationship-based social work, 2nd edition, London: Jessica Kingsley.
- Sewell, K. M. (2020). “Examining the Place of Emotions, Affect, and Regulation in Social Work Education”, Journal of Social Work Education, 56(1), 5-16. https://doi.org/10.1080/10437797.2019.1627262
- Sott, M. K., Bender, M. S., Furstenau, L. B., Machado, L. M., Cobo, M. J. & N. L. Bragazzi (2020). “100 Years of Scientific Evolution of Work and Organizational Psychology: A Bibliometric Network Analysis From 1919 to 2019”, Frontiers in psychology, 11, 598676. https://doi.org/10.3389/fpsyg.2020.598676
- Schon, D. A. (1987). Educating the Reflective Practitioner, San Francisco: Jossey-Bass.
- Spears S. & H. McNeely (2018). “A systematic process for selection of a crisis prevention/De-escalation training program in the hospital setting”, Journal of American Psychiatric Nurses Association, 22, 107.
- Smith, M., Nursten, J. & L. McMahon (2004). “Social Workers’ Responses to Experiences of Fear”, The British Journal of Social Work, 34(4), 541-559.
- Stanhope, V. (2012). “The ties that bind: using ethnographic methods to understand service engagement”, Qualitative Social Work, 11(4), 412-430.
- Strega, S. & L. Brown (2015). Research as Resistance: Revisiting critical, Indigenous, and anti-oppressive approaches, Toronto: Canadian Scholars’ Press.
- Trevithick, P. (2003). “Effective relationship-based practice: A theoretical exploration”, Journal of Social Work Practice,17(2), 163-176.
- Van Breda, A. D. (2019). “Developing the notion of Ubuntu as African theory for social work practice”, Social Work/Maatskaplike Werk, 55(4), 439-450.
- Wang, D. S., Perlman, A. & L. J. Temme (2020). “Utilizing contemplative practices in social work education”, Journal of Religion & Spirituality in Social Work: Social Thought, 39(1), 47-61. https://doi.org/10.1080/15426432.2019.1635063
- Weinberg, M. & S. Taylor (2017). “‘Rogue’ Social Workers: The Problem with Rules for Ethical Behaviour”, Critical Social Work, 15(1), 74–86.
- Wilson, S. (2008). Research is ceremony: Indigenous research methods, Winnipeg: Fernwood Publishing, in S. Strega and L. Brown (eds), Research as Resistance: Revisiting critical, Indigenous, and anti-oppressive approaches, Toronto: Canadian Scholars’ Press.
- Winsper, C., Crawford-Docherty, A., Weich, S., Fenton, S.-J. & S. P. Singh (2020). “How do recovery-oriented interventions contribute to personal mental health recovery? A systematic review and logic model”, Clinical Psychology Review, 76, 101815.
- Wong, Y.-L. R. (2013). “Returning to Silence, Connecting to Wholeness: Contemplative Pedagogy for Critical Social Work Education”, Journal of Religion & Spirituality in Social Work: Social Thought, 32(3), 269-285. https://doi.org/10.1080/15426432.2013.801748
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