Barriers to and Facilitators of the Acceptance Process for Individuals With Serious Mental Illness
Qualitative Health Research (Impact Factor: 2.19). 08/2014; 24(9). DOI: 10.1177/1049732314545889
The process of acceptance of mental illness is a central component of recovery and has been linked to functioning, illness management, and quality of life. A number of barriers and facilitators have been theorized as impacting this process. This study was conducted with 30 participants with serious mental illness (a major psychiatric disorder with impairment in multiple areas of functioning) to elicit the barriers to and facilitators of the acceptance of mental illness. Grounded theory methodology was utilized to analyze the 30 semistructured interviews. Results revealed barriers to and facilitators of acceptance of mental illness at the micro level (cognitive, emotional, behavioral, identity-related), meso level (relational), and macro level (cultural, systemic). Clinical and research implications are discussed with regard to facilitating acceptance of mental illness.
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ABSTRACT: Acceptance of mental illness is essential to promoting recovery and is uniquely impacted by issues of culture, race, and ethnicity. Qualitative case narrative methodology was used to identify themes related to the cultural facilitators and barriers in the acceptance process. Five participant narratives are presented to assist practitioners in applying these findings to rehabilitation counseling. Selected case narratives represent participants from diverse racial and ethnic backgrounds to illustrate cultural facilitators and barriers in the acceptance process. Implications are suggested for culturally responsive counseling and research pertaining to the process of acceptance of mental illness.Rehabilitation Counseling Bulletin 07/2013; 56(4):229-239. DOI:10.1177/0034355213475823 · 0.48 Impact Factor
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ABSTRACT: Lesbian, gay, bisexual, and transgender (LGBT) individuals with mental illness encounter double stigma of mental illness and LGBT identity that can uniquely impact the process of acceptance of mental illness. Acceptance of mental illness is essential to promoting recovery and may be one of the most crucial and difficult steps in this process. Qualitative case narrative methodology was used to identify themes related to the facilitators and barriers in the acceptance process for lesbian, gay, and transgender (LGT) individuals in the present study. Three participant narratives are presented to assist practitioners in applying these findings to clinical practice. Selected case narratives represent participants with LGT identities to illustrate facilitators and barriers in the acceptance process among individuals within this group. Identified themes included identity factors at the micro level, relational factors at the meso level, and systemic factors at the macro level. Notably, identity-related facilitators of acceptance of mental illness included developing preferred terminology and self-defined language. Implications are suggested for psychotherapy and research pertaining to the process of acceptance of mental illness for LGBT individuals with mental illness.Journal of Gay & Lesbian Mental Health 07/2014; 18(3):320-341. DOI:10.1080/19359705.2013.828007
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