Culture-dependent and universal constructs and promoting factors for the process of personal recovery in users of mental health services: qualitative findings from Japan
Abstract Background The conceptualization of personal recovery began in Europe and North America and has spread worldwide. However, the concept of personal recovery in addition to recovery-promoting factors may be influenced by culture. We explored how users of mental health services in Japan percei...
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| Format: | Article |
| Language: | English |
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BMC
2022-02-01
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| Series: | BMC Psychiatry |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12888-022-03750-4 |
| _version_ | 1818331893123252224 |
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| author | Akiko Kanehara Haruna Koike Yumiko Fujieda Sayaka Yajima Asami Kabumoto Yousuke Kumakura Kentaro Morita Yuki Miyamoto Masahiro Nochi Kiyoto Kasai |
| author_facet | Akiko Kanehara Haruna Koike Yumiko Fujieda Sayaka Yajima Asami Kabumoto Yousuke Kumakura Kentaro Morita Yuki Miyamoto Masahiro Nochi Kiyoto Kasai |
| author_sort | Akiko Kanehara |
| collection | DOAJ |
| description | Abstract Background The conceptualization of personal recovery began in Europe and North America and has spread worldwide. However, the concept of personal recovery in addition to recovery-promoting factors may be influenced by culture. We explored how users of mental health services in Japan perceive their own personal recovery and the factors that promote it. Methods We conducted semi-structured interviews and focus group interviews with individuals using mental health services. The interview data were analysed using thematic analysis with a grouped framework analysis approach. We used a coding framework based on the existing CHIME framework (connectedness, hope and optimism about the future, identity, meaning in life, and empowerment). Results Data were obtained from 30 users of mental health services (mean age: 40.4 years; 46.7% women; 50.0% with schizophrenia). “Compassion for others” was newly extracted in “Connectedness”, and “Rebuilding/redefining identity not being as shaped by social norms” was newly extracted in “Identity” as personal recovery. “Positive experiences in childhood” (including positive parenting support from neighbours) was newly extracted as a recovery-promoting factor. Conclusions Our unique findings on the rebuilding identity/defining identity free from conformity to social norms due to interactions with familiar people, including peers, may be culture dependent. This study raises overarching questions regarding how socio-cultural values influence the development of identity and personal values and how they are in turn reflected in personal recovery. |
| first_indexed | 2024-12-13T13:27:05Z |
| format | Article |
| id | doaj.art-f8f8cb57eb0f43b4b535c204b8dd39c6 |
| institution | Directory Open Access Journal |
| issn | 1471-244X |
| language | English |
| last_indexed | 2024-12-13T13:27:05Z |
| publishDate | 2022-02-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Psychiatry |
| spelling | doaj.art-f8f8cb57eb0f43b4b535c204b8dd39c62022-12-21T23:44:16ZengBMCBMC Psychiatry1471-244X2022-02-0122111110.1186/s12888-022-03750-4Culture-dependent and universal constructs and promoting factors for the process of personal recovery in users of mental health services: qualitative findings from JapanAkiko Kanehara0Haruna Koike1Yumiko Fujieda2Sayaka Yajima3Asami Kabumoto4Yousuke Kumakura5Kentaro Morita6Yuki Miyamoto7Masahiro Nochi8Kiyoto Kasai9Department of Neuropsychiatry, University of Tokyo HospitalDepartment of Pathology of Mental Diseases, National Institute of Mental Health, National Center of Neurology and PsychiatryDepartment of Rehabilitation, University of Tokyo HospitalDepartment of Rehabilitation, University of Tokyo HospitalDepartment of Rehabilitation, University of Tokyo HospitalDepartment of Mental Health/ Psychiatric Nursing, Graduate School of Medicine, University of TokyoDepartment of Rehabilitation, University of Tokyo HospitalDepartment of Psychiatric Nursing, Graduate School of Medicine, University of TokyoDepartment of Clinical Psychology, University of TokyoDepartment of Neuropsychiatry, Graduate School of Medicine, The University of TokyoAbstract Background The conceptualization of personal recovery began in Europe and North America and has spread worldwide. However, the concept of personal recovery in addition to recovery-promoting factors may be influenced by culture. We explored how users of mental health services in Japan perceive their own personal recovery and the factors that promote it. Methods We conducted semi-structured interviews and focus group interviews with individuals using mental health services. The interview data were analysed using thematic analysis with a grouped framework analysis approach. We used a coding framework based on the existing CHIME framework (connectedness, hope and optimism about the future, identity, meaning in life, and empowerment). Results Data were obtained from 30 users of mental health services (mean age: 40.4 years; 46.7% women; 50.0% with schizophrenia). “Compassion for others” was newly extracted in “Connectedness”, and “Rebuilding/redefining identity not being as shaped by social norms” was newly extracted in “Identity” as personal recovery. “Positive experiences in childhood” (including positive parenting support from neighbours) was newly extracted as a recovery-promoting factor. Conclusions Our unique findings on the rebuilding identity/defining identity free from conformity to social norms due to interactions with familiar people, including peers, may be culture dependent. This study raises overarching questions regarding how socio-cultural values influence the development of identity and personal values and how they are in turn reflected in personal recovery.https://doi.org/10.1186/s12888-022-03750-4Personal recoveryCultureQualitative researchJapanMental illness |
| spellingShingle | Akiko Kanehara Haruna Koike Yumiko Fujieda Sayaka Yajima Asami Kabumoto Yousuke Kumakura Kentaro Morita Yuki Miyamoto Masahiro Nochi Kiyoto Kasai Culture-dependent and universal constructs and promoting factors for the process of personal recovery in users of mental health services: qualitative findings from Japan BMC Psychiatry Personal recovery Culture Qualitative research Japan Mental illness |
| title | Culture-dependent and universal constructs and promoting factors for the process of personal recovery in users of mental health services: qualitative findings from Japan |
| title_full | Culture-dependent and universal constructs and promoting factors for the process of personal recovery in users of mental health services: qualitative findings from Japan |
| title_fullStr | Culture-dependent and universal constructs and promoting factors for the process of personal recovery in users of mental health services: qualitative findings from Japan |
| title_full_unstemmed | Culture-dependent and universal constructs and promoting factors for the process of personal recovery in users of mental health services: qualitative findings from Japan |
| title_short | Culture-dependent and universal constructs and promoting factors for the process of personal recovery in users of mental health services: qualitative findings from Japan |
| title_sort | culture dependent and universal constructs and promoting factors for the process of personal recovery in users of mental health services qualitative findings from japan |
| topic | Personal recovery Culture Qualitative research Japan Mental illness |
| url | https://doi.org/10.1186/s12888-022-03750-4 |
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