Sammendrag: This article aims to contribute to the understanding of shared decision making as an important aspect of user involvement in mental health care from the perspectives of service users. A thematic analysis of interviews with 25 individual service users in three different community mental health centers in Norway identified different understandings of shared decision making. Shared decision making was identified as essential in four contexts: 1) during admission, 2) in individualized treatment, 3) in different treatment contexts, and 4) in user-professional relationships. We consider shared decision making to be intertwined with treatment from the service user perspective. Omsorgsbiblioteket har ikke tilgang til å publisere dette dokumentet i fulltekst. Kanskje ditt lokale bibliotek kan hjelpe deg, eller kanskje du kommer videre med lenken nedenfor.

There is a need for qualitative studies on motherhood and mental distress. Many mothers have a diagnosis of mental illness, and their motherhood exists in constant tension with their distress. This paper focuses on 10 mothers’ stories about motherhood in relation to being admitted as mental health service users in three different Norwegian community mental health centers. The study has a narrative approach, and through a thematic analysis of personal stories, we emphasize how the 10 women make sense of their experiences of admittance to mental health services in relation to dominant Discourses of good motherhood. Themes identified were: (1) being able to put oneself in the child’s shoes; (2) the emotional impact of being admitted; (3) being open with the children about the admission; and (4) being an emotionally available and present mother. Based on the results of our analysis, we suggest the mothers experienced their distress as a natural reaction to life strains over time, and that they relate to the admissions as interruptions. This underlines the necessity of a more holistic approach, with a support system that focuses on both personal and social aspects of motherhood and mental distress.

This article deals with user involvement in mental health care and emerges from interviews with four service users at a community mental health center in northern Norway. The stories told by the participants were related to an impending closure of the center following a new health care reform. The aim of this article is to take a closer look at how user involvement was performed by the participants in the storytelling context. We explore the stories told using narrative contextualization analysis. Through our analysis, we find that narrative environments demands our attention to turn to storytelling as stories play out in the here and now of everyday life in mental health care.

A discontinuity between the study of the brain and study of the mind is discussed. Mental phenomena emerge from the level of individuals interacting through language. Mental life as based in interindividuality is nevertheless experienced solitary. Bion's notion of psychosis as a fantasy of omniscience taking over consciousness. Two clinical vignettes.

Sammendrag:Artikkelen er en del av en avhandling om brukermedvirkning og innsikt blant brukere av distriktspsykiatriske tjenester i Nord-Norge. Innsikt i egen helse og behandling er i fokus, og forfatteren argumenterer for en relasjonell tilnaerming til innsikt.Omsorgsbiblioteket har ikke tilgang til å publisere dette dokumentet i fulltekst. Kanskje ditt lokale bibliotek kan hjelpe deg, eller kanskje du kommer videre med lenken nedenfor.