Narrative gestures, geographical, and mental maps in Copalillo Guerrero Nahuatl
A Narrative Exploration of In-patient Mental Health Recovery
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A Narrative Exploration of In-patient Mental Health Recovery Presented by: Jaylyn Leighton and Shelagh Keesmaat Committee members: Dr. Kimberly Lopez & Dr. Corey Johnson University of Waterloo Homewood Health Centre
Transcript of A Narrative Exploration of In-patient Mental Health Recovery
A Narrative Exploration of In-patient Mental
Health Recovery
Presentedby:JaylynLeightonandShelaghKeesmaat
Committeemembers:Dr.KimberlyLopez&Dr.CoreyJohnson
UniversityofWaterloo
HomewoodHealthCentre
Agenda:– Thestorybehindtheresearchprojectandtheoutdoorexperiential
psychotherapyworkshop– Aconceptualframeworkforexploringtheliteraturereview– Findings
– Thestoriesoftheexperienceoftheworkshop– Anoverviewofthenarrativethreads
– Discussion:SoWhat…?– Implicationsforpracticeandresearch– Non-conclusion
The story behind the research project…– AddictionMedicineServices(AMS)- Addiction-traumarecoverystream,
HomewoodHealthCentre,GuelphON
Conceptual Framework
PTSD-SUDcomorbiddiagnosis
TheFieldofRecreationandLeisureAustinetal.,2015;
McCarville&MacKay,2007
TreatmentandHealingofaPTSD-SUDdiagnosis
Kofoed etal.,1993;StewartandConrod,
2003
SUDPTSD
MentalHealth
MarginalizationandStigmaofamentalhealthdiagnosis
Brown&Strega,2005;Clearyetal.,2004;Kreek,2011
GroupInterventionsShank&Coyle,2002HealingGriffin,2005;Scott&Ross,2006
TherapeuticRecreationAustinetal.,2015;Shank&Coyle,2002
RelationalandSensorimotorJordan,2015;Ogden&Fisher,2015
OutdoorExperientialTherapy
Ewert etal.,2001
TheroleoftheoutdoorsBerger&McLoed,2006;Jordan,2015
PsychotherapyBuzzell andChalquist,
2009
THEGAP…
DSM-5,2013
Guiding research question:
– 1.Howdoestheuseofoutdoorexperientialpsychotherapywithinanin-patientcaresetting,influenceindividualsexperiencesofearlyrecovery?
Methodology– NarrativeInquiry– “thebodyhaslived,felt,andbeenhurt,andthereforeithousesmemoriesofitsown”
(deMedeiros,2014,p.480)
– Experience-focusednarrativeinquiry– Chase,2005;Jackson&Mazzei.2005;Johnson&Parry,2015;Berbary &Boles,2014;Squire,2008)
The research context….
– ProgramContext:TheOutdoorExperientialPsychotherapyWorkshop(FridayFebruary16,2018)
– Targetedpopulation:PTSD-SUDco-morbiddiagnosis– Thesite:HomewoodHealthCentre(Addiction-PTSD
RecoveryStream,AddictionMedicineServices(AMS)unit)
– Theparticipants:6participants(3identifiedasmale,3identifiedasfemale)
Data collection and analysis procedures:– PhaseOne:TheOutdoorExperientialPsychotherapyWorkshop
– PhaseTwo:GroupDebrief(Audio-recorded)
– PhaseThree:Semi-structuredNarrativeLife-ExperienceInterviews– Lifehistoryblendedtolife-experiencenarrative
– PhaseFour:AnalysisandInterpretation– Collectionandanalysisof:audio-recordedfocusgroupandtranscriptsofnarrative
life-storyandexperienceinterviews
– Useofthematicanalysis(Braun&Clarke,2006;Creswell,2013)
– PhaseFive:Representation
Narratives
– TheStoryofOdin
TheGood: Clear,blueskies
TheBad:TheDarkClouds
TheUgly:TheHeavyRains
WeatheringtheStorm:Taking
Shelter
TheGood:Thesunpeakingthrough
The Perfect Storm: The good, the bad and the Ugly
Figure4. Figure5.
ThePerfectStorm
TheRoleofthe
Outdoors
Connectingwithothersthroughstories
WorkingthroughPast
Behaviours
The good: Clear, blue skies– “itfeltgoodtogetawayfromthebuilding,[itfeltlike]Iwasawayfrommyalcoholism
andIwasawayfromnottalkingaboutitsomuchanditjustgavemeapeaceofmind”(Joseph)
– “[itwas]nicetobeoutinnatureitsmoretranquil,youautomaticallyfeelabreathoffreshair,youfeelatpeace,youfeellikeyouareremovedfromschedule,routine,andstructure”(Liam)
The Bad: The dark clouds– “IhavebeensufferinginsideandnooneknowsontheoutsidethatIamsuffering.”(Odin)
– “Ineverhadmuchofachildhood…itbroughtoutthekid”(Joseph)
The Ugly: The heavy rains– “itthrewmeofffortheday…Ifeltemotionallyexhaustedandemotionally
drained.”(Brianna)
Weathering the Storm: Taking shelter– “thedebriefingwasnicebecausethenIgottounloadanyfeelingsIhadin
betweenandnotbuildupanyresentmentsorfrustrations.”(Brianna)
– “IfindthatwhenpeoplearetalkingabouttheirexperiencesthefirstthingItrytodoisrelatetotheirexperience,kindoflikewalkingintheirshoes…likehowhadmylifebeenaffectedinsimilarways.”(Odin)
The Good: The sun peaking through– “yeahitwasfunandgoofy,Idon’trememberdoingsomethingfunandgoofy
likethatsober.”(Ava)
Transferring the Storm into Recovery:
– “sometimestheanswerliesjustoutsideyourcomfortzone…IamgladIcametoday…Igottoworkatitslowlyandgetbacktobeingaroundotherpeopleandhavingfunwithoutdrinking.”(Odin)
– “eachoneofusisborndifferent…butbehindeveryoneisourstories.”(Joseph)
– “IfIcanhelpsomeonedowntheroad…changethingsforthebetterthereisalwaysprogresstobemade.”(Odin)
TheGood: Clear,blueskies
TheBad:TheDarkClouds
TheUgly:TheHeavyRains
WeatheringtheStorm:Taking
Shelter
TheGood:Thesunpeakingthrough
The Perfect Storm: The good, the bad, and the ugly
Discussion- So What?• TheRoleofOutdoorExperientialPsychotherapywithinanIn-patientSetting
– MedicalversusSocialApproachestoCare
– TheCycleofaPTSD-SUDDiagnosisinCare
– TheUnderstandingandRoleofTRinCare
– TheRoleoftheOutdoorsinCare
– TheRoleofFuninCare
Discussion• ProvidingaPlatformforthevoiceinthecrackstobehear
- Theroleofgroupinterventionsandprocessingtechniques- The‘VoiceintheCracks’
• ImplicationforResearchandPractice• BridgingtheGapbetweenResearchandPractice
Non conclusion: What’s next?
– “eachoneofusisborndifferent…butbehindeveryoneisourstories.”(Joseph)
Thank you!AspecialthankyoutoShelaghKeesmaat,andHomewoodHealthCentreforhelpingsupportthisresearchproject
