Breaking through marginalisation in public mental health care with Family Group Conferencing: shame as risk and protective factor

Gideon de Jong, Gert Schout

Onderzoeksoutput: ArticleAcademicpeer review

Uittreksel

From January 2011 until December 2012, forty Family Group Conferences (FGCs) will be studied in the public mental health care (PMHC) setting in the province of Groningen, the Netherlands. Research should yield an answer to whether FGCs are valuable for clients in PMHC as a means to generate social support, to prevent coercion and to elevate the work of professionals. The present study reports on two case studies in which shame and fear of rejection are designated as main causes for clients to avoid contact with their social network, resulting in isolated and marginalised living circumstances. Shame, on the other hand, is also a powerful engine in preventing clients from relapse into marginalised circumstances for which one needs to feel ashamed again. An FGC offers a forum where clients are able to discuss their shameful feelings with their social network; it generates support and helps breaking through vicious circles of marginalisation and social isolation. Findings of these case studies confirm an assumption from a previous study that a limited or broken social network is not a contraindication, but a reason for organising FGCs.
Originele taal-2English
Pagina's (van-tot)1439-1454
TijdschriftBritish journal of social work
Volume43
Nummer van het tijdschrift7
StatusPublished - 2013

Vingerafdruk

Shame
shame
Social Support
Mental Health
Public Health
mental health
health care
Delivery of Health Care
social network
Group
Coercion
Social Isolation
relapse
Netherlands
Fear
social support
social isolation
Emotions
contact
anxiety

Keywords

  • family group conferencing
  • family group conference
  • openbare geestelijke gezondheidszorg
  • reintegrative shaming
  • sociaal isolement
  • sociale steun

Citeer dit

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abstract = "From January 2011 until December 2012, forty Family Group Conferences (FGCs) will be studied in the public mental health care (PMHC) setting in the province of Groningen, the Netherlands. Research should yield an answer to whether FGCs are valuable for clients in PMHC as a means to generate social support, to prevent coercion and to elevate the work of professionals. The present study reports on two case studies in which shame and fear of rejection are designated as main causes for clients to avoid contact with their social network, resulting in isolated and marginalised living circumstances. Shame, on the other hand, is also a powerful engine in preventing clients from relapse into marginalised circumstances for which one needs to feel ashamed again. An FGC offers a forum where clients are able to discuss their shameful feelings with their social network; it generates support and helps breaking through vicious circles of marginalisation and social isolation. Findings of these case studies confirm an assumption from a previous study that a limited or broken social network is not a contraindication, but a reason for organising FGCs.",
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Breaking through marginalisation in public mental health care with Family Group Conferencing : shame as risk and protective factor. / de Jong, Gideon; Schout, Gert.

In: British journal of social work, Vol. 43, Nr. 7, 2013, blz. 1439-1454.

Onderzoeksoutput: ArticleAcademicpeer review

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T1 - Breaking through marginalisation in public mental health care with Family Group Conferencing

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