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The meaning of coping for psychiatric patients
Journal article   Open access   Peer reviewed

The meaning of coping for psychiatric patients

J. Ryan, M. Rapley and S. Dziurawiec
Qualitative Health Research, Vol.24(8), pp.1068-1079
2014
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Abstract

Contemporary psychiatric theory holds that a precipitant of major mental illness is the inability of some vulnerable individuals to cope with the difficulties of everyday life. Such mentally ill people are characterized as having deficient, dysfunctional, or absent coping skills. Recently, researchers have exerted considerable effort to distinguish between productive and nonproductive coping. In this article, we argue that not only are such conceptualizations reliant on reductive, circular logic, but they also miss the essentially rational, local, and individual nature of coping in psychiatric patients’ lives. We used semistructured interviews and thematic analyses of psychiatric patients’ descriptions of their coping. Patients reported that professional intervention reduced their ability to cope, that they distrusted the mental health system and its professionals, that coping mechanisms were misinterpreted, that situational crises modulated coping, and that sometimes coping was just “not coping.” We argue for a more respectful, nuanced understanding of coping among mental health professionals.

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6 Social Sciences
6.73 Social Psychology
6.73.785 Subjective Well-Being
Web Of Science research areas
Information Science & Library Science
Public, Environmental & Occupational Health
Social Sciences, Biomedical
Social Sciences, Interdisciplinary
ESI research areas
Social Sciences, general
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