Journal List > J Korean Acad Psychiatr Ment Health Nurs > v.25(3) > 1058072

Kim, Koo, and Koo: Concept Analysis of Self-reliance in Persons with Psychiatric Disabilities

Abstract

Purpose

The purpose of this study was to construct the clear definition of the concept 'self-reliance' among persons with psychiatric disabilities.

Methods

A hybrid model (comparative analysis between literature review findings and actual interview data) was employed to extract essential components of 'self-reliance' and develop its clear definition among those subjects.

Results

Self-reliance appeared to have complex nature and consist of multi-dimensional meaning units with 4 different levels (including 8 attributes and 21 indicators). 4 different levels of dimensions and their 8 attributes are suggested as follows: 1) Personal dimension (increasing insight, improving motivation for recovery); 2) Procedural dimension (encouraging empowerment and overcoming internalized stigma, self-esteem); 3) Institutional dimension (utilizing social and government support, formulating social-networks); 4) Consequential dimension (financial independence, planning for independent housing, self-determination).

Conclusion

The findings of this study will contribute to developing valid measurements to examine self-reliance and establishing nursing interventions aiming at increasing self-reliance in persons with psychiatric disabilities.

Figures and Tables

Table 1

Dimensions, Attributes, Indicators and Preceding Factors of Independence in Persons with Psychiatric Disabilities in Literature Review

jkapmhn-25-155-i001
Table 2

Dimensions, Attributes, Indicators and Preceding Factors of Independence in Persons with Psychiatric Disabilities in Field Work

jkapmhn-25-155-i002
Table 3

Dimensions, Attributes, Indicators and Preceding Factors of Independence in Persons with Mental Disabilities in Final Stage

jkapmhn-25-155-i003

Notes

CONFLICTS OF INTEREST The authors declared no conflicts of interest.

References

1. Kessler RC, Angermeyer M, Anthony JC, DE Graaf R, Demyttenaere K, Gasquet I, et al. Lifetime prevalence and age-of-onset distributions of mental disorders in the World Health Organization's World Mental Health Survey initiative. World Psychiatry. 2007; 6(3):168–176.
2. Daum Communications. Daum dictionary [Internet]. 2016. 04. cited 2016 April 18. Available from: http://dic.daum.net/word/view.do?wordid=kkw000228593&supid=kku000290831#kku000290831.
3. Anthony WA. Recovery from mental illness: the guiding vision of the mental health service system in the 1990s. J Psychosoc Rehabil. 1993; 16(4):11–23.
crossref
4. Deegan PE, Drake RE. Shared decision making and medication management in the recovery process. Psychiatr Serv. 2006; 57(11):1636–1639. DOI: 10.1016/10.1176/appi.ps.57.11.1636.
crossref
5. Bae JK, Son MJ, Lee JG. Development of the recovery attitudes scale for person with psychiatric disabilities. Korean J Clin Psychol. 2009; 28(2):605–627.
6. Davidson L, Roe D. Recovery from versus recovery in serious mental illness: one strategy for lessening confusion plaguing recovery. J Ment Health. 2007; 16(4):459–470. DOI: 10.1016/10.1080/09638230701482394.
crossref
7. Woodill G. Independent living and participation in research: a critical analysis. Toronto, Ontario: Centre for Independent Living in Toronto(CILT);2006. p. 43.
8. Jeong YS, Lee YS, Kim SH, Park WH. A approach based on grounded theory for the independence living support of adult with intellectual disabilities. J Intellect Disabil. 2014; 16(1):245–281.
9. LawnB site [Internet]. 2016. 06. cited 2016 June 28. Available from: http://www.lawnb.com/lawinfo/link_view.asp?cid=D32515992AAA4AE896879F10D5EFF85B|R.
10. Oldman C. Deceiving, theorizing and self-justification: a critique of independent living. Critical Social Policy. 2003; 23(1):44–62.
crossref
11. Chae IS. A study of the intervention effects of occupational adaptation on the independent living of those with mental disability [dissertation]. [Wanju]: Hanil University & Presbyterian Theological Seminary;2011. p. 125.
12. Rodgers BL, Knafl KA, editors. Concept development in nursing: foundations, techniques, and applications. Philadelphia, PA: W.B. Saunders Co;2000. p. 458.
13. Strauss A, Corbin J. Basics of qualitative research: grounded theory procedures and techniques. 2nd ed. Boston: SAGE Publications, Inc;1990. p. 270.
14. Daum Communications. Daum dictionary [Internet]. 2016. 05. cited 2016 May 9. Available from: http://dic.daum.net/word/view.do?wordid=kkw000215175&supid=kku000270641#kku000270641.
15. Wikipedia. Wikipedia dictionary [Internet]. 2015. 08. cited 2015 Aug 19. Available from: https://ko.wikipedia.org/wiki/%EC%9E%90%EB%A6%BD%EC%83%9D%ED%99%9C.
16. Daum Communications. Daum dictionary [Internet]. 2015. 08. cited 2015 Aug 19. Available from: http://dic.daum.net/word/view.do?wordid=kew000060327&q=%EC%9E%90%EB%A6%B.
17. The National Institute of the Korean Language. Standard Korean Language dictionary Communications [Internet]. 2015. 08. cited 2015 Aug 19. Available from: http://stdweb2.korean.go.kr/search/View.jsp.
18. Lee IS, Kim DK, Lee HN. The relation between the use of independent living service and community participation and employment and mediation effect of empowerment. J Vcat Rehabil. 2007; 17(1):5–24.
19. Perivoliotis D, Granholm E, Patterson TL. Psychosocial functioning on the independent living skills survey in older outpatients with schizophrenia. Schizophr Res. 2004; 69(2-3):307–316. DOI: 10.1016/j.schres.2003.09.012.
crossref
20. Kim JH, Kim YJ. A review of literature study on functional life skills of students with intellectual disabilities. J Intellect Disabil. 2012; 14(1):23–42.
21. Kim YJ, Do MA. A study on application of subject matters education for independence and adult life of students with developmental disabilities. J Emot Behav Disord. 2014; 30(2):144–180.
22. Cho YH. Effect and status on the independence promotion program of home visiting serviced elderly in rural area. Korean Public Health Res. 2014; 40(2):41–51.
23. Lowe J. Cherokee self-reliance. J Transcult Nurs. 2002; 13(4):287–295. DOI: 10.1177/104365902236703.
crossref
24. Ahern L, Fisher D. Recovery at your own. J Psychosoc Nurs Ment Health Serv. 2001; 39(4):22–32.
25. Spaniol L, Wewiorski NJ, Gagne C, Anthony WA. The process of recovery from schizophrenia. Int Rev Psychiatry. 2002; 14(4):327–336. DOI: 10.1080/0954026021000016978.
crossref
26. Kim DY. A phenomenological study on the life experience of people with psychiatric disabilities in housing facilities. J Disabil Welf. 2009; 11:183–220.
27. Lowe J. The self-reliance of the Cherokee male adolescent. J Addict Nurs. 2003; 14(4):209–214.
crossref
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