Intimate Relationships and Mental Illness : improving Mental Health Practices
Notice bibliographique
Résumé
Intimate relationships, including romantic, marital, and sexual relationships, are a fundamental aspect of life and a right for everyone. However, despite their desire to take on social roles such as spouse, lover, or partner, persons with mental illness, such as schizophrenia, are less likely to develop such relationships. According to the International Classification of Functioning, which serves as the theoretical framework for this doctoral work, this situation reflects a significant participation restriction in the area of intimate relationships (World Health Organization, 2001). Although person-centered approaches, such as recovery-oriented and rights-based approaches, fully legitimize professional involvement in this domain, mental health practices remain insufficient or inadequate. Within this context, the INTIMate research program was developed to promote intimate relationships for persons living with mental illness by improving the support they receive. To achieve this goal, four studies were conducted. A systematic literature review was conducted to identify interventions aimed at promoting intimate relationships for persons with serious mental illness. The results revealed a lack of scientifically validated interventions, which may constitute a barrier to evidence-based support. To gain a deeper understanding of the phenomenon of participation restriction and the factors influencing it, a second study aimed to characterize the frequency and impact of barriers and facilitators of intimate relationships. This descriptive and comparative study was conducted among the general population and persons living with schizophrenia. The latter group perceives the impact of personal factors (particularly those related to self-concept), impairments (e.g., cognitive difficulties), and environmental factors (such as stigma) on their intimate relationships. Given that stigma was identified as a major barrier, this doctoral work subsequently focused on studying public stigma and self-stigma. A third study, using a mixed-method approach, identified stereotypes about the intimate relationships of persons living with schizophrenia among the general population, healthcare students, and professionals. It also highlighted potential pathways for reducing this stigma. Finally, a fourth study was conducted at the University of Montreal, in collaboration with patient partners, to develop and validate a scale assessing self-stigma in intimate relationships. In conclusion, this doctoral work presents promising perspectives for enhancing support in intimate relationships for persons living with mental illness. However, further studies are needed to promote evidence-based support that aligns with the preferences for those concerned. In accordance with national and international recommendations, this work advocates for holistic approaches aimed at achieving full social participation, such as recovery-oriented and rights-based approaches (Coldefy, 2022; WHO, 2021).
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,004 | 0,012 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,002 | 0,002 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,002 | 0,003 |
| Science ouverte | 0,001 | 0,004 |
| Intégrité de la recherche | 0,001 | 0,002 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,003 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».