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KMID : 0614420090320010374
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Mental Health & Social Work
2009 Volume.32 No. 1 p.374 ~ p.412
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A Qualitative Study on the Structure and Process of Self-Determination Experience of People with Mental Disorder
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Jang Eun-Sook
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Abstract
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The purpose of this study is to understand the structure and process of the mentally ill’s experiences of self-determination and therefore to develope the substantive theory for those experience, which is helpful in establishing the foundation to promote the client’s self-determination-oriented social work practice. Main research question carried out in this study is that "how the clients’ experiences of self-determination in the field of mental health profession". Considering the features of subject matter of the study, the client’ lived experience, grounded theory, as main research methodology, developed by Strauss and Corbin is employed. Data obtained by in depth interview with 17 mentally-ill are analyzed and categorized into 15 higher level of concepts and constructs underlying those experiences. The results of the study shows that the process of self-determination experienced by clients are summarized as a series of stigma, deprivation, opportunity and experience and subjectification. Out of process by using the paradigm models, the 3 distinctive types emerged, which can classify client’s experience of self-determination: subject-type, dependent type, complaint type. In sum, the study can verifies clearly that most of clients have strong desire and needs for self-determination and can be empowered successfully through the experience of self-determination. In addition, such results can provides the important implication to social workers attitude and roles which could guide the social workers practice directed into promoting client’s self-determination.
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KEYWORD
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self-determination, people with mental disorder, grounded theory, empowerment, subjectification
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