title: The Art of Helpful Relationships with Professionals: A Meta-ethnography of the Perspective of Persons with Severe Mental Illness.
abstract: Relationships with professionals have been shown to be helpful to persons with severe mental illness (SMI) in relation to a variety of services. In this article, we aimed to synthesize the available qualitative research to acquire a deepened understanding of what helpful relationships with professionals consists of, from the perspective of persons with SMI. To do this, we created a meta-ethnography of 21 studies, through which ten themes and an overarching interpretation were created. The findings show that helpful relationships with professionals are relationships where the persons with SMI get to spend time with professionals that they know and trust, who gives them access to resources, support, collaboration and valued interpersonal processes, which are allowed to transgress the boundaries of the professional relationship. The overarching interpretation shows that the relationship that persons with SMI form with professionals is a professional relationship as well as an interpersonal relationship. Both these dimensions entail actions and processes that can be helpful to persons with SMI. Therefore, it is important to recognize and acknowledge both the functional roles of service user and service provider, as well as the roles of two persons interacting with each other, in a manner that may go beyond the purview of the traditional professionalism. Furthermore, the helpful components of this relationship are determined by the individual preferences, needs and wishes of persons with SMI.
authors: Research and Development Unit, Psychiatry South Stockholm, Box 5040, 121 05, Johanneshov, Stockholm, Sweden. amanda.ljungberg@sll.se.
authors: Amanda
authors: A
authors: Ljungberg
authors: Research and Development Unit, Psychiatry South Stockholm, Box 5040, 121 05, Johanneshov, Stockholm, Sweden. anne.denhov@sll.se.|Department of Social Work, Stockholm University, Stockholm, Sweden. anne.denhov@sll.se.
authors: Anne
authors: A
authors: Denhov
authors: Research and Development Unit, Psychiatry South Stockholm, Box 5040, 121 05, Johanneshov, Stockholm, Sweden. alain.topor@sll.se.|Department of Social Work, Stockholm University, Stockholm, Sweden. alain.topor@sll.se.|Faculty of Health and Sport Sciences, University of Agder, Grimstad, Norway. alain.topor@sll.se.
authors: Alain
authors: A
authors: Topor
mesh_terms: D003299:Cooperative Behavior; D016208:Databases, Factual / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology* / Q000628:therapy*; D057240:Patient Preference; D010819:Physician's Role; D011369:Professional-Patient Relations
keywords: Alliance; Helpful relationships; Meta-ethnography; Meta-synthesis; Severe mental illness; User’s perspective
references: J Adv Nurs. 2003 Jul;43(1):101-8
references: 12801401
references: Int J Qual Health Care. 2012 Feb;24(1):39-48
references: 22146566
references: Adm Policy Ment Health. 2006 Nov;33(6):674-81
references: 16909192
references: J Adv Nurs. 2005 Dec;52(5):561-70
references: 16268863
references: Psychiatr Serv. 2008 Dec;59(12):1430-6
references: 19033170
references: Fam Pract. 2003 Oct;20(5):508-13
references: 14507789
references: Psychother Psychosom. 2011;80(2):70-7
references: 21196804
references: Adm Policy Ment Health. 2006 Jul;33(4):470-81
references: 16292495
references: Int J Soc Psychiatry. 2012 Sep;58(5):496-504
references: 21813486
references: Br J Psychiatry. 2005 Nov;187:438-43
references: 16260819
references: Res Nurs Health. 1997 Aug;20(4):365-71
references: 9256882
references: Aust N Z J Psychiatry. 2003 Apr;37(2):169-83
references: 12656956
references: Int J Soc Psychiatry. 2004 Jun;50(2):115-28
references: 15293429
references: J Consult Clin Psychol. 2000 Jun;68(3):438-50
references: 10883561
references: Community Ment Health J. 2003 Apr;39(2):101-14
references: 12723845
references: Arch Psychiatr Nurs. 2012 Aug;26(4):272-84
references: 22835747
references: Psychiatry. 2012 Summer;75(2):190-201
references: 22642437
references: Psychiatr Rehabil J. 2008 Summer;32(1):9-22
references: 18614445
references: Int J Ment Health Nurs. 2003 Jun;12(2):103-9
references: 12956021
references: J Psychiatr Ment Health Nurs. 2012 Feb;19(1):1-7
references: 22070798
references: Psychiatr Serv. 2014 May 1;65(5):675-7
references: 24535634
references: Psychiatr Q. 2003 Winter;74(4):387-99
references: 14686461
references: Qual Health Res. 2009 Oct;19(10):1504-16
references: 19805812
references: J Psychiatr Ment Health Nurs. 2005 Feb;12(1):23-32
references: 15720494
references: Qual Health Res. 2003 Sep;13(7):893-904
references: 14502956
references: Psychiatry Res. 2011 May 15;187(1-2):68-73
references: 21094532
references: Int J Soc Psychiatry. 2012 Jul;58(4):417-24
references: 21602221
references: Am J Orthopsychiatry. 1951 Jul;21(3):452-60
references: 14857123
references: Int J Qual Stud Health Well-being. 2011 Jan 13;6(1):null
references: 21245933
references: Psychotherapy (Chic). 2011 Mar;48(1):9-16
references: 21401269
references: J Psychiatr Ment Health Nurs. 2011 Nov;18(9):822-32
references: 21985685
references: Soc Sci Med. 2003 Feb;56(4):671-84
references: 12560003
references: J Psychiatr Ment Health Nurs. 2012 Feb;19(1):15-22
references: 22070188
references: Psychiatr Serv. 2004 May;55(5):555-9
references: 15128964
references: Aust N Z J Ment Health Nurs. 2001 Sep;10(3):176-86
references: 11493289
references: Qual Health Res. 2013 Sep;23(9):1285-92
references: 23964060