Facilitating the emotional dynamics of trust, status and power: Toward sustainable processes in integrated community care
Health and society Gjoevik University College gjoevik, norway
Social determinants of mental health are generally considered to influence individual´s sense of belonging, esteem and control (Dalgard 2006). Social disintegration, isolation and inequality tend to weaken an individual´s sense of belonging. Social exclusion, discrimination and unemployment often lead to lower levels of self-esteem. Economic marginalization, excessive job demands and exposure to violence are all connected with a diminished sense of control.
Though these large-scale societal factors often require substantial resources and time to change, integrated community care can be a first step in addressing and remediating the individual experiences associated with these factors.
This paper describes an ongoing project in rural Eastern Norway using a form of integrated community care based on dialogical meetings in social networks (Seikkula & Arnkil 2006). These interventions target experiences of belonging, esteem and control in order enhance recovery processes. Special focus is given to facilitating emotional disclosure and reflection on the part of the social network.
As part of a larger evaluation project, the author is conducting research on the interactional processes in these meetings using a framework based on recent work on the emotional dynamics trust, status and power. In addition to observation and conversational analysis of the meeting transcripts the members of the meetings also participate in an "emotional network interview" which was developed for this project based on the meta-emotion interview (Gottman, et al. 1997) and the affect-consciousness interview (Monsen & Monsen 2000).