一年來浮現的主題
Some themes emerging over the year
下面是一年以來的深度匯談中，浮現的一些具有代表性的主題。分成三類：個人經驗、各式各樣的心理健康議題和迴響、公眾議題
The following are just a representative number of the themes that have emerged during dialogues over the last year. These might be categorised under three headings: Personal Experience, Models of and Responses to Mental Health Issues, The Public Domain. These are as follows:
個人經驗
˙孤立無援，獨自受苦──難道非得如此？
˙當你心理和情緒失常時，沒有說話的權利。
˙感情脆弱、心理憂傷伴隨而來的害怕和胡思亂想。
˙壓力和腦部的化學作用。
˙對康復的不安──隧道末端的亮光令人害怕。
Personal Experience
‧ Isolation, suffering alone – does it have to be that way?
‧ You lose your voice when you fall into mental and emotional ill-health.
‧ The fears, and myths, around emotional and mental distress.
‧ Stress – and brain chemistry.
‧ The terror of getting well! – Seeing light at the end of the tunnel can be frightening.
各式各樣的心理健康議題和迴響
˙對身心靈療法的需要。
˙自然就會好！
˙學習必須是輕快舒適的活動，才會獲益良多
˙吃藥──有效、困難、副作用、終身？
˙一視同仁──尊重、平等、和善。
˙精神病學家（開重複處方時）通常沒聯繫和他共同協助同一個人的其他專家（如教導、教學）。
˙源於貴格教派的「收容所」(refuge)，對於從心理疾病中復原常常很有效。不過卻在歷史長河中失傳。
˙貼標籤──抑鬱症，躁狂症，焦慮症，精神分裂症，精神病等等。
˙模式：醫學模式，心理測驗，精神分析，教育，行為，自我幫助，恢復，認知行為療法(cognitive behavior therapy)等等
˙心理治療和心理諮商──五花八門的各種方法。
˙人類天賜法──需求、資源、睡眠、快速眼動睡眠等等。
˙有哪個模式能解釋或符合獨一無二的你嗎？
˙在心理健康領域中被認為具有專門知識的專家：精神科醫生，心理治療師，心理輔導教師，心理學家（臨床，教育等） ，精神分析學家，團體心理治療師，精神科護士，社區精神科護士等等。
˙各種方法的差異：某些專家是否缺乏合作和協調？
˙專家之間的等級制度，老鳥釘菜鳥：不利於服務使用者；一些專家對自己的排名感到不舒服；跨領域團隊有可能嗎？
˙等級制度、編制、控制──誰希望這些維持不變？
˙顧客常常不知不覺的把責任轉嫁給專家；這也會自動忽視其他常須沉默客觀的專家。
˙心理疾病真的存在嗎？是否只是程度上的差異？是不是所有人類都經歷過相同的感覺、思維和知覺，只是強度比較小？
˙深度匯談的意義是什麼？
˙深度匯談中演進的文化。
˙認出深度匯談中的次文化，和次文化之間的互動。
˙「關於心理健康和生命自在的深度匯談」是不是名字取錯了？應該更多方面、大範圍的邀約，超越健康、心理健康、生命自在或任何侷限的描述？如果這樣的話，你會來嗎？
Models of and Responses to Mental Health Issues
‧ The need for a mind, body, spirit approach.
‧ Healing can be a natural process!
‧ Learning needs to be a relaxed activity (to be useful, effective).
‧ Medication – usefulness, difficulties, side effects, lifelong?
‧ Relating to people as people – respect, equality, compassion.
‧ Psychiatrist (re prescribing medication etc.) usually does not liaise with other professionals (e.g. teaching/educational) with whom the individual is working.
‧ The original idea of a ‘refuge’ (Quakers and others) for recovery from ‘mental illness’ – often very effective but now ‘lost’ in mist of history.
‧ Labels – depression, mania, anxiety, schizophrenia, psychosis etc.
‧Models: medical model, psychotherapeutic, psychoanalytic, educational, behavioural, self help, recovery, CBT, etc.
‧ Psychotherapy and counselling – the great variety of approaches to these.
‧ Human Givens approach – human needs, resources, sleep, REM etc.
‧ Does ANY model explain/satisfy the uniqueness of you?
‧ Professionals who are deemed to have expertise in the area of mental health: psychiatrist, psychotherapist, counsellor, psychologist (clinical, educational etc.), psychoanalyst, group therapist, psychiatric nurse, community psychiatric nurse etc.
‧ Differences in approaches: is there a lack of teamwork/coordination among some professionals?
‧ Hierarchy among professionals, pecking order: disadvantages for ‘service users’; unease among certain professionals about their position in this order; is a multi-disciplinary team possible?
‧ Hierarchy, organisation, control - who wants these to stay as they are?
‧ The often unconscious giving over of responsibility to professionals on the part of the client; this can also automatically marginalise other professionals who often have to stand back biting their tongue!
‧ Mental illness – does it exist? Is there a continuum? Does every human being experience the same feelings, thoughts and sensations (even if at less intense level)?
‧ What is the meaning of dialogue?
‧ Evolution of culture in a dialogue.
‧ Identification of sub-cultures in the dialogue; interaction among these.
‧ Is this dialogue on mental health and well-being misnamed? Should it be a wider, more encompassing invitation, beyond health, mental health, well being or any limited descXXXXXription? If it were, would you come?
公眾議題
˙需要民眾重視這些議題。
˙公諸於世，開始做點什麼！
˙藥廠──議題設定、把醫生作為對像、呼風喚雨。
˙補助政策的影響（政府、衛生局、胎兒酒精症候群等等）。
˙社群──朋友、家人、同事。
˙工作──地位、收入、貢獻的重要性。
The Public Domain
‧ The need for public awareness of these issues.
‧ Get out on the streets and start doing something!
‧ Pharmaceutical companies – agendas, targeting doctors, huge influence.
‧ The influence of funding policy (government, Health Board, FAS etc.)
‧ Community – friendship, family, colleagues.
‧ Work – value of (status, money, contributing to something or someone).
