0000000000372979
AUTHOR
Carina Ribe Fernee
Unpacking Relational Dignity: In Pursuit of an Ethic of Care for Outdoor Therapies
Dignity is a universal principle that requires us to treat every person as having worth beyond who a particular person is or what they do. Dignity is a complex and sometimes contested idea, that at times can be compromised in health care and allegedly also within the practice of outdoor therapy. Outdoor therapies comprise a range of therapeutic approaches including nature-based therapy, adventure therapy, animal-assisted therapy, forest therapy, wilderness therapy, surf therapy, and more. Within the literature of outdoor therapies there has been limited research on ethics related to common understandings of care concepts such as relational dignity and human rights. The aim of this paper is …
Therapy the Natural Way: A Realist Exploration of the Wilderness Therapy Treatment Process in Adolescent Mental Health Care in Norway
Wilderness therapy has the potential to meet the specific needs of the current adolescent population by providing a rather unique outdoor group treatment. Wilderness therapy is not a new approach to mental health treatment, but its theoretical basis is not yet clearly delineated, in part because of the diversity found across programs and contexts. This article presents a critical realist exploration of a wilderness therapy program that was recently implemented as part of adolescent mental health services in Southern Norway. In this study, we combine fieldwork and interviews for an in-depth investigation of the treatment process, where the objective was to acquire a deeper understanding of t…
Unpacking the Black Box of Wilderness Therapy
Despite considerable progress within wilderness and adventure therapy research over the last decade, researchers are still unable to precisely answer why, how, and for whom this treatment modality works. There is also a need for more knowledge regarding the circumstances under which the treatment does not appear to be effective. In this realist synthesis, we attempt to unpack this “black box” of wilderness therapy more specifically, defined as a specialized approach to mental health treatment for adolescents. Through a focused review of the primary qualitative wilderness therapy studies, empirical findings are used to test and refine a key program theory. The synthesis results in a propose…
Therapy in the open air: Introducing wilderness therapy to adolescent mental health services in Scandinavia
Despite the rich traditions of outdoor life in the Scandinavian countries, structured nature-based therapeutic interventions remain underexplored in adolescent mental health services. We suggest that wilderness therapy is an age-appropriate and effective group treatment that may hold particular appeal for at-risk youth who are less responsive to conventional forms of treatment. Although more widespread in other parts of the world, wilderness therapy may also be a viable treatment modality for the Scandinavian region. Our overall aim of this state-of-knowledge article is to provide an overview of wilderness therapy with regard to conceptualization, practice and research, and to discuss curre…
The magic in the (extra)ordinary: Intensive validation to recalibrate the life-worlds of adolescents exposed to abuse
This qualitative case study aimed to explore environmental circumstances and inter-actional processes that appeared to be relevant for the dynamics of resilience in ado-lescents exposed to child abuse. Fieldwork at a learning and coping centre forchildren and their families was combined with semi-structured interviews with ado-lescent participants aged 12 to 18 years. A critical realist approach was used tounpack what has been called the‘ordinary magic’of resilience. We found thatinten-sively validating qualitiesof both theenvironmentandrelationshipsseemed to be driv-ing components for resilience. Borrowing ideas from the sociometer theory, wepropose that particularly the consistent intensi…
Emerging stories of self: long-term outcomes of wilderness therapy in Norway
This paper is a twelve-month follow-up study that explores perceived outcomes from participation in a Norwegian wilderness therapy program. Through a critical realist approach, the authors performe...