Psychotherapy in Psychosis: Experiences of Fully Recovered Service Users

被引:19
作者
Bjornestad, Jone [1 ,2 ]
Veseth, Marius [3 ]
Davidson, Larry [4 ,5 ]
Joa, Inge [1 ,6 ]
Johannessen, Jan Olav [1 ,6 ]
Larsen, Tor Ketil [7 ]
Melle, Ingrid [8 ]
Hegelstad, Wenche ten Velden [1 ]
机构
[1] Stavanger Univ Hosp, TIPS Network Clin Res Psychosis, Stavanger, Norway
[2] Univ Stavanger, Fac Social Sci, Dept Social Studies, Stavanger, Norway
[3] Univ Bergen, Dept Clin Psychol, Bergen, Norway
[4] Yale Univ, Sch Med, New Haven, CT USA
[5] Yale Univ, Inst Social & Policy Studies, New Haven, CT USA
[6] Univ Stavanger, Fac Hlth, Network Med Sci, Stavanger, Norway
[7] Univ Bergen, Sect Psychiat, Dept Clin Med, Bergen, Norway
[8] Univ Oslo, Norwegian Ctr Mental Disorders Res, Oslo, Norway
关键词
first-episode psychosis; psychosis; schizophrenia; recovery; clinical recovery; psychotherapy; COGNITIVE-BEHAVIORAL THERAPY; QUALITATIVE RESEARCH; SCHIZOPHRENIA; DISORDERS; REMISSION; AGENCY;
D O I
10.3389/fpsyg.2018.01675
中图分类号
B84 [心理学];
学科分类号
04 ; 0402 ;
摘要
Background: Despite the evidence of the importance of including service users' views on psychotherapy after psychosis, there is a paucity of research investigating impact on full recovery. Objectives: To explore what fully recovered service users found to be the working ingredients of psychotherapy in the recovery process after psychosis. Materials and Methods: The study was designed as a phenomenological investigation with thematic analysis as the practical tool for analysis. Twenty fully recovered service users were interviewed. Results: Themes: (1) Help with the basics, (2) Having a companion when moving through chaotic turf, (3) Creating a common language, (4) Putting psychosis in brackets and cultivate all that is healthy, and (5) Building a bridge from the psychotic state to the outside world. Conclusion: Therapeutic approaches sensitive to stage specific functional challenges seemed crucial for counteracting social isolation and achieving full recovery. Findings indicate that psychotherapy focusing on early readjustment to everyday activities, to what are perceived as meaningful and recovery-oriented, seems to be what is preferred and called for by service users.
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页数:7
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