Pub Date : 2022-10-10DOI: 10.1080/17522439.2022.2131891
T. Mountjoy, A. Cardno, Anjula Gupta, M. Waterman
{"title":"To what extent do clinical psychologists working in early psychosis routinely explore trauma with their clients?","authors":"T. Mountjoy, A. Cardno, Anjula Gupta, M. Waterman","doi":"10.1080/17522439.2022.2131891","DOIUrl":"https://doi.org/10.1080/17522439.2022.2131891","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44308867","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-06DOI: 10.1080/17522439.2022.2128860
E. Harvey, Daniel Mutanda, Anna-Marie Jones, M. Hayward
{"title":"How should psychological interventions for distressing voices be delivered: a comparison of outcomes for patients who received interventions remotely or face-to-face within routine clinical practice?","authors":"E. Harvey, Daniel Mutanda, Anna-Marie Jones, M. Hayward","doi":"10.1080/17522439.2022.2128860","DOIUrl":"https://doi.org/10.1080/17522439.2022.2128860","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41733133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-02DOI: 10.1080/17522439.2022.2137570
P. Bullimore, J. Carson
ABSTRACT Professor Marius Romme has been one of the most influential psychiatrists of his generation. He revolutionized the approach to working with people who hear voices. This Living Tribute to Marius features short accounts by many of those he has worked with over the decades from both professional and lived experience perspectives. Thanks to his work and all those who have worked with him, hearing voices is no longer dismissed as a symptom of schizophrenia requiring medication, but as something to be understood in the context of each person’s unique life history.
Marius Romme教授是他那一代最有影响力的精神科医生之一。他彻底改变了与听障人士合作的方法。这本向马里乌斯致敬的书以他几十年来从专业和生活经验的角度合作过的许多人的简短叙述为特色。由于他的工作和所有与他一起工作的人，幻听不再被视为需要药物治疗的精神分裂症症状，而是作为一种需要在每个人独特的生活史背景下理解的东西。
{"title":"A living tribute to professor Marius Romme","authors":"P. Bullimore, J. Carson","doi":"10.1080/17522439.2022.2137570","DOIUrl":"https://doi.org/10.1080/17522439.2022.2137570","url":null,"abstract":"ABSTRACT Professor Marius Romme has been one of the most influential psychiatrists of his generation. He revolutionized the approach to working with people who hear voices. This Living Tribute to Marius features short accounts by many of those he has worked with over the decades from both professional and lived experience perspectives. Thanks to his work and all those who have worked with him, hearing voices is no longer dismissed as a symptom of schizophrenia requiring medication, but as something to be understood in the context of each person’s unique life history.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"295 - 307"},"PeriodicalIF":1.2,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45862395","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-10-02DOI: 10.1080/17522439.2022.2132416
J. O. Johannessen, P. McGorry
Our friend, colleague and inspirational professor Johan Cullberg, died after being ill for a short time, on the eve of June 14. Johan was a highly respected Professor of Psychiatry, an excellent researcher, compassionate and skilled clinician, and author, who was deeply engaged in the development of psychiatry and mental health services. It was his brother, the artist Erland Cullberg’s mental health issues that led Johan Cullberg to choose psychiatry for his professional life. His work has circled around understanding and treating people experiencing the mental breakdown described as psychosis. In his clinical work and research, he shared his interest and capacity, mainly through two major life projects, First episode psychosis and the relational, psychodynamic understanding and treatments of such disorders. Firstly, he led the outpatient units in the so-called Nacka project, where the focus was on psychiatric care outside the hospital. He especially studied the interplay between the individual patients and their close environment. Johan fought for more humane care of patients, a reduction in compulsory treatment and the need for lower doses of antipsychotic medication. He also sought to integrate the biological, psychodynamic, subjective/phenomenological and social dimensions of care. He was one of the pioneers of early intervention in psychosis and was active in international organisations which promoted this reform paradigm and psychological and psychosocial treatment strategies. He was especially active in the early and founding years of IEPA (the International Early Intervention in Psychosis Association) and with the ISPS (the International Society for Psychological treatments of Schizophrenia (later Psychosis). In fact, Professor Cullberg was a founding member of ISPS, and became an ISPS Honorary Lifetime Member. These two areas converged in his major research and health service development project, the “Parachute project”. The Swedish Parachute Project (soft landing following psychosis) was started in 1996, with 17 participating clinics covering 1.6 million inhabitants (one-sixth of the Swedish population). Professor Cullberg led the research aspects of this project for 10 years. The program consisted of small, homelike units – mostly outside the hospital. The principles of the Parachute Project included: 1) Early intervention (within 24 hours), 2) Psychotherapeutic and crisis orientation, 3) Family meetings (very important), 4) Continuity and accessibility to service for five years, 5) Use of the lowest effective antipsychotic dose and initial therapy without medications, and 6) Therapeutic inpatient milieu (personal, low stimulus, non-institutional). A three-year follow-up research study showed less antipsychotic usage, less inpatient care and greater functional quality of life (Cullberg et al., 2006). The values and philosophy underpinning his work are described in one of his books, “Psychosis: An integrative Perspective”, where he conc
{"title":"Johan Christoffer Cullberg","authors":"J. O. Johannessen, P. McGorry","doi":"10.1080/17522439.2022.2132416","DOIUrl":"https://doi.org/10.1080/17522439.2022.2132416","url":null,"abstract":"Our friend, colleague and inspirational professor Johan Cullberg, died after being ill for a short time, on the eve of June 14. Johan was a highly respected Professor of Psychiatry, an excellent researcher, compassionate and skilled clinician, and author, who was deeply engaged in the development of psychiatry and mental health services. It was his brother, the artist Erland Cullberg’s mental health issues that led Johan Cullberg to choose psychiatry for his professional life. His work has circled around understanding and treating people experiencing the mental breakdown described as psychosis. In his clinical work and research, he shared his interest and capacity, mainly through two major life projects, First episode psychosis and the relational, psychodynamic understanding and treatments of such disorders. Firstly, he led the outpatient units in the so-called Nacka project, where the focus was on psychiatric care outside the hospital. He especially studied the interplay between the individual patients and their close environment. Johan fought for more humane care of patients, a reduction in compulsory treatment and the need for lower doses of antipsychotic medication. He also sought to integrate the biological, psychodynamic, subjective/phenomenological and social dimensions of care. He was one of the pioneers of early intervention in psychosis and was active in international organisations which promoted this reform paradigm and psychological and psychosocial treatment strategies. He was especially active in the early and founding years of IEPA (the International Early Intervention in Psychosis Association) and with the ISPS (the International Society for Psychological treatments of Schizophrenia (later Psychosis). In fact, Professor Cullberg was a founding member of ISPS, and became an ISPS Honorary Lifetime Member. These two areas converged in his major research and health service development project, the “Parachute project”. The Swedish Parachute Project (soft landing following psychosis) was started in 1996, with 17 participating clinics covering 1.6 million inhabitants (one-sixth of the Swedish population). Professor Cullberg led the research aspects of this project for 10 years. The program consisted of small, homelike units – mostly outside the hospital. The principles of the Parachute Project included: 1) Early intervention (within 24 hours), 2) Psychotherapeutic and crisis orientation, 3) Family meetings (very important), 4) Continuity and accessibility to service for five years, 5) Use of the lowest effective antipsychotic dose and initial therapy without medications, and 6) Therapeutic inpatient milieu (personal, low stimulus, non-institutional). A three-year follow-up research study showed less antipsychotic usage, less inpatient care and greater functional quality of life (Cullberg et al., 2006). The values and philosophy underpinning his work are described in one of his books, “Psychosis: An integrative Perspective”, where he conc","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"380 - 381"},"PeriodicalIF":1.2,"publicationDate":"2022-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42135731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-09-14DOI: 10.1080/17522439.2022.2116475
M. Pearson, Stefan Rennick-Egglestone, G. Winship
{"title":"The poetic wavelength – a narrative interview study exploring the potential of poetry to support meaning making and recovery following psychosis","authors":"M. Pearson, Stefan Rennick-Egglestone, G. Winship","doi":"10.1080/17522439.2022.2116475","DOIUrl":"https://doi.org/10.1080/17522439.2022.2116475","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41633172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-30DOI: 10.1080/17522439.2022.2095000
C. Berry, Andreea-Ingrid Baloc, David Fowler, Anna-Marie Jones, Cassie M. Hazell, M. Hayward
ABSTRACT Background Voice-hearing is a common, phenomenologically diverse, experience across different mental health diagnoses. Patient preferences for psychological therapies are helpful in informing treatment commissioning and provision, especially in the context of complex and variable experiences like voice-hearing. There is, however, very limited evidence as to the psychological therapy preferences of transdiagnostic voice-hearers. Methods Three-hundred and thirty-five voice hearers were recruited from secondary care NHS mental health services across England, between 2020 and 2022. Participants completed a questionnaire battery, involving a psychological therapy preference survey. Participants ranked their preferences across categories of practical, technical and relational therapy elements. Therapy preferences were examined using non-parametric ANOVAs and the significance of pairwise comparisons between different therapy elements. Results There were significant differences in all categories of preference elements. Clear hierarchies of preference were observed in therapy location, timing, delivery, and therapy approach. Preferences were evident, albeit with less clear vertical hierarchies, for number of sessions, mode, therapist qualities, and therapy focus, tasks and outcomes. Discussion Overall, participants expressed a preference for individual, face-to-face intervention of at least nine sessions, with a highly experienced therapist and a core focus on enhancing coping strategies for voice-hearing experiences.
{"title":"The psychological therapy preferences of patients who hear voices","authors":"C. Berry, Andreea-Ingrid Baloc, David Fowler, Anna-Marie Jones, Cassie M. Hazell, M. Hayward","doi":"10.1080/17522439.2022.2095000","DOIUrl":"https://doi.org/10.1080/17522439.2022.2095000","url":null,"abstract":"ABSTRACT Background Voice-hearing is a common, phenomenologically diverse, experience across different mental health diagnoses. Patient preferences for psychological therapies are helpful in informing treatment commissioning and provision, especially in the context of complex and variable experiences like voice-hearing. There is, however, very limited evidence as to the psychological therapy preferences of transdiagnostic voice-hearers. Methods Three-hundred and thirty-five voice hearers were recruited from secondary care NHS mental health services across England, between 2020 and 2022. Participants completed a questionnaire battery, involving a psychological therapy preference survey. Participants ranked their preferences across categories of practical, technical and relational therapy elements. Therapy preferences were examined using non-parametric ANOVAs and the significance of pairwise comparisons between different therapy elements. Results There were significant differences in all categories of preference elements. Clear hierarchies of preference were observed in therapy location, timing, delivery, and therapy approach. Preferences were evident, albeit with less clear vertical hierarchies, for number of sessions, mode, therapist qualities, and therapy focus, tasks and outcomes. Discussion Overall, participants expressed a preference for individual, face-to-face intervention of at least nine sessions, with a highly experienced therapist and a core focus on enhancing coping strategies for voice-hearing experiences.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"1 - 16"},"PeriodicalIF":1.2,"publicationDate":"2022-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45403996","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-25DOI: 10.1080/17522439.2022.2111593
M. Halliburton
ABSTRACT Background According to the WHO, people diagnosed with schizophrenia in developing countries recover more fully than people with the same diagnosis in developed countries. At a time when international organizations are attempting to scale up biomedical psychiatric interventions in India and other low-income countries, it is important to understand why a place like India is doing better in recovery from serious psychosis. Method Interviews of 20 people diagnosed with schizophrenia in Kerala, India were conducted to determine level of functioning and quality of worklife. Quantitative assessments of the relations between these factors were undertaken along with qualitative, ethnographic analysis of narratives of interviewees. Results Analysis of interviews shows that quality of worklife is correlated with higher functioning among this group, and service user narratives claim that work enabled their recovery. Comparisons to other research further indicates that people in India with this diagnosis are more often employed than people with the same diagnosis in the United States and Europe. Discussion Employment and the quality of worklife appear to be positively related to recovery in terms of increasing functionality among people diagnosed with schizophrenia in this part of India. Certain employment programs and sociocultural factors likely contribute to differences in outcome.
{"title":"Work and recovery from schizophrenia in India: a mixed methods study in Kerala","authors":"M. Halliburton","doi":"10.1080/17522439.2022.2111593","DOIUrl":"https://doi.org/10.1080/17522439.2022.2111593","url":null,"abstract":"ABSTRACT Background According to the WHO, people diagnosed with schizophrenia in developing countries recover more fully than people with the same diagnosis in developed countries. At a time when international organizations are attempting to scale up biomedical psychiatric interventions in India and other low-income countries, it is important to understand why a place like India is doing better in recovery from serious psychosis. Method Interviews of 20 people diagnosed with schizophrenia in Kerala, India were conducted to determine level of functioning and quality of worklife. Quantitative assessments of the relations between these factors were undertaken along with qualitative, ethnographic analysis of narratives of interviewees. Results Analysis of interviews shows that quality of worklife is correlated with higher functioning among this group, and service user narratives claim that work enabled their recovery. Comparisons to other research further indicates that people in India with this diagnosis are more often employed than people with the same diagnosis in the United States and Europe. Discussion Employment and the quality of worklife appear to be positively related to recovery in terms of increasing functionality among people diagnosed with schizophrenia in this part of India. Certain employment programs and sociocultural factors likely contribute to differences in outcome.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46452888","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-25DOI: 10.1080/17522439.2022.2109717
Casandra Roy Gelencser, Geneviève Sauvé, Susanna Konsztowicz, C. Bélanger, M. Lepage
ABSTRACT Background The presence of good clinical and cognitive insight has been linked to depression in people diagnosed with schizophrenia. Clinical and cognitive insight, respectively, refer to the awareness of one’s symptoms and need for treatment and to being conscious of modifications in one’s reasoning processes. Engulfment, or over-identification to a sick role that becomes the patient’s central identity, has been found to mediate the relationship between clinical insight and depression. However, the relationship between engulfment, cognitive insight and depression has not been investigated. Consequently, this study examined the potential mediating role of engulfment in the association between cognitive insight and depression Methods The sample consisted of 140 participants diagnosed with enduring schizophrenia (for at least 3 years). Correlation and mediation analyses were conducted to examine associations between cognitive insight, engulfment and depressive symptomatology Results Our analyses revealed that cognitive insight was significantly and positively correlated with engulfment. This association was driven by the self-reflectiveness subscale of the Beck Cognitive Insight Scale. Engulfment was significantly correlated with depression. Finally, engulfment mediated the relationship between cognitive insight, and depression. Discussion In the context of good cognitive insight, engulfment should be a target for psychological interventions aimed at lowering the risk of depression.
{"title":"The impact of mental illness on self-concept: relationship between engulfment, cognitive insight, and depression in schizophrenia","authors":"Casandra Roy Gelencser, Geneviève Sauvé, Susanna Konsztowicz, C. Bélanger, M. Lepage","doi":"10.1080/17522439.2022.2109717","DOIUrl":"https://doi.org/10.1080/17522439.2022.2109717","url":null,"abstract":"ABSTRACT Background The presence of good clinical and cognitive insight has been linked to depression in people diagnosed with schizophrenia. Clinical and cognitive insight, respectively, refer to the awareness of one’s symptoms and need for treatment and to being conscious of modifications in one’s reasoning processes. Engulfment, or over-identification to a sick role that becomes the patient’s central identity, has been found to mediate the relationship between clinical insight and depression. However, the relationship between engulfment, cognitive insight and depression has not been investigated. Consequently, this study examined the potential mediating role of engulfment in the association between cognitive insight and depression Methods The sample consisted of 140 participants diagnosed with enduring schizophrenia (for at least 3 years). Correlation and mediation analyses were conducted to examine associations between cognitive insight, engulfment and depressive symptomatology Results Our analyses revealed that cognitive insight was significantly and positively correlated with engulfment. This association was driven by the self-reflectiveness subscale of the Beck Cognitive Insight Scale. Engulfment was significantly correlated with depression. Finally, engulfment mediated the relationship between cognitive insight, and depression. Discussion In the context of good cognitive insight, engulfment should be a target for psychological interventions aimed at lowering the risk of depression.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"1 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41482276","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-12DOI: 10.1080/17522439.2022.2108489
Alexandra Bone, Rachel Terry, Rebecca Whitfield
ABSTRACT Background Early Intervention in Psychosis Services (EIP) offer a unique service model for people experiencing a first episode of psychosis. They are intensive case-management services which adopt an assertive outreach approach, employing flexible boundaries to meet clients in the community, and support them towards recovery and holistic goals. Current boundary theory is therefore not easily applied to this clinical context. This study aimed to explore how care-co-ordinators in EIP develop their understanding and practise around navigating boundaries. Methods Participants were 13 EIP care co-ordinators. Semi-structured interviews with participants were conducted and analysed using grounded theory. Results A concentric model emerged, defining different layers of influence impacting care co-ordinators’ navigation of boundaries. This included higher governing levels (e.g. professional codes of conduct), factors and challenges specific to EIP culture, client characteristics and individual care co-ordinator decision-making processes. A flexible, case-by-case approach was adopted in response to challenges. Discussion Findings suggest clinical implications for how care co-ordinators can jointly construct appropriate boundaries with clients and families, and discuss dilemmas using the team resource. This model can be used as a tool in clinical practice to aid clinicians’ thinking and reflection around boundaries within EIP.
{"title":"“It’s a dent, not a break”: an exploration of how care co-ordinators understand and navigate boundaries in early intervention in psychosis services","authors":"Alexandra Bone, Rachel Terry, Rebecca Whitfield","doi":"10.1080/17522439.2022.2108489","DOIUrl":"https://doi.org/10.1080/17522439.2022.2108489","url":null,"abstract":"ABSTRACT Background Early Intervention in Psychosis Services (EIP) offer a unique service model for people experiencing a first episode of psychosis. They are intensive case-management services which adopt an assertive outreach approach, employing flexible boundaries to meet clients in the community, and support them towards recovery and holistic goals. Current boundary theory is therefore not easily applied to this clinical context. This study aimed to explore how care-co-ordinators in EIP develop their understanding and practise around navigating boundaries. Methods Participants were 13 EIP care co-ordinators. Semi-structured interviews with participants were conducted and analysed using grounded theory. Results A concentric model emerged, defining different layers of influence impacting care co-ordinators’ navigation of boundaries. This included higher governing levels (e.g. professional codes of conduct), factors and challenges specific to EIP culture, client characteristics and individual care co-ordinator decision-making processes. A flexible, case-by-case approach was adopted in response to challenges. Discussion Findings suggest clinical implications for how care co-ordinators can jointly construct appropriate boundaries with clients and families, and discuss dilemmas using the team resource. This model can be used as a tool in clinical practice to aid clinicians’ thinking and reflection around boundaries within EIP.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"1 1","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60194981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-08DOI: 10.1080/17522439.2022.2086607
Hanna de Waal, M. Boyle, A. Cooke
ABSTRACT Background The concept of schizophrenia has been contested since its inception. Over the last decades, criticism of the concept has become increasingly mainstream and calls for its abandonment have intensified. Nevertheless, the concept remains widely used and retains taken-for-granted status within much mental health research and practice. The combination of its contested status and continued use raises questions about how it is used and with what implications for people who receive the diagnosis. Methods This study explores how ‘schizophrenia’ is spoken about by mental health professionals who use the diagnosis in day-to-day practice. Eight interviews with professionals across professions were analysed using Foucauldian Discourse Analysis. Results Two striking and consistent themes were identified. The first is a discrepancy between the way participants talked about ‘schizophrenia’ to the interviewer, and the way they described talking about it in clinical encounters. The second is the potentially entrapping impact of the wider discourses participants drew on in talk about clinical encounters. Conclusions The study concludes with reflections on how those working in the mental health field can break out of this discursive entrapment, and help the people they work with do the same.
{"title":"Trapped in contradictions: professionals’ accounts of the concept of schizophrenia and its use in clinical practice","authors":"Hanna de Waal, M. Boyle, A. Cooke","doi":"10.1080/17522439.2022.2086607","DOIUrl":"https://doi.org/10.1080/17522439.2022.2086607","url":null,"abstract":"ABSTRACT Background The concept of schizophrenia has been contested since its inception. Over the last decades, criticism of the concept has become increasingly mainstream and calls for its abandonment have intensified. Nevertheless, the concept remains widely used and retains taken-for-granted status within much mental health research and practice. The combination of its contested status and continued use raises questions about how it is used and with what implications for people who receive the diagnosis. Methods This study explores how ‘schizophrenia’ is spoken about by mental health professionals who use the diagnosis in day-to-day practice. Eight interviews with professionals across professions were analysed using Foucauldian Discourse Analysis. Results Two striking and consistent themes were identified. The first is a discrepancy between the way participants talked about ‘schizophrenia’ to the interviewer, and the way they described talking about it in clinical encounters. The second is the potentially entrapping impact of the wider discourses participants drew on in talk about clinical encounters. Conclusions The study concludes with reflections on how those working in the mental health field can break out of this discursive entrapment, and help the people they work with do the same.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43382669","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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