Pub Date : 2022-06-17DOI: 10.1080/17522439.2022.2089206
Christopher A. Fowler, L. Faith, Meghan E. Murphy, M. Rempfer
ABSTRACT Background Although living openly with psychosis or other serious mental illness (SMI) can be important for recovery, people often conceal this identity. Social-cognitive models of diagnostic concealment/disclosure posit that perception of symptoms (e.g. perceived neurocognitive symptoms), rather than objective symptoms, evokes concern regarding disclosure. The study aims to: 1) highlight fear of diagnostic disclosure (DD) as a recovery barrier; 2) examine whether perceived symptoms or subjective neurocognitive complaints (SNCS) are associated with greater fear of DD; and 3) determine whether fear of DD is a mechanism (mediator) through which SNCS impact recovery. Methods Fifty people experiencing SMI completed measures of recovery, fear of DD, SNCS and objective neurocognition. Three participants were excluded due to incomplete testing. Results To address Aim 1, correlations revealed negative associations for recovery with SNCS and fear of DD. SNCS and fear of DD were positively correlated. Better objective neurocognition was positively associated with SNCS, but not recovery. Consistent with Aims 2 and 3, SNCS were negatively associated with recovery via association with fear of DD. Discussion Results suggest fear of DD is associated with perceived difficulties, independent of actual functioning. Treatments targeting disclosure may hold promise for facilitating recovery.
{"title":"Examining the effects of subjective and objective neurocognition on recovery within serious mental illness: the role of diagnostic disclosure","authors":"Christopher A. Fowler, L. Faith, Meghan E. Murphy, M. Rempfer","doi":"10.1080/17522439.2022.2089206","DOIUrl":"https://doi.org/10.1080/17522439.2022.2089206","url":null,"abstract":"ABSTRACT Background Although living openly with psychosis or other serious mental illness (SMI) can be important for recovery, people often conceal this identity. Social-cognitive models of diagnostic concealment/disclosure posit that perception of symptoms (e.g. perceived neurocognitive symptoms), rather than objective symptoms, evokes concern regarding disclosure. The study aims to: 1) highlight fear of diagnostic disclosure (DD) as a recovery barrier; 2) examine whether perceived symptoms or subjective neurocognitive complaints (SNCS) are associated with greater fear of DD; and 3) determine whether fear of DD is a mechanism (mediator) through which SNCS impact recovery. Methods Fifty people experiencing SMI completed measures of recovery, fear of DD, SNCS and objective neurocognition. Three participants were excluded due to incomplete testing. Results To address Aim 1, correlations revealed negative associations for recovery with SNCS and fear of DD. SNCS and fear of DD were positively correlated. Better objective neurocognition was positively associated with SNCS, but not recovery. Consistent with Aims 2 and 3, SNCS were negatively associated with recovery via association with fear of DD. Discussion Results suggest fear of DD is associated with perceived difficulties, independent of actual functioning. Treatments targeting disclosure may hold promise for facilitating recovery.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48907425","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 : 2022-05-12DOI: 10.1080/17522439.2021.2023614
Sarah V. McIlwaine, M. Ferrari, S. Iyer, A. Malla, J. Shah
ABSTRACT Background Emerging research and early identification efforts have aimed to identify individuals at clinical high risk for psychosis (CHR). While specialized services for CHR are currently in place, there has been little examination of the subjective experience of those seeking help and accessing these services. The purpose of this article was to describe how initial mental health problems led young people at CHR to seek help, as well as their experiences with mental health care en route to a CHR service. Methods Eleven participants receiving care at a CHR service in Montreal, Canada were interviewed. Results Participants’ experiences with mental health difficulties resulted in barriers to their everyday activities, which eventually prompted them to seek out services. Long wait times and other challenges emerged when participants began their mental health care journey, while strong collaboration between services was a facilitator of rapid access to needed care. Discussion These experiences underscore the need for treatment planning of CHR service to be adaptable to the varied and changing experiences of young people at CHR.
{"title":"A qualitative study of help-seeking experiences leading up to a specialized service for youth at risk of psychosis","authors":"Sarah V. McIlwaine, M. Ferrari, S. Iyer, A. Malla, J. Shah","doi":"10.1080/17522439.2021.2023614","DOIUrl":"https://doi.org/10.1080/17522439.2021.2023614","url":null,"abstract":"ABSTRACT Background Emerging research and early identification efforts have aimed to identify individuals at clinical high risk for psychosis (CHR). While specialized services for CHR are currently in place, there has been little examination of the subjective experience of those seeking help and accessing these services. The purpose of this article was to describe how initial mental health problems led young people at CHR to seek help, as well as their experiences with mental health care en route to a CHR service. Methods Eleven participants receiving care at a CHR service in Montreal, Canada were interviewed. Results Participants’ experiences with mental health difficulties resulted in barriers to their everyday activities, which eventually prompted them to seek out services. Long wait times and other challenges emerged when participants began their mental health care journey, while strong collaboration between services was a facilitator of rapid access to needed care. Discussion These experiences underscore the need for treatment planning of CHR service to be adaptable to the varied and changing experiences of young people at CHR.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"181 - 191"},"PeriodicalIF":1.2,"publicationDate":"2022-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45497509","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 : 2022-05-03DOI: 10.1080/17522439.2022.2068645
Hannah Greenwood, Anjula Gupta, C. Sanderson
ABSTRACT Background Research suggests a correlation between homelessness and the prevalence of distressing unusual experiences and beliefs. This study aimed to explore how previously homeless individuals make sense of distressing unusual experiences and beliefs, by hearing their stories. Method Narrative analysis was used to understand the stories of six previously homeless White British males who reported distressing unusual experiences and beliefs. Results Participants’ stories involved a holistic and whole-life approach when making sense of distressing unusual beliefs and experiences. Plots included interpersonal experiences (trauma and abuse; loss; judgemental attitudes; fitting in and relational coping), and their intrapersonal consequences (physical wellbeing; substance use; spiritual, religious, and paranormal experiences; and safety, security, and stability). Discussion A holistic, psychosocial, and whole-life approach may be helpful to support homeless individuals to make sense of distressing unusual experiences and beliefs and their coping responses. It may also be helpful to consider the changing sense of power, agency and autonomy when hearing their stories.
{"title":"Distressing unusual experiences and beliefs in the lives of previously homeless individuals: a narrative analysis of the stories of white British men","authors":"Hannah Greenwood, Anjula Gupta, C. Sanderson","doi":"10.1080/17522439.2022.2068645","DOIUrl":"https://doi.org/10.1080/17522439.2022.2068645","url":null,"abstract":"ABSTRACT Background Research suggests a correlation between homelessness and the prevalence of distressing unusual experiences and beliefs. This study aimed to explore how previously homeless individuals make sense of distressing unusual experiences and beliefs, by hearing their stories. Method Narrative analysis was used to understand the stories of six previously homeless White British males who reported distressing unusual experiences and beliefs. Results Participants’ stories involved a holistic and whole-life approach when making sense of distressing unusual beliefs and experiences. Plots included interpersonal experiences (trauma and abuse; loss; judgemental attitudes; fitting in and relational coping), and their intrapersonal consequences (physical wellbeing; substance use; spiritual, religious, and paranormal experiences; and safety, security, and stability). Discussion A holistic, psychosocial, and whole-life approach may be helpful to support homeless individuals to make sense of distressing unusual experiences and beliefs and their coping responses. It may also be helpful to consider the changing sense of power, agency and autonomy when hearing their stories.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":" ","pages":""},"PeriodicalIF":1.2,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48628107","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 : 2022-04-27DOI: 10.1080/17522439.2022.2052450
Erika Renedo Illarregi, K. Alexiou, Gina DiMalta, T. Zamenopoulos
ABSTRACT Background A co-design project, consisting of individual and collective design activities, was organized with clients of a mental health service, in order to explore its potential to support people with psychosis. The group met for approximately two hours, weekly, for six months, participating in design activities and collectively deciding on the project purpose and outcome – a boardgame. Methods The experience of one group participant (Anthony) is explored, selected as the first case study within an Interpretative Phenomenological Analytical (IPA) framework. Following IPA’s ideographic focus, Anthony’s case was purposefully selected, as it portrayed a detailed picture, informing theoretical reflection on designing as therapeutic. The paper includes Anthony’s first-hand account, combined with an analysis of data from three semi-structured interviews, photographic evidence and a reflective diary kept by the lead researcher. Results Results suggest that, for Anthony, design activity: a) helps developing a sense of agency b) is experienced as grounding in reality c) contributes to the development of inter-personal relationships, and d) has a different sense of rhythm than artistic practice. Discussion These results are contextualized within literature on the lived experience of psychosis and suggest that designing can be beneficial for people with psychosis, providing the backdrop for further research and practice.
{"title":"Is designing therapeutic? A case study exploring the experience of co-design and psychosis","authors":"Erika Renedo Illarregi, K. Alexiou, Gina DiMalta, T. Zamenopoulos","doi":"10.1080/17522439.2022.2052450","DOIUrl":"https://doi.org/10.1080/17522439.2022.2052450","url":null,"abstract":"ABSTRACT Background A co-design project, consisting of individual and collective design activities, was organized with clients of a mental health service, in order to explore its potential to support people with psychosis. The group met for approximately two hours, weekly, for six months, participating in design activities and collectively deciding on the project purpose and outcome – a boardgame. Methods The experience of one group participant (Anthony) is explored, selected as the first case study within an Interpretative Phenomenological Analytical (IPA) framework. Following IPA’s ideographic focus, Anthony’s case was purposefully selected, as it portrayed a detailed picture, informing theoretical reflection on designing as therapeutic. The paper includes Anthony’s first-hand account, combined with an analysis of data from three semi-structured interviews, photographic evidence and a reflective diary kept by the lead researcher. Results Results suggest that, for Anthony, design activity: a) helps developing a sense of agency b) is experienced as grounding in reality c) contributes to the development of inter-personal relationships, and d) has a different sense of rhythm than artistic practice. Discussion These results are contextualized within literature on the lived experience of psychosis and suggest that designing can be beneficial for people with psychosis, providing the backdrop for further research and practice.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"277 - 291"},"PeriodicalIF":1.2,"publicationDate":"2022-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42426142","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 : 2022-04-20DOI: 10.1080/17522439.2022.2061041
F. J. Rosas-Santiago, Janet Jiménez Genchi, Isaí Sotelo Heredia, Víctor Enrique Ramírez Zamora
ABSTRACT Background This article reports the results of a study designed to describe and analyze the effect of a psychological intervention with psychoeducational components and Acceptance and Commitment Therapy techniques in a sample of informal primary caregivers of patients with a first psychotic episode. Method The experimental study involved 37 subjects, 18 of whom received the intervention and 19 of whom were on the waiting list. Pre- and post-intervention measurements were performed of the variables: perceived overload, burnout syndrome and stress coping. Treatment consisted of eight weekly group sessions. Results Prior to treatment, the scores of the variables studied in the control and experimental groups were equivalent. After the intervention, compared to the control group and after the possible influence of time on the results had been analyzed, it was found that those who had received treatment reported a significant decrease in “perceived overload” and “burnout syndrome”, as well as an increase in the use of “active coping” strategies. The changes were found to have small and medium effect sizes. Discussion Clinicians working in early care services for psychosis may consider this multi-component intervention an effective support strategy for enhancing the psychological well-being of caregivers.
{"title":"Psychoeducation and group acceptance and commitment therapy as psychological support strategies for informal caregivers of patients with a first psychotic episode: an experimental study","authors":"F. J. Rosas-Santiago, Janet Jiménez Genchi, Isaí Sotelo Heredia, Víctor Enrique Ramírez Zamora","doi":"10.1080/17522439.2022.2061041","DOIUrl":"https://doi.org/10.1080/17522439.2022.2061041","url":null,"abstract":"ABSTRACT Background This article reports the results of a study designed to describe and analyze the effect of a psychological intervention with psychoeducational components and Acceptance and Commitment Therapy techniques in a sample of informal primary caregivers of patients with a first psychotic episode. Method The experimental study involved 37 subjects, 18 of whom received the intervention and 19 of whom were on the waiting list. Pre- and post-intervention measurements were performed of the variables: perceived overload, burnout syndrome and stress coping. Treatment consisted of eight weekly group sessions. Results Prior to treatment, the scores of the variables studied in the control and experimental groups were equivalent. After the intervention, compared to the control group and after the possible influence of time on the results had been analyzed, it was found that those who had received treatment reported a significant decrease in “perceived overload” and “burnout syndrome”, as well as an increase in the use of “active coping” strategies. The changes were found to have small and medium effect sizes. Discussion Clinicians working in early care services for psychosis may consider this multi-component intervention an effective support strategy for enhancing the psychological well-being of caregivers.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"292 - 305"},"PeriodicalIF":1.2,"publicationDate":"2022-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46900137","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 : 2022-04-12DOI: 10.1080/17522439.2022.2052164
G. Jordan, Fiona Ng, A. Malla, S. Iyer
ABSTRACT Background Posttraumatic growth refers to the positive psychological changes that people experience following a traumatic or adverse event; and has been reported among people who have experienced a first episode of psychosis. This body of research has an important limitation of not having examined how experiences of posttraumatic growth following a first episode of psychosis change over time. In this study, we examined different aspects and facilitators of posttraumatic growth approximately one year following participants’ initial interview. Methods Data were collected via semi-structured individual interviews with seven participants and analyzed using thematic analysis. Themes generated from the follow-up interviews were compared with those developed from the initial interviews. Results Participants experienced challenges at the intersection of trauma, social adversity, and oppression; yet they also reported an improved sense of self; improved relationships with others; embracing existing or new activities; and engaging with and giving back to others. These changes were facilitated by personal resources; social and community-based support; and traditional mental health services and interventions. Discussion Posttraumatic growth may continue over time. The broader social determinants of health that may lead to a resurgence of psychosis and potential challenges to posttraumatic growth, such as inequality, poverty, and discrimination, should be addressed.
{"title":"A longitudinal qualitative follow-up study of post-traumatic growth among service users who experienced positive change following a first episode of psychosis","authors":"G. Jordan, Fiona Ng, A. Malla, S. Iyer","doi":"10.1080/17522439.2022.2052164","DOIUrl":"https://doi.org/10.1080/17522439.2022.2052164","url":null,"abstract":"ABSTRACT Background Posttraumatic growth refers to the positive psychological changes that people experience following a traumatic or adverse event; and has been reported among people who have experienced a first episode of psychosis. This body of research has an important limitation of not having examined how experiences of posttraumatic growth following a first episode of psychosis change over time. In this study, we examined different aspects and facilitators of posttraumatic growth approximately one year following participants’ initial interview. Methods Data were collected via semi-structured individual interviews with seven participants and analyzed using thematic analysis. Themes generated from the follow-up interviews were compared with those developed from the initial interviews. Results Participants experienced challenges at the intersection of trauma, social adversity, and oppression; yet they also reported an improved sense of self; improved relationships with others; embracing existing or new activities; and engaging with and giving back to others. These changes were facilitated by personal resources; social and community-based support; and traditional mental health services and interventions. Discussion Posttraumatic growth may continue over time. The broader social determinants of health that may lead to a resurgence of psychosis and potential challenges to posttraumatic growth, such as inequality, poverty, and discrimination, should be addressed.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"265 - 276"},"PeriodicalIF":1.2,"publicationDate":"2022-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44563001","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 : 2022-04-01DOI: 10.1080/17522439.2022.2057578
A. Friedlander, D. Tzur Bitan, P. Lichtenberg
ABSTRACT Background Since 2016, Soteria homes have been operating in Israel. In this report we describe the implementation of the model. Methods Data for 486 residents staying in one of three Soteria homes from 2016 through 2020 are presented. The model, and necessary modifications, are discussed. Results The majority of the residents in the Soteria homes suffered from psychotic (41.3%) or bipolar disorder (20.9%) and were of a mean age of 34.5 (SD = 12.83). While operating according to the principles of Soteria, adaptations had to be made. The homes used professional staff as well as companions. Accepting a wide range of residents exposed the home to situations of violent behaviour which required adjustment in admission policy. Work with insurers limited the possible length of stay. Financial constraints expanded the home capacity to 10 residents, while limiting work shifts to 12 hours. Cultural considerations led to the establishment of single-gender homes. Discussion Soteria homes can be a viable component of publicly-funded mental health care systems. The implementation of the Soteria model can provide important lessons for the future development of a professional and humane mental health care service – not as an alternative, but as an integral part of the system.
{"title":"The Soteria model: implementing an alternative to acute psychiatric hospitalization in Israel","authors":"A. Friedlander, D. Tzur Bitan, P. Lichtenberg","doi":"10.1080/17522439.2022.2057578","DOIUrl":"https://doi.org/10.1080/17522439.2022.2057578","url":null,"abstract":"ABSTRACT Background Since 2016, Soteria homes have been operating in Israel. In this report we describe the implementation of the model. Methods Data for 486 residents staying in one of three Soteria homes from 2016 through 2020 are presented. The model, and necessary modifications, are discussed. Results The majority of the residents in the Soteria homes suffered from psychotic (41.3%) or bipolar disorder (20.9%) and were of a mean age of 34.5 (SD = 12.83). While operating according to the principles of Soteria, adaptations had to be made. The homes used professional staff as well as companions. Accepting a wide range of residents exposed the home to situations of violent behaviour which required adjustment in admission policy. Work with insurers limited the possible length of stay. Financial constraints expanded the home capacity to 10 residents, while limiting work shifts to 12 hours. Cultural considerations led to the establishment of single-gender homes. Discussion Soteria homes can be a viable component of publicly-funded mental health care systems. The implementation of the Soteria model can provide important lessons for the future development of a professional and humane mental health care service – not as an alternative, but as an integral part of the system.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"99 - 108"},"PeriodicalIF":1.2,"publicationDate":"2022-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44429729","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 : 2022-03-25DOI: 10.1080/17522439.2022.2044895
S. Bryce, A. de Winter, Lisa Phillips, Nicholas Cheng, M. Alvarez-Jimenez, K. Allott
ABSTRACT Background Identifying cognitive strengths may be one avenue for enhancing functional recovery in people with first-episode psychosis (FEP). This study explored the perspectives of young people with FEP on the conceptualisation of cognitive strengths and the perceived risks and benefits, and pragmatic considerations, of a cognitive strengths-based approach to assessment and treatment. Methods Ten participants, aged 18 to 26 (M age = 21.44 years, SD = 2.70), were recruited from an early psychosis assessment and treatment service. Data were collected using a semi-structured interview and analyzed using thematic analysis. Results Four overarching themes emerged, related to: 1) Understanding cognitive strengths in FEP; 2) Potential benefits; 3) Barriers and risks; and 4) Considerations for development and implementation. Young people held positive views toward assessment and treatment methods focused on cognitive strengths, suggesting that identifying strengths and building confidence beliefs may promote greater functioning. Potential barriers, including harms related to being unable to identify cognitive strengths or neglecting deficits, were areas requiring further consideration. Discussion A cognitive strengths-based approach to assessment and treatment in FEP is a promising area of investigation, according to young people with FEP. The results provide insight regarding a cognitive strengths definition and the ways that these could be measured in future.
{"title":"Cognitive strengths in first-episode psychosis: perspectives from young people with lived experience","authors":"S. Bryce, A. de Winter, Lisa Phillips, Nicholas Cheng, M. Alvarez-Jimenez, K. Allott","doi":"10.1080/17522439.2022.2044895","DOIUrl":"https://doi.org/10.1080/17522439.2022.2044895","url":null,"abstract":"ABSTRACT Background Identifying cognitive strengths may be one avenue for enhancing functional recovery in people with first-episode psychosis (FEP). This study explored the perspectives of young people with FEP on the conceptualisation of cognitive strengths and the perceived risks and benefits, and pragmatic considerations, of a cognitive strengths-based approach to assessment and treatment. Methods Ten participants, aged 18 to 26 (M age = 21.44 years, SD = 2.70), were recruited from an early psychosis assessment and treatment service. Data were collected using a semi-structured interview and analyzed using thematic analysis. Results Four overarching themes emerged, related to: 1) Understanding cognitive strengths in FEP; 2) Potential benefits; 3) Barriers and risks; and 4) Considerations for development and implementation. Young people held positive views toward assessment and treatment methods focused on cognitive strengths, suggesting that identifying strengths and building confidence beliefs may promote greater functioning. Potential barriers, including harms related to being unable to identify cognitive strengths or neglecting deficits, were areas requiring further consideration. Discussion A cognitive strengths-based approach to assessment and treatment in FEP is a promising area of investigation, according to young people with FEP. The results provide insight regarding a cognitive strengths definition and the ways that these could be measured in future.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"240 - 251"},"PeriodicalIF":1.2,"publicationDate":"2022-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46305864","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 : 2022-03-23DOI: 10.1080/17522439.2022.2056629
S. Lewis
{"title":"Antidepressed: a breakthrough examination of epidemic antidepressant harm and dependence","authors":"S. Lewis","doi":"10.1080/17522439.2022.2056629","DOIUrl":"https://doi.org/10.1080/17522439.2022.2056629","url":null,"abstract":"","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"14 1","pages":"293 - 294"},"PeriodicalIF":1.2,"publicationDate":"2022-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49446457","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 : 2022-03-02DOI: 10.1080/17522439.2022.2037693
I. García del Castillo, S. López García, A. Pérez-Balaguer, D. Varillas Delgado, Claudio Fuenzalida Muñoz, Javier Sempere Pérez
ABSTRACT Background Multifamily groups (MFG) have shown to reduce the risk of relapse of psychotic symptoms in first episodes of psychosis (FEPs) but are not frequently implemented in treatment programs. This paper describes the implementation of the interfamily therapy-model in a FEP early intervention program within a Mental Health Centre in Spain . The aims were to examine (a) relapses (measured as re-hospitalization), (b) duration of re-hospitalizations and (c) voluntary versus involuntary re-hospitalizations during participation in MFG compared with the previous year. Methods Twenty-one subjects participated in a MFG over 12 months, 11 participants with a diagnosis of psychosis and 10 family members. Results Patients and their relatives participated in around 50% of treatment sessions and manifested satisfactory experience during treatment. Among the patients who participated in MFG, a lower relapse rate was observed: a lower number of psychiatric admissions (7 versus 3) and of shorter duration [23.57 (SD 18.5) days pretreatment versus 19.33 (SD 10.2) days during treatment] although it was not statistically significant (p > 0.05), probably due to small sample size. Discussion Multifamily therapy has been well accepted by both patients and their families, with a high degree of participation. Our impression is that the simultaneous participation in different therapeutic activities (individual, group and multifamily) improves the experience of the therapeutic process.
{"title":"Multifamily therapy in first psychotic episodes: a pilot study","authors":"I. García del Castillo, S. López García, A. Pérez-Balaguer, D. Varillas Delgado, Claudio Fuenzalida Muñoz, Javier Sempere Pérez","doi":"10.1080/17522439.2022.2037693","DOIUrl":"https://doi.org/10.1080/17522439.2022.2037693","url":null,"abstract":"ABSTRACT Background Multifamily groups (MFG) have shown to reduce the risk of relapse of psychotic symptoms in first episodes of psychosis (FEPs) but are not frequently implemented in treatment programs. This paper describes the implementation of the interfamily therapy-model in a FEP early intervention program within a Mental Health Centre in Spain . The aims were to examine (a) relapses (measured as re-hospitalization), (b) duration of re-hospitalizations and (c) voluntary versus involuntary re-hospitalizations during participation in MFG compared with the previous year. Methods Twenty-one subjects participated in a MFG over 12 months, 11 participants with a diagnosis of psychosis and 10 family members. Results Patients and their relatives participated in around 50% of treatment sessions and manifested satisfactory experience during treatment. Among the patients who participated in MFG, a lower relapse rate was observed: a lower number of psychiatric admissions (7 versus 3) and of shorter duration [23.57 (SD 18.5) days pretreatment versus 19.33 (SD 10.2) days during treatment] although it was not statistically significant (p > 0.05), probably due to small sample size. Discussion Multifamily therapy has been well accepted by both patients and their families, with a high degree of participation. Our impression is that the simultaneous participation in different therapeutic activities (individual, group and multifamily) improves the experience of the therapeutic process.","PeriodicalId":46344,"journal":{"name":"Psychosis-Psychological Social and Integrative Approaches","volume":"15 1","pages":"192 - 200"},"PeriodicalIF":1.2,"publicationDate":"2022-03-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"60194917","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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