Beyond Recovery: Exploring Growth in the Aftermath of Psychosis

Lee, Ying Ying; Verma, Swapna; Subramaniam, Mythily

doi:10.3389/fpsyt.2020.00108

Cited by 7 publications

(4 citation statements)

References 20 publications

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“…According to Slade et al [ 4 ], it is important to investigate factors that enable or hinder recovery within a non-Western cultural context to develop more culturally relevant recovery concepts that can better address the needs of service users. To our knowledge, there are limited publications in the literature about the topic of recovery in Singapore [ 33 , 34 ], a country in Southeast Asia where the lifetime prevalence of mental illness is reported to be approximately 13.9% [ 35 ]. Mental health services in Singapore are delivered both in hospitals and at the community level.…”

Section: Introductionmentioning

confidence: 99%

The perspectives of healthcare professionals in mental health settings on stigma and recovery - A qualitative inquiry

Gunasekaran

Tan

Shahwan

et al. 2022

BMC Health Serv Res

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Background Mental health stigma is one of the most prominent barriers to recovery, and it is widely known that stigma may manifest differentially in different cultures. Healthcare professionals working closely with persons with mental illnesses (PMI) may provide important insights towards stigma that are otherwise unattainable from caregivers and consumers. However, there is a dearth of literature on healthcare professionals’ perspectives on this topic. Thus, this study uses a multilevel approach to explore how stigma affects recovery from the perspectives of healthcare professionals that work closely with PMI in Singapore. Methods Semi-structured interviews were conducted with a total of 17 healthcare professionals who were working in mental health settings in Singapore. Participants were recruited via direct email invitation or through snowball sampling. Data collected was analysed with the inductive thematic analysis method. All coding and inter-rater analyses were performed with NVivo. Results The current study themes identified stigma-related factors that influence PMI’s recovery from the perspectives of healthcare professionals working closely with PMI. These factors were organised into three overarching themes in a multilevel structure. The three themes were classified as Micro Factors (e.g., internalised stigma), Meso Factors (e.g., discrimination of people associated with the stigmatised group), and Macro Factors (e.g., structural stigma and stigma within healthcare settings). Conclusions The findings of this study gave us a greater understanding of how stigma influences recovery in Singapore, which could be used to guide the development and implementation of future policies and strategies to promote recovery. Importantly, our results suggest that improving mental health literacy, addressing cultural misgivings towards mental illness, implementing recovery-oriented practices, and making insurance more accessible for PMI could mitigate the deleterious impact that stigma has on recovery.

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Section: Introductionmentioning

confidence: 99%

The perspectives of healthcare professionals in mental health settings on stigma and recovery - A qualitative inquiry

Gunasekaran

Tan

Shahwan

et al. 2022

BMC Health Serv Res

Self Cite

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“…Events that induce very high levels of stress may overwhelm an individual's coping capacity, at least temporarily (toxic stress). It should be noted that SRG has been identified not only in relation to stressful or traumatic external events but also in relation to recovery from serious mental illness (31,32). A personal account of recovery from psychosis noting psychological growth following several psychotic episodes suggested that opportunities for growth (e.g., intentional introspection, meaning making, benefit finding, and positive self-disclosure) should be intentionally incorporated into treatment and recovery plans (32).…”

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confidence: 99%

Stress-Related Growth: Building a More Resilient Brain

Ord

Stranahan

Hurley

et al. 2020

JNP

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FIGURE 3. An individual's ability to dismiss unwanted memories when they intrude into conscious awareness is an important aspect of healthy emotion regulation (16,17). This capacity is experimentally assessed by pairing items to be remembered with reminder cues and comparing results when participants are instructed to recall (Think) or instructed to not recall (NoThink) the paired items when cued. In healthy individuals, successful suppression of an intrusive memory weakens the memory trace (as indexed by decreased priming effects). Impaired ability to suppress intrusive memories on this task has been reported for multiple psychiatric disorders (16,17). fMRI studies of healthy individuals performing the Think/NoThink task have reported that memory suppression is associated with increased activation (NoThink .Think) in frontal and parietal cortices and decreased activation (NoThink ,Think) in memory-related areas (e.g., hippocampus, memory-associated domain-specific cortical areas). Approximate locations and extents of cortical activations and deactivations from two studies of healthy individuals are color-coded onto representative MRIs (18,19). One study compared trauma-exposed individuals with and without PTSD to unexposed individuals (19). The authors reported that the PTSD group did not have the decreases in memory strength for NoThink items or the increases in topdown inhibition during suppression of intrusive memories seen in the other groups. As discussed by the authors, these findings indicate an impairment in memory regulation in the PTSD group that may be the reason memory intrusions are so persistent.

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“…Collectively, results suggest that a protective buffer against feeling older may accrue to military veterans, in particular those highly exposed to war-related violence. Plausible mechanisms include psychological factors such as a “survivor mentality” ( Lee et al, 2020 ) that enhances a belief in one’s survival against challenging odds, or unique social status and resources accorded American War veterans ( Teerawichitchainan, 2009 ). Enduring the threats and challenges of military duty, and being recognized and lauded for one’s service, may imbue survivors with a subjective youthfulness.…”

Section: Discussionmentioning

confidence: 99%

War-Related Life Course Stress and Late-Life Subjective Age in Northern Vietnam

Korinek,

Young,

Schmidt

et al. 2024

Innovation in Aging

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Background and Objectives The role of early life stressors in subjective aging is weakly understood, especially in low- to middle-income countries. This paper investigated how early life stressors encountered in armed conflict influence subjective age among Vietnamese older adults who experienced war over decades of their early life. Research Design and Methods We analyzed survey data from the 2018 Vietnam Health and Aging Study involving 2,447 Vietnamese older adults who encountered diverse war-related stressors in early adulthood. The analytical sample (N=2,341) included 50.9% women and 49.1% men, with an average age of 69.8. 41.1% are military veterans. We conducted survey-adjusted multinomial logistic regression analyses with mediation to predict the probability of feeling younger or older than one’s chronological age. We examined how childhood adversity (i.e., childhood hunger and low parental SES) and wartime stressors (i.e., war-related violence, malevolent environment, and military service) influenced late-life subjective age, both directly and as mediated by late-life mental, functional, and physical health. Results We found significant associations between early adulthood war-related stressors and subjective age. Formal military service significantly lessened the relative risk of feeling subjectively old, and more plentiful wartime violence exposures significantly increased the risk of feeling younger than one’s chronological age. Violence exposure’s effects were both direct and indirect through functional and mental health. Conversely, greater exposure to wartime malevolent conditions (e.g., shortages of clean water and evacuations) and multiple episodes of severe hunger in childhood increased the risk of feeling older, effects both direct and mediated by late-life functional and mental health. Discussion and Implications Results suggest wartime stressors, especially war’s malevolent environments and severe childhood hunger, experienced in many conflict-affected populations globally, have the potential to subjectively ‘age’ survivors. Yet, not all war exposures are equal, and some may yield psychological and socioeconomic resources that support healthy aging.

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Beyond Recovery: Exploring Growth in the Aftermath of Psychosis

Cited by 7 publications

References 20 publications

The perspectives of healthcare professionals in mental health settings on stigma and recovery - A qualitative inquiry

The perspectives of healthcare professionals in mental health settings on stigma and recovery - A qualitative inquiry

Stress-Related Growth: Building a More Resilient Brain

War-Related Life Course Stress and Late-Life Subjective Age in Northern Vietnam

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