2019
DOI: 10.1177/0959354319828531
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De-othering “schizophrenia”

Abstract: Do psychiatry and clinical psychology have an “other”? This article critically addresses the clinical-scientific fascination with diagnostic challenges and other psychiatric mysteries, focusing on the example of “schizophrenia,” often seen as the most severe and enigmatic of all mental disorders. Over a century of clinical and scientific discourse on schizophrenia has painted a portrait of something indecipherable at the very foundation of psychiatric inquiry. Despite entrenched beliefs, mounting evidence from… Show more

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Cited by 11 publications
(6 citation statements)
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References 89 publications
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“…Taken together, this is also consistent with other qualitative work suggesting that insight is not the acceptance of facts, but something that emerges from the ability to make meaning of life, which if imbued with stigma can gravely threaten self-esteem (Firmin, Luther, Lysaker, & Salyers, 2016). This is also consistent with a range of recent international qualitative studies, which suggest that recovery is less about symptom reduction and more about sense making and agency (Thompson et al, 2019) and believing one's experience can make sense to others (Kamens, 2019). Indeed, one interpretation of what transpired is that the patient first made sense of his life and identified challenges that did not make him different from others.…”
Section: Discussionsupporting
confidence: 88%
“…Taken together, this is also consistent with other qualitative work suggesting that insight is not the acceptance of facts, but something that emerges from the ability to make meaning of life, which if imbued with stigma can gravely threaten self-esteem (Firmin, Luther, Lysaker, & Salyers, 2016). This is also consistent with a range of recent international qualitative studies, which suggest that recovery is less about symptom reduction and more about sense making and agency (Thompson et al, 2019) and believing one's experience can make sense to others (Kamens, 2019). Indeed, one interpretation of what transpired is that the patient first made sense of his life and identified challenges that did not make him different from others.…”
Section: Discussionsupporting
confidence: 88%
“…Im Hinblick auf die medizinische Versorgung bestehen im deutschsprachigen Raum weiterhin mehrere interagierende Barrieren im Zugang und der Forschung zu innovativen Therapieoptionen [Schlier und Lincoln, 2016], welche bei Personen mit PPS zu einer Unterversorgung in Bezug auf evidenzbasierte psychotherapeutische Verfahren führen [Bechdolf und Klingberg, 2014;Bundespsychotherapeutenkammer (BPtK), 2014;Schlier und Lincoln, 2016]. Ein möglicher Ansatz, um die Vorurteile und daraus resultierenden Einstellungen gegenüber Personen mit PPS zu reduzieren, sind an den Bedürfnissen der Patient*innen ausgerichtete Antistigmainterventionen, die möglichst auf direktem Kontakt basieren [Reich et al, 2021], sowie eine Erweiterung vor allem von niedrigschwelligen und gemeindenahen Behandlungsmöglichkeiten [Hansson, 2017;Kamens, 2019] Zusammenfassend zeigt sich, dass die aktuelle Evidenzlage trotz der Heterogenität der einzelnen Studienergebnisse insgesamt für die Effektivität und Sicherheit von achtsamkeitsbasierten Verfahren spricht und somit eine überzeugende Rationale liefert, Patient*innen mit PPS den Zugang zu diesen Behandlungsmethoden und Techniken zu erleichtern. Durch ein breiteres Behandlungsangebot, was auch neue moderne Psychotherapieverfahren wie achtsamkeitsbasierte Verfahren beinhaltet, könnte dadurch auch perspektivisch eine andere öffentliche Wahrnehmung der Behandelbarkeit von psychotischen Störungen entstehen, was auch einen günstigen Einfluss auf Stigmatisierungs-und Diskriminierungsprozesse haben könnte.…”
Section: Herausforderungenunclassified
“…Othering has been identified in relationships between healthcare professionals and specific groups of patients, e.g. patients with ethnic minority background (Johnson et al, 2004) or patients with symptoms representing 'enigmatic' and poorly understood diseases, such as schizophrenia (Kamens, 2019). In most healthcare studies, othering is treated as a purely negative phenomenon, related to stereotyping, discrimination and stigmatisation.…”
Section: Theoretical Frameworkmentioning
confidence: 99%