Recognizing and Responding to Early Psychosis: A Qualitative Analysis of Individual Narratives

Judge, Abigail M.; Estroff, Sue E.; Perkins, M.P.H. Diana O.; Penn, David L.

doi:10.1176/ps.2008.59.1.96

Cited by 70 publications

(47 citation statements)

References 14 publications

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“…This adds to the findings of Hirschfield et al (2005), and Judge et al (2008), by suggesting symptoms are initially viewed as a continuation of individuals’ sense of self. Harrop and Trower (2003) argue that the development of psychosis involves a problem in the construction of self.…”

Section: Discussionsupporting

confidence: 63%

“…Judge and colleagues (2008) reported a similar process with FEP patients, where individuals notice a range of unusual experiences but do not necessarily translate these into a need for intervention. Furthermore, linking to the theme identity, participants described thinking symptoms were just part of who they were and tried to understand them in the context of the self, drawing on aspects of personality and viewing symptoms as just part of who they were.…”

Section: Discussionmentioning

confidence: 99%

“…In support of this, in their review of qualitative studies in FEP, Boydell et al (2010) reported that young people engage in a search for meaning for their symptoms, adopting multiple explanations which change over time. Judge, Estroff, Perkins, and Penn (2008) reported individuals recovering from FEP described not initially seeking help, understanding psychotic symptoms as normal at first and simply part of who they were, reflecting an underlying confusion between psychotic symptoms and their sense of self. Participants in their research then went on to develop explanatory models, drawing on psychosocial events, cultural factors and personal experiences.…”

Section: Introductionmentioning

confidence: 99%

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A qualitative phenomenological analysis of the subjective experience and understanding of the at risk mental state

Brew

Shannon

Storey

et al. 2017

International Journal of Qualitative Studies on Health and Well

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Over recent years there has been a growing interest in identifying the early stages of psychosis. The At Risk Mental State (ARMS) is characteristic of the prodromal stages of psychosis and its identification gives rise to a number of clinical and research opportunities including early intervention and prevention of psychosis. This study employs interpretative phenomenological analysis to gain insights into the subjective experience and individuals understanding of the development of their ARMS. Five participants took part and provided information on the experience of symptoms, life prior to onset of their ARMS and their understanding of symptoms and their development through a semi structured interview. From the analysis of transcripts eight themes emerged which were common across participants accounts. Three themes of experience (disturbed world/disturbed self, disconnection with the world, thunderstruck) and five themes of understanding (absence of understanding, use of others, identity, forming links, fragmented understanding) were identified. Themes are explored in detail and discussed in relation to existing literature and theory. Clinical implications, directions for future research, and limitations are discussed within.

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Section: Discussionsupporting

confidence: 63%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A qualitative phenomenological analysis of the subjective experience and understanding of the at risk mental state

Brew

Shannon

Storey

et al. 2017

International Journal of Qualitative Studies on Health and Well

View full text Add to dashboard Cite

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“…Participants generally reported finding it useful to talk about their experiences, common in qualitative studies across stages of schizophrenia 1–2, 4–6 . This is a promising basis for engagement and treatment alliance.…”

Section: Discussionmentioning

confidence: 99%

“…For example, we know from qualitative studies that older adults with schizophrenia describe symptom improvement over time, but variable function 1 . Also, social withdrawal is common in older adults with schizophrenia 1 , and in young adults with a first episode of psychosis 2 . Less is known about the putative prodromal stage or clinical high risk (CHR) state for psychosis, characterized by attenuated psychotic symptoms.…”

Section: Introductionmentioning

confidence: 99%

The Subjective Experience of Youths at Clinically High Risk of Psychosis: A Qualitative Study

Ben‐David¹,

Birnbaum²,

Eilenberg³

et al. 2014

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Objective Understanding the experience of individuals across stages of schizophrenia is important for development of services to promote recovery. As yet, little is known about the experience of individuals who exhibit prodromal symptoms of schizophrenia. Methods Audiotaped interviews were conducted with 27 participants at clinical high risk (CHR) for psychosis (15 males; 12 females; mean age 21; ethnically diverse). Phenomenological qualitative research techniques of coding, consensus, and comparison were used. Results Emergent themes differed by gender. Themes for males were feeling abnormal or “broken”; focus on going “crazy”; fantasy and escapism; and alienation and despair, with a desire for relationships. Themes for females were psychotic illness in family members; personal trauma; struggle with intimate relationships; and career and personal development. Conclusions The finding of relative social engagement and future-orientation of females identified as at risk for psychosis is novel, and has implications for outreach and treatment.

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The Impact of Causal Explanations on Outcome in People Experiencing Psychosis: A Systematic Review

Carter

Read

Pyle

et al. 2016

Clin Psychology and Psychoth

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Findings suggest that the way an individual understands their experiences has important consequences on subsequent health behaviour. One aspect of an individual's understanding is what they believe has caused their experiences. This has been associated with treatment outcome and attitudes towards mental health problems. The aim of this systematic review was to examine the impact of causal beliefs on treatment outcome and stigma in people experiencing psychosis. Three main databases were searched and 21 articles that investigated various aspects of treatment outcome, and stigma in relation to causal beliefs was included in the review. Overall, there were a small number of replicated findings which limits the interpretation of results. There is an indication that causal explanations are associated with various treatment outcomes, including attitudes towards treatment and satisfaction with therapeutic relationships as well as internalized stigma. Spiritual beliefs appeared to be adopted as a coping mechanism and a way to reduce stigma but did not appear to be associated with treatment outcome. Individuals with psychosis do appear to develop causal beliefs that may be associated with engagement with services and treatment, as well as impacting on their attitudes towards themselves and others with mental illness. This may have important implications for clinical practice. Copyright © 2016 John Wiley & Sons, Ltd. Key Practitioner Message Individuals who have experience of psychosis develop their own subjective causal explanations, and these can be complex and contradictory. An individual's causal explanation may influence how they engage with services and treatment, as well as providing a way of coming to terms with their difficulties. Causal explanations may also contribute to the experience of stigma, which is often a significant barrier to recovery for this client group.

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Recognizing and Responding to Early Psychosis: A Qualitative Analysis of Individual Narratives

Cited by 70 publications

References 14 publications

A qualitative phenomenological analysis of the subjective experience and understanding of the at risk mental state

A qualitative phenomenological analysis of the subjective experience and understanding of the at risk mental state

The Subjective Experience of Youths at Clinically High Risk of Psychosis: A Qualitative Study

The Impact of Causal Explanations on Outcome in People Experiencing Psychosis: A Systematic Review

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