Stages of recovery in psychosis: Converging qualitative research and psychoanalysis

Abstract

Purpose: The purpose of this study is to find common points of view between the results of qualitative studies researching stages of the recovery process in persons with psychosis and mental changes in a therapeutic relationship in psychoanalytically oriented psychotherapy. Conclusions: Both concepts correspond one to another. The added psychoanalytical perspective highlights milestones in psychic change: attainment of mental differentiation; integration of self together with the transformation of psychotic grandiosity into decentration, which implies responsibility for illness and own life. Practice Implications: These conclusions highlight the importance of supporting relationships for people suffering from psychoses.

Improving Medication Adherence in Community-Dwelling Patients with Schizophrenia Through Therapeutic Alliance and Medication Attitude: A Serial Multiple Mediation Model

“… 17 , 49 A possible reason is that therapeutic alliance is a fundamental factor in care and promotes behavioural changes in patients. 22 , 50 Sincerity, active listening, understanding the interpersonal relationships of patients, and empathic life experiences in therapeutic alliance can alter medication attitude, 28 improve medication adherence, 21 and promote individual recovery, 24 , 51 indicating that alliance is a vital component of promoting care outcomes. Moreover, attitude is a critical influential factor in behavioural change.…”

Perspective on clinical high-risk for psychosis in Africa

“…Such pluralistic strategies must address biological, psychological, and social factors to obtain a holistic view, factoring individual characteristics, alongside familial, cultural and transcultural contexts (104). Based on experience elsewhere, research incorporating qualitative methods and already available clinical data can play a valuable role in resource-constrained settings, for example, in conceptualizing stages of recovery, young people's experiences, and the practices of mental health professionals in assessment and treatment (105)(106)(107)(108). Such methods can help centralize the young person's voice, which is necessary for recognizing the unique and important contribution that this population can make to strategy and policy, while integrating new modern perspectives on children and childhood and their rights to be part of the solution (109-111).…”