The experience of psychosis and recovery from consumers' perspectives: An integrative literature review

Abstract

Accessible summary What is known on the subject? Since the first decade of this century, few qualitative studies and literature reviews have reported consumers' experiences of psychosis and recovery. The findings from these studies need further exploration. What does the paper add to existing knowledge? New insights into consumers' experiences of psychosis were generated. Additionally, understanding of consumers' conceptions and experiences of recovery were reported. Consumers' insights into the enablers and barriers to recovery that they encountered were also identified. Gaps in the literature remain, particularly those related to the effects of gender and culture on consumers' experiences of and recovery from psychosis. What are the implications for practice? Nurses' understanding of consumers' perspectives and experiences of psychosis is vital to enhancing the quality of mental health nursing when caring for people living with psychosis. To support user‐based recovery, mental health nurses need to incorporate person‐centred approaches and reduce their preferencing of medical understandings of recovery. Abstract Introduction Psychosis is a distressing disorder. Consumers' perspectives about their experiences of psychosis and recovery are essential aspects of mental health nursing. Aims To review contemporary evidence related to consumers' experiences of and recovery from psychosis. Method An integrative review was the method used; six databases were systematically searched. Of the 157 articles screened, 14 met the inclusion criteria and were assessed for quality using Joanna Briggs Institute Appraisal tools. Data were compared, classified and integrated. Results Findings revealed that consumers' experiences of psychosis included issues with self‐expression and language, psychosocial problems and stigma. Also, consumers' experiences associated with their recovery were reported, and this included their perspectives on the enablers and barriers that they encountered. Discussion Consumer's experiences of and recovery from psychosis provide an essential basis for managing and working with people experiencing psychosis. Further research identifying the potential effects of gender and culture into consumers' lived experiences is required. Implications for practice Exploring the experience of someone with psychosis will help nurses to understand the impacts of this condition. This understanding can guide nurses to apply recovery‐oriented practices. Specific aspects of psychosis experience, including gender and culture, should inform nurses' practices towards recovery.

A Systematic Review and Meta-Analysis of the Effectiveness of Adherence Therapy and Its Treatment Duration in Patients with Schizophrenia Spectrum Disorders

“…17,[24][25][26][27] Previous studies have shown that community psychiatric nurses play a crucial role in managing people who receive involuntary treatments. 30 Some patients may still have some disease symptoms, so they may lack self-confidence and experience social isolation or even stigmatization, 31 which may hinder their recovery and increase their difficulty in staying in the community. In Chien et al, community psychiatric nurses established relationships with their patients with a nonjudgmental attitude, 24 to allow the patients to engage in the three processes involved in MI: focusing, evoking, and planning.…”

Psychological Resilience to Suicidal Experiences in People with Non-Affective Psychosis: A Position Paper

“…That is, a distinction is made between clinical recovery and personal recovery [ 83 ]. This grounding of recovery on the personal perspectives of people who are experts-by-experience is considered fundamental if advances in understanding recovery processes and mechanisms are to be made in ways that make a meaningful difference to experts-by-experience, scientists, clinicians and policy makers [ 93 , 94 , 95 , 96 , 97 ].…”

“…Personal recovery embraces and explores experiences of personal growth as a result of coming through, or better still, being able to simply ‘be with’ severe mental health problems [ 68 , 95 , 96 , 97 , 98 ]. There are extensive evidence-based examples of personal recovery in people with psychosis [ 82 , 83 , 88 ].…”

“…Research that aims to understand recovery based on the views of a diverse range of people experiencing psychosis is expanding [ 93 , 94 , 95 , 96 , 97 , 98 , 99 , 100 , 101 , 102 , 103 ]. As we have seen from some of the qualitative work that we have presented, it is not necessarily the case that the only way of finding meaning in life whilst having mental health problems is to escape from those problems [ 73 ].…”

Multifamily therapy in the community mental health network: A pragmatic randomized and controlled study

“…As the family systems theory suggests, individuals cannot be understood in isolation from one another, and any change in one individual within a family is likely to influence the entire system (Kerr & Bowen, 1988). Trustworthy and secure bonds are essential in the recovery process of people who suffer from mental health problems (Alyahya et al, 2020). Family relationships are often problematic and generate mental suffering (Buckmaster et al, 2020).…”