Understanding the development of narrative insight in early psychosis: A qualitative approach

Narrative insight in psychosis: The relationship with spiritual and religious explanatory frameworks

“…These findings support the suggestion that the construct of narrative insight is appropriate and that clinical practice could prioritize individualized explorations of people's explanatory frameworks for their psychosis (Macnaughton et al ., ). Narrative enhancement and cognitive therapy (NECT; Yanos, Roe, & Lysaker, ) is one such example, being a manualized group therapy which is based on the concept that narrative coherence is valuable in recovery and explicitly addresses self‐stigma, and with positive findings in a first evaluation (Roe et al ., ).…”

“…The narrative insight construct has gone on to be applied to the analysis of qualitative data in a number of studies. For example, Macnaughton, Sheps, Frankish, and Irwin () reported how their participants explored the illness paradigm as an active decision‐making process and demonstrated that it is possible to develop a coherent narrative in the early stages of psychosis (though a particularly challenging process).…”

“Living poets society” – a qualitative study of how Swedish psychologists incorporate reading and writing in clinical work

“…According to Pennebaker (1993), writing permits emotional expression, increased understanding, and the development of a narrative, and therefore is helpful. Macnaughton et al (2015) found that patients with psychotic experiences, who wrote about their pathway into care, increased their understanding and acceptance of their life and their difficulties. Adler et al (2013) also found that creating a meaningful narrative was associated with therapeutic progress.…”

“…Also, psychotherapy researchers Summers and Barber (2012) described that autobiographies, poetry, and artwork might support self-expression and self-understanding and therefore they recommend integration of reading and writing in psychotherapy. Moreover, Macnaughton et al (2015) invited patients with psychotic experiences to write about their path into mental health care. According to the participants, writing supported understanding and acceptance of one's life-story.…”

“The Lady in the Coffin” – Delusions and Hearing Voices

“…Biomedical interventions are considered essential to create knowledge, which is necessary to maintain consent for treatment, willingness to enable the individual to reestablish control over the symptoms, and improve quality of life (MacNaughton, 2008). Insight into one's own health and treatment is therefore connected with dealing with the illness and healing.…”