Coming back normal: the process of self-recovery in those with schizophrenia.

doi:10.1177/1078390309359197

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Coming back normal: the process of self-recovery in those with schizophrenia.

Journal Article•DOI•

Coming back normal: the process of self-recovery in those with schizophrenia.

Joyce M. Shea¹•Institutions (1)

Fairfield University¹

01 Jan 2010-Journal of the American Psychiatric Nurses Association (SAGE Publications)-Vol. 16, Iss: 1, pp 43-51

TL;DR: Individuals with schizophrenia experience a process of distinct changes in self-identity occurring between engulfment by a severe mental illness and emergence of a new self.

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About: This article is published in Journal of the American Psychiatric Nurses Association.The article was published on 2010-01-01. It has received 35 citations till now. The article focuses on the topics: Schizophrenia (object-oriented programming).

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Journal Article•DOI•

What is psychosis? A meta-synthesis of inductive qualitative studies exploring the experience of psychosis

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Simon McCarthy-Jones¹, Michael Marriott¹, Rebecca Knowles¹, Georgina Rowse¹, Andrew R. Thompson¹ - Show less +1 more•Institutions (1)

University of Sheffield¹

06 Feb 2013-Psychosis

TL;DR: A meta-synthesis of inductive qualitative peer-reviewed research into psychosis demonstrated how the experience of psychosis is much more than simply just hallucinations and/or delusions.

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Abstract: Qualitative studies have played an important role in elucidating the lived experience of psychosis and there has recently been an increase in the number of such studies. There is now an urgent need to draw together the findings of these studies. This paper performed a meta-synthesis of inductive qualitative peer-reviewed research into psychosis. Ninety-seven articles were identified for systematic appraisal. Four themes, “Losing,” “Identifying a need for, and seeking, help,” “Rebuilding and reforging,” and “Better than new: gifts from psychosis,” were identified. Central to the first and third themes were the loss and regaining of basic human needs such as sleep, physical and financial security, relationships with friends and family, self-esteem, and hope. The important implications of the four themes for clinical practice, and for future research are examined, and it is demonstrated how the experience of psychosis is much more than simply just hallucinations and/or delusions.

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86 citations

Cites background from "Coming back normal: the process of ..."

...…& Rebeiro-Gruhl, 2005; Jarosinski, 2008; Mauritz & van Meijel, 2009), accompanied by feelings of confusion and fear (Barker, Lavender, & Morant, 2001; Boyd & Gumley, 2007; Boydell, Gladstone, & Volpe, 2006; Geanellos, 2005; Kilkku, Munnukka, & Lehtinen, 2003; Robertson & Lyons, 2003; Shea, 2010)....
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...…I: The loss of consensual reality After initial prodromal changes such as “a feeling of being uncomfortable and something just not being right” (Shea, 2010, p. 46), psychosis is dominated by confusing, unshared perceptions (voices, visions) and/or paranoia (Dilks, Tasker, & Wren, 2010;…...
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...You can’t give up” (Shea, 2010, p. 47)....
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...…friends and family understand the participant’s experiences (Lencucha et al., 2008), have a positive attitude towards their mental illness (Browne & Courtney, 2005b), do not judge them (Mackrell & Lavender, 2004; Shea, 2010; Tooth et al., 2003) and demonstrate constancy (Lencucha et al., 2008)....
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...Maintaining hope is hard work (Geanollos, 2005; Tooth et al., 2003; Woodside, Schell, & Allison-Hedges, 2006), with the idea of a daily fight appearing (Noiseux & Ricard, 2008; Shea, 2010; Volman & Landeen, 2007); “You just gotta fight....
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Journal Article•DOI•

Recovery in Psychosis from a Service User Perspective: A Systematic Review and Thematic Synthesis of Current Qualitative Evidence

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Lisa Wood, Sarah Alsawy

01 Aug 2018-Community Mental Health Journal

TL;DR: Recovering from psychosis is an idiosyncratic process but includes key components which are important to people who experience psychosis and should be explored within clinical practice.

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Abstract: There is a growing number of qualitative accounts regarding recovery from psychosis from a service user perspective. The aim of this study was to conduct a systematic review of these qualitative accounts. A thematic synthesis was utilised to synthesise and analyse seventeen studies included in the review. Studies were included if they used a qualitative methodology to explore service users’ experiences of recovery from psychosis as a primary research question. All included studies were subjected to a quality assessment. The analysis outlined three subordinate themes: the recovery journey, facilitators of recovery (e.g. faith and spirituality, personal agency and hope), and barriers to recovery (e.g. stigma and discrimination, negative effects of mental health services and medication). Recovery is an idiosyncratic process but includes key components which are important to people who experience psychosis. These should be explored within clinical practice.

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57 citations

Cites background from "Coming back normal: the process of ..."

...2011; Shea 2009)....
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...They highlight important factors such as the role of hope, alleviating public and internalised stigma, empowerment, personal goals and social support (Law and Morrison 2014; Eisenstadt et al. 2012; Lam et al. 2011; Shea 2009)....
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...And I just felt really….spiritual” Participant (Nixon et al....
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...I may be alone 1 3 in my body, but I’m we’re all connected to a higher power that’s within us” Participant p. 627 (Nixon et al....
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...“Participants consistently identified specific family members, peers, friends, and professionals who facilitated their recovery process by offering hope, encouragement, and opportunities”....
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Journal Article•DOI•

An integrative review of what contributes to personal recovery in psychiatric disabilities.

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Martin Salzmann-Erikson¹•Institutions (1)

Oslo University Hospital¹

11 Mar 2013-Issues in Mental Health Nursing

TL;DR: The analysis reveals three main themes: recovery as an inner process; recovery as a contribution from others; and recovery as participating in social and meaningful activities.

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Abstract: The aim of this integrated literature review is to identify what people with psychiatric disabilities experience as contributing to their personal recovery. The study design is based on Whittemore and Knafl's integrative review and includes 14 qualitative peer-reviewed articles. The analysis reveals three main themes: recovery as an inner process; recovery as a contribution from others; and recovery as participating in social and meaningful activities. If mental health nurses adhere to the personal recovery perspective, nursing practice will focus on the patients' needs, conveying hope and supporting the patient in the recovery process.

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38 citations

Cites background from "Coming back normal: the process of ..."

...…Psychotherapy and hospital admissions Spirituality Accepting help from others Participating in daytime activities Participating in social and meaningful activities Participating in leisure activities Having a job Having a structure in daily living Being in social contexts (Shea, 2010, p. 47)....
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...Although the concept of recovery is used widely, an area in which this concept has a dominant space is in research into recovery from schizophrenia and psychosis illnesses (Borg & Kristiansen, 2004; Macdonald, Sauer, Howie, & Albiston, 2005; Nioseux & Ricard, 2008; Shea, 2010)....
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Book Chapter•DOI•

Understanding the psychosocial processes of physical activity for individuals with severe mental illness: A meta-ethnography

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Andrew Soundy, Tom Kingstone, Pete Coffee

13 Jan 2012

TL;DR: The benefits of physical activity for individuals with severe mental illness (SMI) are threefold: psychological, social, and physical as mentioned in this paper, however, despite individuals with SMI understanding that there are benefits from engaging in physical activity, many have limited confidence in their ability to exercise and often perceptual biases can act as barriers in new and unknown settings.

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Abstract: Physical activity can benefit individuals with severe mental illness (SMI) (Richardson et al., 2005). The benefits of physical activity for individuals with SMI are threefold: psychological, social and physical. Psychologically, patients can experience mood elevating effects, reduced anxiety, improved concentration, increased self-esteem and reduced psychiatric symptoms like voices (Faulkner & Biddle, 1999). Socially, co-patients in the physical activity setting can motivate, support and encourage interaction (Fogarty & Happell, 2005), facilitating the development of a positive social identity. Physically, patients can combat a significant side effect of anti-psychotic medication such as weight loss (Faulkner et al., 2003). Despite individuals with SMI understanding that there are benefits from engaging in physical activity, many have limited confidence in their ability to exercise and often perceptual biases (e.g., concerns generated from self-presentation, negative interpretaion of an interaction) can act as barriers in new and unknown settings (Soundy et al., 2007). A perceived inability to exercise, coupled with a lack of social support can lead to a further reduction in exercise participation and, potentially, permanent withdrawal from exercise (Ussher et al., 2007). Thus, there are (a) barriers that affect the initiation of exercise, as well as (b) barriers that prevent the adoption of a more physically active lifestyle. In support, a recent Cochrane review (Gorcyznski & Faulkner, 2011) has called for research to develop further understanding into how best to help patients with SMI begin and continue to exercise. Whilst some initial understanding has been provided regarding the initial engagement in physical activity, further information is needed to illustrate how experiences of physical activity vary. To this end, research is needed to consider and illustrate the psychosocial barriers and facilitators to activity in the adoption of exercise, but also in the long term maintenance of activity. This has been illustrated, although not comprehensivly evaluated, in previous research: In some research this is explicitly adressed, for example, Carless (2007) considers physical activity as phases requiring support when beginning (awareness raising) and during (engagement and practical facilitation) activity. Other research implictly addresses this; for example, Raine et al., (2002) consider the engagement of exercise in community and illustrate the experience of inititating and maintaining activity. It is clear,

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29 citations

Cites background from "Coming back normal: the process of ..."

...opportunity for refining their self identity (Shea, 2009)....
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...Exercise and physical activity in a community setting provides a setting that can help promote a sense of belonging and therefore provides an excellent opportunity for refining their self identity (Shea, 2009)....
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...A sense of belonging also influences how patients redefine their selfidentity (Shea, 2009)....
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Journal Article•DOI•

Understanding Identity Changes in Psychosis: A Systematic Review and Narrative Synthesis

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Maev Conneely¹, Philip McNamee¹, Veenu Gupta², John Richardson¹, Stefan Priebe¹, Janelle M. Jones¹, Domenico Giacco¹, Domenico Giacco³ - Show less +4 more•Institutions (3)

Queen Mary University of London¹, University of Liverpool², University of Warwick³

16 Mar 2021-Schizophrenia Bulletin

TL;DR: A conceptual framework synthesizing how identity changes are understood in the psychosis literature is created, comprising 5 understandings that highlights the complexity of studying identity changes and suggests important implications for practice and research.

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Abstract: Background and objective: Experiencing psychosis can be associated with changes in how people see themselves as individuals and in relation to others (i.e., changes in their identity). However, identity changes receive little attention in treatment, possibly due to a lack of clarity or consensus around what identity change means in people with psychosis. We aimed to create a conceptual framework synthesizing how identity changes are understood in the psychosis literature. Methods: Electronic databases were searched up to April 2020. Studies about identity changes among people with psychotic disorders were analyzed using narrative synthesis by a collaborative review team, including researchers from different disciplines, clinicians, and people who have experienced psychosis. Results: Of 10,389 studies screened, 59 were eligible. Identity changes are understood in five ways: as 1) characteristics of psychosis, 2) consequences of altered cognitive functioning, 3) consequences of internalized stigma, 4) consequences of lost roles and relationships, and 5) reflections of personal growth. These five understandings are not mutually exclusive. Across a heterogeneous literature, identity changes were mostly framed in terms of loss. Conclusions: Our conceptual framework, comprising five understandings, highlights the complexity of studying identity changes and suggests important implications for practice and research. For clinicians, this framework can inform new therapeutic approaches where the experience and impact of identity changes are acknowledged and addressed as part of treatment. For researchers, the conceptual framework offers a way of locating their understandings of identity changes when undertaking research in this area.

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28 citations

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References

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Book•

Discovery of Grounded Theory: Strategies for Qualitative Research

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Barney G. Glaser, Anselm L. Strauss

12 Oct 2017

TL;DR: The Discovery of Grounded Theory as mentioned in this paper is a book about the discovery of grounded theories from data, both substantive and formal, which is a major task confronting sociologists and is understandable to both experts and laymen.

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Abstract: Most writing on sociological method has been concerned with how accurate facts can be obtained and how theory can thereby be more rigorously tested. In The Discovery of Grounded Theory, Barney Glaser and Anselm Strauss address the equally Important enterprise of how the discovery of theory from data--systematically obtained and analyzed in social research--can be furthered. The discovery of theory from data--grounded theory--is a major task confronting sociology, for such a theory fits empirical situations, and is understandable to sociologists and laymen alike. Most important, it provides relevant predictions, explanations, interpretations, and applications. In Part I of the book, "Generation Theory by Comparative Analysis," the authors present a strategy whereby sociologists can facilitate the discovery of grounded theory, both substantive and formal. This strategy involves the systematic choice and study of several comparison groups. In Part II, The Flexible Use of Data," the generation of theory from qualitative, especially documentary, and quantitative data Is considered. In Part III, "Implications of Grounded Theory," Glaser and Strauss examine the credibility of grounded theory. The Discovery of Grounded Theory is directed toward improving social scientists' capacity for generating theory that will be relevant to their research. While aimed primarily at sociologists, it will be useful to anyone Interested In studying social phenomena--political, educational, economic, industrial-- especially If their studies are based on qualitative data.

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53,267 citations

"Coming back normal: the process of ..." refers methods in this paper

...The theory generated from the data was found to be credible and useful based on the four criteria for grounded theory laid out by Glaser and Strauss (1967)....
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Journal Article•DOI•

The Discovery of Grounded Theory: Strategies for Qualitative Research.

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Helmut R. Wagner, Barney G. Glaser, Anselm L. Strauss

01 Jun 1968-Social Forces

44,847 citations

Journal Article•DOI•

Basics of qualitative research : grounded theory procedures and techniques

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Anselm L. Strauss, Juliet Corbin

01 Jan 1992-Contemporary Sociology

TL;DR: In this article, the authors discuss the uses of literature and open coding techniques for enhancing theoretical sensitivity of theoretical studies, and give guidelines for judging a grounded theory study.

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Abstract: Introduction Getting Started Theoretical Sensitivity The Uses of Literature Open Coding Techniques for Enhancing Theoretical Sensitivity Axial Coding Selective Coding Process The Conditional Matrix Theoretical Sampling Memos and Diagrams Writing Theses and Monographs, and Giving Talks about Your Research Criteria for Judging a Grounded Theory Study

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28,999 citations

Journal Article•DOI•

Basics of Qualitative Research: Grounded Theory Procedures and Techniques

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Donna Reseigh Long, Anselm L. Strauss, Juliet Corbin

22 Jan 1993-The Modern Language Journal

9,674 citations

"Coming back normal: the process of ..." refers result in this paper

...The developing theory was then validated by returning to the literature and comparing published results with findings from the present study (Strauss & Corbin, 1990)....
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Journal Article•DOI•

Recovery from mental illness: The guiding vision of the mental health service system in the 1990s.

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William A. Anthony¹•Institutions (1)

Boston University¹

01 Apr 1993-Psychosocial rehabilitation journal

TL;DR: The fundamental services and assumptions of a recovery-oriented mental health system are outlined, which could have major implications for how future mental health systems are designed.

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Abstract: he implementation of deinstitutionalization in the 1960s and 1970s, and the increasing ascendance of the community support system concept and the practice of psychiatric rehabilitation in the 1980s, have laid the foundation for a new 1990s vision of service delivery for people who have mental illness. Recovery from mental illness is the vision that will guide the mental health system in this decade. This article outlines the fundamental services and assumptions of a recovery-oriented mental health system. As the recovery concept becomes better understood, it could have major implications for how future mental health systems are designed. The seeds of the recovery vision were sown in the aftermath of the era of deinstitutionalization. The failures in the implementation of the policy of deinstitutionalization confronted us with the fact that a person with severe mental illness wants and needs more than just symptom relief. People with severe T CHANGING TOWARD THE FUTURE

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3,129 citations

"Coming back normal: the process of ..." refers methods in this paper

...Building on the definitions offered by consumers, Anthony (1993) described recovery as a way of living and developing that focuses on the self beyond mental illness....
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