Recognizing and responding to early psychosis: A qualitative analysis of individual narratives
Recognizing and responding to early psychosis: A qualitative analysis of individual narratives
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DOI：
10.1176/ps.2008.59.1.96
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发表时间：
2008-01-01
影响因子：
3.8
通讯作者：
Penn, David L.
中科院分区：
文献类型：
--
作者：
Judge, Abigail M.;Estroff, Sue E.;Penn, David L.
目的：个体识别和应对新出现的精神疾病的方式仍然知之甚少。这项回顾性研究探讨了个体何时以及如何认识到自身的变化并对这些变化做出反应。方法：本研究采用定性方法探讨15个人何时以及如何识别变化并确定他们如何应对。还收集了精神病发病的标准化信息。结果：通过访谈记录的定性分析，确定了与认识和应对新出现的精神病有关的主题。主题包括正常化、解释模型、退缩、避免帮助和与精神病达成协议。结论：参与者认识到自身的变化，但往往不理解观察到的变化是精神的一部分，个体由于耻辱感的担忧而避免专业帮助，并确定了症状和药物管理之外的康复领域。定性方法为理解主观疾病体验和建议心理社会治疗方法提供了一个有希望的策略。
Objective: The ways in which individuals recognize and respond to emerging psychotic illness remain poorly understood. This retrospective study explored when and how individuals recognized changes in themselves and responded to these changes. Methods: This study used qualitative methods to explore when and how 15 individuals recognized changes and identified how they responded. Standardized information on the onset of psychosis was also collected. Results: Themes relating to recognizing and responding to emerging psychosis were identified through qualitative analysis of interview transcripts. Themes included normalization, explanatory models, withdrawal, avoiding help, and coming to terms with psychosis. Conclusions: Participants recognized changes in themselves but tended not to understand the observed changes as part of a mental Individuals avoided professional help because of stigma concerns and identified domains of recovery beyond the management of symptoms and medication. Qualitative methods offer a promising strategy for understanding subjective illness experience and suggesting psychosocial treatment approaches.