A qualitative phenomenological analysis of the subjective experience and understanding of the at risk mental state
A qualitative phenomenological analysis of the subjective experience and understanding of the at risk mental state
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DOI：
10.1080/17482631.2017.1342504
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发表时间：
2017-07-10
影响因子：
1.8
通讯作者：
Mulholland, Ciaran
中科院分区：
文献类型：
--
作者：
Brew, Benjamin;Shannon, Ciaran;Mulholland, Ciaran
近年来，人们对识别精神病的早期阶段越来越感兴趣。处于危险中的精神状态（ARMS）是精神病前驱阶段的特征，其识别产生了许多临床和研究机会，包括早期干预和预防精神病。本研究采用解释现象学的分析，以获得洞察的主观经验和个人的理解，他们的ARMS的发展。五名参与者参加了调查，并通过半结构化访谈提供了有关症状经历、ARMS发作前的生活以及他们对症状及其发展的理解的信息。通过对记录的分析，出现了八个主题，这些主题在参与者的叙述中是共同的。三个主题的经验（不安的世界/不安的自我，断开与世界，雷击）和五个主题的理解（缺乏理解，利用他人，身份，形成联系，支离破碎的理解）被确定。详细探讨并结合现有文献和理论讨论了主题。临床意义，未来的研究方向，和限制内进行了讨论。
Over recent years there has been a growing interest in identifying the early stages of psychosis. The At Risk Mental State (ARMS) is characteristic of the prodromal stages of psychosis and its identification gives rise to a number of clinical and research opportunities including early intervention and prevention of psychosis. This study employs interpretative phenomenological analysis to gain insights into the subjective experience and individuals understanding of the development of their ARMS. Five participants took part and provided information on the experience of symptoms, life prior to onset of their ARMS and their understanding of symptoms and their development through a semi structured interview. From the analysis of transcripts eight themes emerged which were common across participants accounts. Three themes of experience (disturbed world/disturbed self, disconnection with the world, thunderstruck) and five themes of understanding (absence of understanding, use of others, identity, forming links, fragmented understanding) were identified. Themes are explored in detail and discussed in relation to existing literature and theory. Clinical implications, directions for future research, and limitations are discussed within.