A qualitative comparison of psychotic-like phenomena in clinical and non-clinical populations
A qualitative comparison of psychotic-like phenomena in clinical and non-clinical populations
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DOI：
10.1111/j.2044-8260.2011.02011.x
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发表时间：
2012-03-01
影响因子：
3.1
通讯作者：
Peters, Emmanuelle
中科院分区：
文献类型：
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作者：
Heriot-Maitland, Charles;Knight, Matthew;Peters, Emmanuelle
目标。探讨临床(C)和非临床（NC）参与者的类精神病现象的性质和背景，并调查引发类精神病异常体验（OOE）的因素是否可以与决定其临床后果的因素区分开来。设计和方法。通过半结构化访谈收集定性数据，并使用解释现象学分析（IPA）进行分析。12名报告在过去5年内开始出现ooe的参与者，根据他们的经历是否涉及心理健康服务，被分为C组和NC组。对突发主题进行组间比较。在经历的触发因素和主观性质方面，发现了群体间的相似性，而在人际关系和个人背景以及如何将这些经历融入他们的生活方面，发现了更明显的群体差异。特别是，人与人之间的验证主题被认为是区分oes临床后果的重要因素。并不是OOE本身决定了临床状况的发展，而是更广泛的个人和人际环境影响了这种经历随后如何整合。本文概述了改进精神病模型的理论意义，并提出了对精神病样现象的验证和规范化的临床意义。
Objectives. To explore the nature and context of psychotic-like phenomena in clinical (C) and non-clinical (NC) participants, and to investigate whether the factors involved with triggering a psychotic-like out-of-the-ordinary experience (OOE) can be distinguished from those determining its clinical consequences.Design and methods. Qualitative data were collected by semi-structured interviews, and analysed using interpretative phenomenological analysis (IPA). Twelve participants, who reported OOEs starting in the last 5 years, were split into C and NC groups depending on whether they were involved with mental-health services as a result of their experiences. Inter-group comparisons of emergent themes were made.Results. Inter-group similarities were found in the triggers and subjective nature of experiences, with clearer group differences in the inter-personal and background personal contexts, and how the experiences were incorporated into their lives. In particular, the inter-personal theme of validation was identified as important in distinguishing the clinical consequences of OOEs.Conclusions. It is not the OOE itself that determines the development of a clinical condition, but rather the wider personal and interpersonal contexts that influence how this experience is subsequently integrated. Theoretical implications for the refinement of psychosis models are outlined, and clinical implications for the validation and normalization of psychotic-like phenomena are proposed.