关键词: adherence first-person perspective identity stigma therapeutic relationship

来  源:   DOI:10.1093/schbul/sbae104

Abstract:
OBJECTIVE: Recovering from a first psychosis is a highly individual process and requires the person to make sense of their experiences. Clinicians, in turn, need to comprehend these first-person perspectives, creating a mutual sense-making dynamic. Antipsychotic medication is a substantial part of psychosis treatment. Providing insight in the lived experience of recovery with antipsychotics could improve the mutual understanding and help bridge the gap between the perspective of the clinician and that of the person recovering from psychosis.
METHODS: 14 persons in recovery from a first psychosis with the use of antipsychotics were interviewed. Their narratives were analyzed using Interpretative Phenomenological Analysis (IPA).
RESULTS: Five overarching themes were found, representing important and meaningful experiences in recovering with antipsychotic medication. Theme 1: antipsychotics as external dampening (4 subthemes); Theme 2: shifting of realities; Theme 3: pace of recovery; Theme 4: antipsychotics\' influence on identity; and Theme 5: is it truly the antipsychotics?
CONCLUSIONS: Our findings show that recovery from psychosis with antipsychotics is an all-encompassing, multi-faceted, and ambivalent experience. The themes found in this research could inspire clinicians to discuss less obvious aspects of the experience of recovering with antipsychotics. Even more so, paying attention to the first-person perspective could lead to a more thorough understanding and benefit therapeutic relationships.
摘要:
目的:从第一次精神病中恢复是一个高度个体的过程,需要患者理解他们的经历。临床医生,反过来,需要理解这些第一人称视角,创造一种相互有意义的动态。抗精神病药物是精神病治疗的重要组成部分。提供对使用抗精神病药的康复经验的见解可以增进相互了解,并有助于弥合临床医生与从精神病中康复的人的观点之间的差距。
方法:对14名首次使用抗精神病药物的精神病患者进行了访谈。他们的叙述使用解释现象学分析(IPA)进行了分析。
结果:发现了五个主要主题,代表抗精神病药物康复的重要和有意义的经验。主题1:抗精神病药物作为外部抑制(4次主题);主题2:现实的转变;主题3:恢复的速度;主题4:抗精神病药物对身份的影响;主题5:真的是抗精神病药物吗?
结论:我们的发现表明,抗精神病药物从精神病中恢复是无所不包的,多方面,和矛盾的经验。这项研究中发现的主题可以激发临床医生讨论抗精神病药康复经验的不太明显的方面。更何况,关注第一人称视角可能会导致更透彻的理解并有利于治疗关系。
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