Greater Manchester West Mental Health NHS Foundation Trust and University of Manchester, Manchester, UK.
Early Interv Psychiatry. 2010 May;4(2):162-8. doi: 10.1111/j.1751-7893.2010.00171.x.
The aim of the present study was to qualitatively explore experiences and perceptions of interpersonal relationships and interpersonal communication among young people at risk of psychosis.
Semi-structured interviews were conducted using a qualitative grounded theory approach. Participants had entered into a service providing psychological interventions for young people assessed to be at a high risk of developing psychosis (Northwest UK). Our sample comprised one female and seven male participants (n = 8), ranging in age from 16 to 28 years, with a mean age of 22.4 years.
Analyses identified three central themes: difficulty with interpersonal relationships and reduced opportunities for helpful communication, difficulty talking to others about psychological problems, and experiences of talking to others about psychological problems.
Individuals at risk of psychosis may have experienced significant difficulties with interpersonal relationships. Such difficulties may contribute directly to the development of unusual psychological experiences, and to an inability or reluctance to communicate these to others. In addition, commonly held stigmatizing ideas associated with unusual psychological experiences may contribute to a fear among at-risk individuals that they are 'going mad', and this may lead to concealment of their difficulties, and to delayed help-seeking. For at-risk individuals, helpful communication of psychological distress offers significant benefits, including improved psychological and emotional well-being and reduced risk of psychosis. Thus, while concealment of distress may directly impact on the development of unusual psychological difficulties, communication of such difficulties may be central to recovery.
本研究旨在定性探讨有精神病风险的年轻人的人际关系和人际沟通的经验和看法。
采用定性扎根理论方法进行半结构式访谈。参与者已进入一项为被评估有高精神病风险的年轻人（英国西北部）提供心理干预的服务。我们的样本包括一名女性和七名男性参与者（n=8），年龄在 16 至 28 岁之间，平均年龄为 22.4 岁。
分析确定了三个核心主题：人际关系困难和有益沟通机会减少，难以与他人谈论心理问题，以及与他人谈论心理问题的经验。
有精神病风险的个体可能在人际关系方面遇到了重大困难。这些困难可能直接导致不寻常的心理体验的发展，以及无法或不愿意与他人交流这些体验。此外，与不寻常的心理体验相关的普遍存在的污名化观念可能导致有风险的个体担心自己“发疯”，这可能导致他们隐瞒自己的困难，并延迟寻求帮助。对于有风险的个体来说，有益的心理困扰沟通带来了显著的好处，包括改善心理和情绪健康以及降低精神病风险。因此，虽然痛苦的隐瞒可能直接影响不寻常的心理困难的发展，但沟通这些困难可能是康复的关键。
