Childs Helen E, McCarthy-Jones Simon, Rowse Georgina, Turpin Graham
Department of Psychology University of Sheffield, Western Bank, Sheffield, UK.
J Nerv Ment Dis. 2011 Sep;199(9):703-8. doi: 10.1097/NMD.0b013e318229d6bd.
The present study explored the personal experiences of cannabis and psychosis among young adults, including the reasons and meanings of cannabis use and the perceived relationship between cannabis and mental health. Interviews with seven young adults with psychosis who described regular current or past cannabis use were conducted and analyzed using Interpretative Phenomenological Analysis. Four master themes emerged: The Journey Through Cannabis Use, The Social and Cultural World, The Struggle to Make Sense, and The Depths and Beyond. Respondent validation supported these themes, particularly the idea of cannabis use as a journey that changed in time. Social and cultural factors clearly influenced the initiation of and decision whether to continue using cannabis. Individuals could simultaneously hold positive and negative views on using cannabis. Implications for clinical interventions are explored, and the relevance of motivational interviewing and the stages of change models of behavior change are noted.
本研究探讨了年轻人中使用大麻与精神病之间的个人经历，包括使用大麻的原因和意义，以及大麻与心理健康之间的感知关系。对七名患有精神病且描述目前或过去经常使用大麻的年轻人进行了访谈，并采用解释现象学分析方法进行分析。出现了四个主要主题：大麻使用之旅、社会和文化世界、理解挣扎以及深度与超越。受访者的验证支持了这些主题，特别是将大麻使用视为随时间变化的旅程这一观点。社会和文化因素显然影响了大麻使用的开始以及是否继续使用的决定因素。个体对使用大麻可能同时持有积极和消极的看法。探讨了对临床干预的影响，并指出了动机性访谈和行为改变阶段模型的相关性。
