Connell Melissa, Schweitzer Robert, King Robert
School of Psychology and Counseling, Queensland University of Technology.
Psychiatr Rehabil J. 2015 Dec;38(4):359-64. doi: 10.1037/prj0000077. Epub 2014 Jun 9.
The objective of this study was to explore the subjective factors associated with the experience of first-episode psychosis (FEP) and the very first stages of recovery to develop our understanding of this process and improve treatment outcomes.
Interpretive Phenomenological Analysis was used to explore the experiences of 20 young people who had recently experienced FEP.
Two broad superordinate themes captured essential thematic trends in the data: experiences of self-estrangement and self-consolidation. The concept of dialogical self was used to understand the effect of psychosis on self and the process of resuming familiar social positions to facilitate recovery. The concept of making meaning after traumatic events was also applied to the narratives of personal growth that participants formed. Those who reported subjective improvements in recovery were more likely to have developed a meaningful interpretation of their psychosis, strengthened relationships with others, and forged a stronger sense of self.
The experience of self-consolidation was strongly associated with the person's resumption of familiar social roles and their ability to make meaning from their experience in a way that promoted personal growth. Although these processes are known to be part of personal recovery, this study highlights their importance in the very early stages of recovery immediately after the experience of FEP.
本研究的目的是探索与首次发作精神病（FEP）经历及康复最初阶段相关的主观因素，以增进我们对这一过程的理解并改善治疗效果。
采用解释现象学分析方法，探究20名近期经历过FEP的年轻人的经历。
两个宽泛的上位主题概括了数据中的基本主题趋势：自我疏离体验和自我巩固体验。对话自我的概念被用于理解精神病对自我的影响以及恢复熟悉社会角色以促进康复的过程。创伤事件后赋予意义的概念也被应用于参与者形成的个人成长叙事中。那些报告在康复过程中有主观改善的人更有可能对自己的精神病形成有意义的解读、加强与他人的关系并塑造更强的自我意识。
自我巩固体验与个人恢复熟悉的社会角色以及以促进个人成长的方式从自身经历中赋予意义的能力密切相关。尽管这些过程被认为是个人康复的一部分，但本研究强调了它们在FEP经历后康复早期阶段的重要性。
