Connell Melissa, Schweitzer Robert, King Robert
Bull Menninger Clin. 2015 Winter;79(1):70-90. doi: 10.1521/bumc.2015.79.1.70.
This study aims to understand the process of change in self and its relationship to recovery in the first 3 months following first-episode psychosis (FEP). Because psychosis is understood as a disorder of self, theories of self are needed to consider how sense of self is affected and restored. The authors used semistructured interviews to explore the experiences of 12 young people who had been diagnosed with FEP. The interviews were conducted at two time points: during the first month following the onset of psychosis and 3 months later. The authors employed Interpretive Phenomenological Analysis to explicate interview data and explore the experience of change following FEP. Themes that emerged in the data came under two superordinate themes: loss of self and strengthening of self. Dialogical theory of self was used to interpret the findings and explore the relationship between sense of self and recovery for young people during this critical phase following FEP.
本研究旨在了解首发精神病（FEP）后前3个月内自我的变化过程及其与康复的关系。由于精神病被理解为一种自我障碍，因此需要自我理论来考虑自我意识是如何受到影响以及如何恢复的。作者采用半结构化访谈来探究12名被诊断为FEP的年轻人的经历。访谈在两个时间点进行：精神病发作后的第一个月以及3个月后。作者运用解释现象学分析来阐释访谈数据，并探究FEP后变化的经历。数据中出现的主题归为两个上位主题：自我丧失和自我强化。自我对话理论被用于解释研究结果，并探究FEP后这个关键阶段年轻人的自我意识与康复之间的关系。
