Bjornestad Jone, Veseth Marius, Davidson Larry, Joa Inge, Johannessen Jan Olav, Larsen Tor Ketil, Melle Ingrid, Hegelstad Wenche Ten Velden
TIPS - Network for Clinical Research in Psychosis, Stavanger University Hospital, Stavanger, Norway.
Department of Social Studies, Faculty of Social Sciences, University of Stavanger, Stavanger, Norway.
Front Psychol. 2018 Sep 4;9:1675. doi: 10.3389/fpsyg.2018.01675. eCollection 2018.
Despite the evidence of the importance of including service users' views on psychotherapy after psychosis, there is a paucity of research investigating impact on full recovery. To explore what fully recovered service users found to be the working ingredients of psychotherapy in the recovery process after psychosis. The study was designed as a phenomenological investigation with thematic analysis as the practical tool for analysis. Twenty fully recovered service users were interviewed. Themes: (1) Help with the basics, (2) Having a companion when moving through chaotic turf, (3) Creating a common language, (4) Putting psychosis in brackets and cultivate all that is healthy, and (5) Building a bridge from the psychotic state to the outside world. Therapeutic approaches sensitive to stage specific functional challenges seemed crucial for counteracting social isolation and achieving full recovery. Findings indicate that psychotherapy focusing on early readjustment to everyday activities, to what are perceived as meaningful and recovery-oriented, seems to be what is preferred and called for by service users.
尽管有证据表明纳入精神病患者对心理治疗的看法很重要，但针对其对完全康复影响的研究却很少。本研究旨在探索完全康复的患者认为心理治疗在精神病康复过程中的有效要素。该研究设计为现象学调查，采用主题分析作为实际分析工具。对20名完全康复的患者进行了访谈。主题包括：（1）基础帮助；（2）在混乱阶段有陪伴者；（3）创造共同语言；（4）将精神病搁置一边，培养健康的方面；（5）搭建从精神病状态通向外部世界的桥梁。针对特定阶段功能挑战的治疗方法对于消除社会隔离和实现完全康复似乎至关重要。研究结果表明，专注于早期重新适应日常活动、适应被认为有意义且以康复为导向的事物的心理治疗，似乎是患者所偏好和需要的。
