Department of Psychiatry, Amsterdam University Medical Center, Location Academic Medical Center, Amsterdam, The Netherlands.
Department of Clinical Psychology, University of Amsterdam, Amsterdam, The Netherlands.
Schizophr Bull. 2024 Nov 8;50(6):1508-1520. doi: 10.1093/schbul/sbae104.
Recovering from a first psychosis is a highly individual process and requires the person to make sense of their experiences. Clinicians, in turn, need to comprehend these first-person perspectives, creating a mutual sense-making dynamic. Antipsychotic medication is a substantial part of psychosis treatment. Providing insight in the lived experience of recovery with antipsychotics could improve the mutual understanding and help bridge the gap between the perspective of the clinician and that of the person recovering from psychosis.
14 persons in recovery from a first psychosis with the use of antipsychotics were interviewed. Their narratives were analyzed using Interpretative Phenomenological Analysis (IPA).
Five overarching themes were found, representing important and meaningful experiences in recovering with antipsychotic medication. Theme 1: antipsychotics as external dampening (4 subthemes); Theme 2: shifting of realities; Theme 3: pace of recovery; Theme 4: antipsychotics' influence on identity; and Theme 5: is it truly the antipsychotics?
Our findings show that recovery from psychosis with antipsychotics is an all-encompassing, multi-faceted, and ambivalent experience. The themes found in this research could inspire clinicians to discuss less obvious aspects of the experience of recovering with antipsychotics. Even more so, paying attention to the first-person perspective could lead to a more thorough understanding and benefit therapeutic relationships.
从首次精神病发作中恢复是一个高度个体化的过程，需要患者理解自己的经历。反过来，临床医生也需要理解这些第一人称视角，从而形成一种相互理解的动态。抗精神病药物是精神病治疗的重要组成部分。深入了解使用抗精神病药物恢复的亲身经历，可以增进相互理解，有助于缩小临床医生和精神病康复者之间的观点差距。
对 14 名正在使用抗精神病药物从首次精神病发作中康复的患者进行了访谈。他们的叙述采用解释性现象学分析（IPA）进行了分析。
发现了五个总体主题，代表了使用抗精神病药物康复过程中的重要和有意义的体验。主题 1：抗精神病药物作为外部抑制（4 个子主题）；主题 2：现实的转变；主题 3：恢复的速度；主题 4：抗精神病药物对身份的影响；主题 5：真的是抗精神病药物吗？
我们的研究结果表明，使用抗精神病药物从精神病中康复是一个全面的、多方面的、矛盾的体验。本研究中发现的主题可以激发临床医生讨论使用抗精神病药物康复体验中不太明显的方面。更重要的是，关注第一人称视角可以更深入地理解并有益于治疗关系。
