Wells Kenneth, Booker-Vaughns Juanita, Dzou Tiffany, Saks Elyn R
Center for Health Services and Society, Jane and Terry Semel Institute for Neuroscience and Human Behavior, UCLA, Los Angeles, CA, USA.
Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine, UCLA, Los Angeles, CA, USA.
Community Ment Health J. 2025 May;61(4):776-782. doi: 10.1007/s10597-024-01407-y. Epub 2024 Dec 3.
There are few studies of impacts of arts on recovery in schizophrenia, on audience and cast responses. We developed a formative qualitative evaluation of audience and cast discussions after viewing live performances in a university setting of an opera based on Elyn Saks' journey from psychosis, teaching law and falling in love, coupled with pre-opera workshop on community approaches to resilience. Live discussions were conducted with audience, cast members, and workshop presenters after performance of the opera, with recording and transcription, and reflexive thematic qualitative analysis sequentially conducted by 3 investigators/2 event leaders). Across 3 events, there were 81 comments (65'10" total time) from facilitator, audience members, cast and creators. Key themes across participant groups were: (1) Connecting with the story; (2) Identifying "normal" lifestyles with mental illness; (3) Refocusing goals of care for providers; (4) Increasing awareness around mental health; with an overarching theme the value of art on mental health to highlight awareness of these issues. Live art events (opera with pre-workshop) on mental health with author with lived experience present, were noted by audience and cast as enhancing connection, enhancing understanding of mental illness and clarifying goals for care, through the shared experience of art. This may inform future research and art events on mental health.
关于艺术对精神分裂症康复的影响以及观众和演员反应的研究很少。我们基于艾琳·萨克斯从精神病状态、教授法律到坠入爱河的经历创作了一部歌剧，并在大学环境中进行了现场表演，之后对观众和演员的讨论开展了一项形成性定性评估，同时还举办了关于社区复原力方法的歌剧前工作坊。歌剧表演结束后，与观众、演员和工作坊主持人进行了现场讨论，并进行了录音和转录，由3名研究人员/2名活动负责人依次进行反思性主题定性分析。在3场活动中，主持人、观众、演员和创作者共发表了81条评论（总时长65分10秒）。各参与群体的关键主题包括：（1）与故事建立联系；（2）将“正常”生活方式与精神疾病联系起来；（3）重新调整医疗服务提供者的护理目标；（4）提高对心理健康的认识；一个总体主题是艺术对心理健康的价值，以突出对这些问题的认识。观众和演员指出，有亲身经历的作者参与的关于心理健康的现场艺术活动（带有工作坊前活动的歌剧），通过艺术的共享体验，增强了联系，增进了对精神疾病的理解，并明确了护理目标。这可能为未来关于心理健康的研究和艺术活动提供参考。
