Davies Kimberley, Isobel Sophie, Steel Zachary, Morgan Sarah, Lappin Julia M
Discipline of Psychiatry and Mental Health, School of Clinical Medicine, Faculty of Medicine and Health, UNSW Sydney, Kensington, New South Wales, Australia.
The Tertiary Referral Service for Psychosis, Prince of Wales Hospital, Randwick, New South Wales, Australia.
Int J Ment Health Nurs. 2025 Jun;34(3):e70070. doi: 10.1111/inm.70070.
Research reports a strong association between the experience of psychosis and shame, but there is a paucity of detailed information on the nature of this relationship. This qualitative study explored the relationship between shame and psychosis from the perspectives of people with lived experience of psychosis. Using a trauma-informed and shame-sensitive approach to research, fourteen adults from three mental health services completed semi-structured face-to-face interviews. Reflexive thematic analysis was used to develop four themes: (1) Psychosis can expose underlying shame; (2) Psychosis can cause shame; (3) Efforts to minimise, avoid, and resist shame; and (4) Shame can be triggered in mental health services. The study highlights that psychosis can both contribute to new experiences of shame and reactivate shame from past experiences. Greater consideration of how mental health services can be shame-sensitive is needed, particularly within efforts to provide trauma-informed care.
研究报告称精神病体验与羞耻感之间存在紧密联系，但关于这种关系的本质，详细信息却很匮乏。这项定性研究从有精神病亲身经历者的角度，探讨了羞耻感与精神病之间的关系。采用创伤知情且对羞耻感敏感的研究方法，来自三个心理健康服务机构的14名成年人完成了半结构化的面对面访谈。运用反思性主题分析法得出了四个主题：（1）精神病会暴露潜在的羞耻感；（2）精神病会导致羞耻感；（3）尽量减少、避免和抗拒羞耻感的努力；（4）心理健康服务机构中可能引发羞耻感。该研究强调，精神病既会导致新的羞耻体验，也会激活过去经历中的羞耻感。需要更多地考虑心理健康服务机构如何对羞耻感保持敏感，尤其是在提供创伤知情护理的努力中。
