Abstract
Background: 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.Objectives: To explore what fully recovered service users found to be the working ingredients of psychotherapy in the recovery process after psychosis.Materials and Methods: The study was designed as a phenomenological investigation with thematic analysis as the practical tool for analysis. Twenty fully recovered service users were interviewed.Results: 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.Conclusion: 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.
Highlights
In psychosis, standardized treatment guidelines recommend psychotherapy (National Institute for Clinical Excellence [NICE], 2014)
We investigated in what ways service users judged psychotherapeutic interventions to have helped them recover after a first episode psychosis (FEP)
The study was designed as a phenomenological investigation (Gadamer, 1989; Heidegger, 1996) with thematic analysis (Braun and Clarke, 2006) as the practical tool for analysis
Summary
Research is mainly based on quantitative approaches, and investigations of service-users’ perceptions of therapy are few. This applies to processes leading to clinical recovery (Davidson et al, 2008), which implies stable symptomatic and functional remission combined (Liberman and Kopelowicz, 2002). Service user perspectives on recovery-facilitating therapeutic interventions are called for They could help suggest hypotheses about what constitutes the helpful ingredients in therapy. 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. Objectives: To explore what fully recovered service users found to be the working ingredients of psychotherapy in the recovery process after psychosis. 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
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