The impact of mental health recovery narratives on recipients experiencing mental health problems: Qualitative analysis and change model.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2019
2019
Historique:
received:
09
05
2019
accepted:
21
11
2019
entrez:
14
12
2019
pubmed:
14
12
2019
medline:
3
4
2020
Statut:
epublish
Résumé
Mental health recovery narratives are stories of recovery from mental health problems. Narratives may impact in helpful and harmful ways on those who receive them. The objective of this paper is to develop a change model identifying the range of possible impacts and how they occur. Semi-structured interviews were conducted with adults with experience of mental health problems and recovery (n = 77). Participants were asked to share a mental health recovery narrative and to describe the impact of other people's recovery narratives on their own recovery. A change model was generated through iterative thematic analysis of transcripts. Change is initiated when a recipient develops a connection to a narrator or to the events descripted in their narrative. Change is mediated by the recipient recognising experiences shared with the narrator, noticing the achievements or difficulties of the narrator, learning how recovery happens, or experiencing emotional release. Helpful outcomes of receiving recovery narratives are connectedness, validation, hope, empowerment, appreciation, reference shift and stigma reduction. Harmful outcomes are a sense of inadequacy, disconnection, pessimism and burden. Impact is positively moderated by the perceived authenticity of the narrative, and can be reduced if the recipient is experiencing a crisis. Interventions that incorporate the use of recovery narratives, such as peer support, anti-stigma campaigns and bibliotherapy, can use the change model to maximise benefit and minimise harms from narratives. Interventions should incorporate a diverse range of narratives available through different mediums to enable a range of recipients to connect with and benefit from this material. Service providers using recovery narratives should preserve authenticity so as to maximise impact, for example by avoiding excessive editing.
Sections du résumé
BACKGROUND
Mental health recovery narratives are stories of recovery from mental health problems. Narratives may impact in helpful and harmful ways on those who receive them. The objective of this paper is to develop a change model identifying the range of possible impacts and how they occur.
METHOD
Semi-structured interviews were conducted with adults with experience of mental health problems and recovery (n = 77). Participants were asked to share a mental health recovery narrative and to describe the impact of other people's recovery narratives on their own recovery. A change model was generated through iterative thematic analysis of transcripts.
RESULTS
Change is initiated when a recipient develops a connection to a narrator or to the events descripted in their narrative. Change is mediated by the recipient recognising experiences shared with the narrator, noticing the achievements or difficulties of the narrator, learning how recovery happens, or experiencing emotional release. Helpful outcomes of receiving recovery narratives are connectedness, validation, hope, empowerment, appreciation, reference shift and stigma reduction. Harmful outcomes are a sense of inadequacy, disconnection, pessimism and burden. Impact is positively moderated by the perceived authenticity of the narrative, and can be reduced if the recipient is experiencing a crisis.
CONCLUSIONS
Interventions that incorporate the use of recovery narratives, such as peer support, anti-stigma campaigns and bibliotherapy, can use the change model to maximise benefit and minimise harms from narratives. Interventions should incorporate a diverse range of narratives available through different mediums to enable a range of recipients to connect with and benefit from this material. Service providers using recovery narratives should preserve authenticity so as to maximise impact, for example by avoiding excessive editing.
Identifiants
pubmed: 31834902
doi: 10.1371/journal.pone.0226201
pii: PONE-D-19-13160
pmc: PMC6910821
doi:
Types de publication
Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0226201Subventions
Organisme : NIMH NIH HHS
ID : R01 MH100470
Pays : United States
Organisme : Department of Health
ID : RP-PG-0615-20016
Pays : United Kingdom
Organisme : Medical Research Council
ID : MR/S001255/1
Pays : United Kingdom
Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
Références
J Abnorm Psychol. 1977 Aug;86(4):379-88
pubmed: 903490
Lancet Psychiatry. 2014 Jul;1(2):121-8
pubmed: 26360575
J Ment Health. 2018 Aug;27(4):298-306
pubmed: 28648112
Epidemiol Psychiatr Sci. 2018 Oct;27(5):413-414
pubmed: 29644948
Psychiatr Rehabil J. 2016 Sep;39(3):211-21
pubmed: 27618458
J Med Internet Res. 2017 Jun 19;19(6):e218
pubmed: 28630033
Int Rev Psychiatry. 2005 Apr;17(2):123-31
pubmed: 16194782
Int J Integr Care. 2017 Jul 21;17(4):2
pubmed: 28970760
Cochrane Database Syst Rev. 2013 Mar 28;(3):CD004807
pubmed: 23543537
JMIR Ment Health. 2018 May 08;5(2):e37
pubmed: 29739737
Cochrane Database Syst Rev. 2013 Jul 23;(7):CD009453
pubmed: 23881731
BMC Psychiatry. 2018 Jun 28;18(1):213
pubmed: 29954373
Psychiatr Rehabil J. 2008 Winter;31(3):186-93
pubmed: 18194945
J Nerv Ment Dis. 2015 Aug;203(8):591-5
pubmed: 26230647
PLoS One. 2018 May 24;13(5):e0197712
pubmed: 29795637
World Psychiatry. 2019 Feb;18(1):29-30
pubmed: 30600621
Can J Psychiatry. 2019 Jun;64(6):405-414
pubmed: 30595039
J Clin Psychol. 1999 Oct;55(10):1243-54
pubmed: 11045774
Sociol Health Illn. 2004 Mar;26(2):242-61
pubmed: 15027986
Health Commun. 2011 Oct;26(7):595-604
pubmed: 21516556
Soc Sci Med. 2012 Feb;74(4):554-64
pubmed: 22240450
JMIR Ment Health. 2019 Oct 4;6(10):e14233
pubmed: 31588912
J Psychiatr Ment Health Nurs. 2009 Feb;16(1):68-75
pubmed: 19192088
Can J Psychiatry. 2019 Oct;64(10):669-679
pubmed: 31046432
Br J Psychiatry. 2007 Feb;190:123-8
pubmed: 17267928
Clin Psychol Rev. 2010 Dec;30(8):1030-9
pubmed: 20832922
J Epidemiol Community Health. 2012 Jun;66(6):536-43
pubmed: 21131304
Curr Opin Psychiatry. 2014 Jul;27(4):276-81
pubmed: 24852058
Int J Eat Disord. 2006 Jul;39(5):418-25
pubmed: 16570267
Qual Health Res. 2017 Jan;27(2):285-294
pubmed: 26825480
PLoS One. 2018 Jun 28;13(6):e0199882
pubmed: 29953535
Epidemiol Psychiatr Sci. 2015 Oct;24(5):435-45
pubmed: 24992284
World Psychiatry. 2012 Jun;11(2):123-8
pubmed: 22654945
J Psychiatr Ment Health Nurs. 2006 Oct;13(5):490-7
pubmed: 16965466
PLoS One. 2019 Mar 28;14(3):e0214678
pubmed: 30921432
J Clin Psychol. 2003 Feb;59(2):197-205
pubmed: 12552628