A retrospective case study of the thematic content of psychotic experiences in a first episode psychosis population.

Psychosis content experience retrospective case study schizophrenia thematic analysis

Journal

Journal of mental health (Abingdon, England)
ISSN: 1360-0567
Titre abrégé: J Ment Health
Pays: England
ID NLM: 9212352

Informations de publication

Date de publication:
Aug 2021
Historique:
pubmed: 28 4 2020
medline: 26 11 2021
entrez: 28 4 2020
Statut: ppublish

Résumé

Historically, the content of psychotic experiences has tended to be of little importance to biological psychiatry, with hallucinations and delusions being seen as symptoms of mental illness rather than meaningful experiences or responses to life circumstances. This study aims to explore the thematic content of psychotic phenomena in a sample of clients with a first episode of psychosis. The electronic medical records of 160 services users of two Early Intervention for Psychosis Services were comprehensively reviewed. A thematic analysis was used to explore the thematic content of psychotic symptoms recorded by healthcare professionals. The results illustrate 30 themes and 85 sub-themes. This includes delusional beliefs (e.g. "being harmed, attacked or killed", "being monitored or followed by others", "special powers or abilities") and hallucinations (e.g. "commanding voice", "derogatory/critical voice", "commentary"). The results illustrate the extensive and varied experience of psychosis within this sample. Based on the findings of this study, it is hoped that future research studies and mental health services will attend to the meaning and content of psychotic experiences.

Sections du résumé

BACKGROUND BACKGROUND
Historically, the content of psychotic experiences has tended to be of little importance to biological psychiatry, with hallucinations and delusions being seen as symptoms of mental illness rather than meaningful experiences or responses to life circumstances.
AIMS OBJECTIVE
This study aims to explore the thematic content of psychotic phenomena in a sample of clients with a first episode of psychosis.
METHODS METHODS
The electronic medical records of 160 services users of two Early Intervention for Psychosis Services were comprehensively reviewed. A thematic analysis was used to explore the thematic content of psychotic symptoms recorded by healthcare professionals.
RESULTS RESULTS
The results illustrate 30 themes and 85 sub-themes. This includes delusional beliefs (e.g. "being harmed, attacked or killed", "being monitored or followed by others", "special powers or abilities") and hallucinations (e.g. "commanding voice", "derogatory/critical voice", "commentary").
CONCLUSIONS CONCLUSIONS
The results illustrate the extensive and varied experience of psychosis within this sample. Based on the findings of this study, it is hoped that future research studies and mental health services will attend to the meaning and content of psychotic experiences.

Identifiants

pubmed: 32339004
doi: 10.1080/09638237.2020.1755024
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

509-517

Auteurs

Amy Jones (A)

Bromley Early Intervention for Psychosis Service, Oxleas NHS Foundation Trust, Orpington, UK.

John Read (J)

School of Psychology, University of East London, London, UK.

Lisa Wood (L)

North East London NHS Foundation Trust, Ilford, UK.
Division of Psychiatry, University College London, London, UK.

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Classifications MeSH