Antipsychotics and Identity: The Adverse Effect No One is Talking About

Conneely, M.; Roe, D.; Hasson-Ohayon, I.; Pijnenborg, G. H. M.; van der Meer, L.; Speyer, H.

doi:10.1007/s10597-024-01255-w

Community Ment Health J

2024

DOI: 10.1007/s10597-024-01255-w

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Antipsychotics and Identity: The Adverse Effect No One is Talking About

M. Conneely,

D. Roe,

I. Hasson-Ohayon

et al.

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2024

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Cited by 2 publications

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Making Sense of Recovery From First Psychosis With Antipsychotic Medication: A Qualitative Phenomenological Study

Dijkstra,

Rijkeboer,

Noordhof

et al. 2024

Schizophrenia Bulletin

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Background and Hypothesis Recovering from a first psychosis is a highly individual process and requires the person to make sense of their experiences. Clinicians, in turn, need to comprehend these first-person perspectives, creating a mutual sense-making dynamic. Antipsychotic medication is a substantial part of psychosis treatment. Providing insight in the lived experience of recovery with antipsychotics could improve the mutual understanding and help bridge the gap between the perspective of the clinician and that of the person recovering from psychosis. Study Design 14 persons in recovery from a first psychosis with the use of antipsychotics were interviewed. Their narratives were analyzed using Interpretative Phenomenological Analysis (IPA). Study Results Five overarching themes were found, representing important and meaningful experiences in recovering with antipsychotic medication. Theme 1: antipsychotics as external dampening (4 subthemes); Theme 2: shifting of realities; Theme 3: pace of recovery; Theme 4: antipsychotics’ influence on identity; and Theme 5: is it truly the antipsychotics? Conclusions Our findings show that recovery from psychosis with antipsychotics is an all-encompassing, multi-faceted, and ambivalent experience. The themes found in this research could inspire clinicians to discuss less obvious aspects of the experience of recovering with antipsychotics. Even more so, paying attention to the first-person perspective could lead to a more thorough understanding and benefit therapeutic relationships.

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Making Sense of Recovery From First Psychosis With Antipsychotic Medication: A Qualitative Phenomenological Study

Dijkstra,

Rijkeboer,

Noordhof

et al. 2024

Schizophrenia Bulletin

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Social Identity Mapping and Psychotic Disorders: Understanding the Relationships Between Social Identity Features, Self-Esteem, and Quality of Life

Conneely,

Giacco,

Hickling

et al. 2024

Clinical Psychological Science

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Having more social connections is related to better quality of life in people with psychosis. However, little is known about the nature of these social connections or whether the personal significance of social connections matters for quality of life. We aimed to fill this gap by surveying 200 people with psychosis using social identity mapping (SIM), which allows people to name their groups, roles, and relationships and how they feel about these. SIM names were categorized into 10 groups, with “activities” (39%) and “family” (14%) being most common; “patient” (3%), “politics” (2%), and “local residence” (1%) were least common. Hierarchical regression revealed that the only variable associated with better quality of life was having a greater number of highly important connections. This was mediated by self-esteem. Clinicians and researchers should examine the potential of social identification, the internalization of social connections, as a means of improving quality of life.

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Antipsychotics and Identity: The Adverse Effect No One is Talking About

Cited by 2 publications

References 42 publications

Making Sense of Recovery From First Psychosis With Antipsychotic Medication: A Qualitative Phenomenological Study

Making Sense of Recovery From First Psychosis With Antipsychotic Medication: A Qualitative Phenomenological Study

Social Identity Mapping and Psychotic Disorders: Understanding the Relationships Between Social Identity Features, Self-Esteem, and Quality of Life

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