Former patients' experiences of recovery from self‐harm as an individual, prolonged learning process: a phenomenological hermeneutical study

Tofthagen, Randi; Talseth, Anne Grethe; Fagerström, Lisbeth

doi:10.1111/jan.13295

Cited by 13 publications

(23 citation statements)

References 29 publications

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“…Prior work identifying key change elements often relies on reflections from individuals who have successfully ceased NSSI behavior (Buser, Pitchko, & Buser, 2014; Kool, van Meijel, & Bosman, 2009; Wills & Hons, 2012). These studies, despite comprising small samples, have been important in identifying the roles that agentic action, development of new coping strategies, and interpersonal influences play in the recovery process (Shaw, 2006; Tofthagen, Talseth, & Fagerstrøm, 2017). They do not, however, capture the more nuanced levers of change operational at various points in the behavior change process.…”

Section: Introductionmentioning

confidence: 99%

“…They do not, however, capture the more nuanced levers of change operational at various points in the behavior change process. Endeavoring to cease a behavior, such as NSSI, is often a slow process, occurring over time, and through a variety of internal and external shifts (Glanz, Rimer, & Lewis, 1997; Tofthagen et al, 2017). Not all of these shifts are likely to be consciously accessible after one has fully ceased the behavior.…”

Section: Introductionmentioning

confidence: 99%

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Processes of Change and Nonsuicidal Self-Injury: A Qualitative Interview Study With Individuals at Various Stages of Change

Kruzan

Whitlock

2019

Global Qualitative Nursing Research

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Nonsuicidal self-injury (NSSI) is a pervasive and potentially lethal behavior that affects many youth and adolescents. Effective treatment and prevention efforts are critical but often lack a nuanced understanding of the behavior change process. To address this gap, this research employs a stage of change model to identify and understand the most salient and widespread processes that facilitate NSSI behavior change. Thirty-one semi-structured interviews were conducted with individuals with current or past self-injury. Individuals were recruited to represent all stages of change including those who have not thought about changing behavior to those who have been NSSI-free for years. We employ a directed content analysis to code for dimensions derived from the model and an inductive approach to surface more nuanced change levers. Four organizing dimensions emerged: relational, behavioral, self-knowledge , and barriers . Common change levers of value in clinical practice or in intervention modalities are discussed.

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Processes of Change and Nonsuicidal Self-Injury: A Qualitative Interview Study With Individuals at Various Stages of Change

Kruzan

Whitlock

2019

Global Qualitative Nursing Research

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“…Nxumalo Ngubane et al (40) presented being accepted and able to contribute to their family and community as an important part of recovery for Swazi women diagnosed with schizophrenia. The socially constructed nature of recovery was emphasized repeatedly, with social discrimination and experiences of stigma being perceived as the opposite of recovery in many of the studies (36,40,47,(49)(50)(51)(52). The definition and achievement of recovery was thought to be co-constructed in society and developed by engaging in honest and genuine mutuality (53).…”

Section: Theme 2: Social Recoverymentioning

confidence: 99%

Recovery From Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives

et al. 2021

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Introduction: The recovery approach aims to have users' perspectives at the heart of service development and research; it is a holistic perspective that considers social needs, personal growth and inclusion. In the last decade recovery-oriented research and practice has increased greatly, however, a comprehensive model of recovery considering exclusively the perspectives of people with lived experience has not been devised.Aims: This review aimed to develop a framework and contextualize service users' and informal caregivers' understanding of recovery from severe mental health problems.Methods: We systematically searched 6 databases including key terms related to knowledge, experience and narratives AND mental health AND personal recovery. The search was supplemented with reference sourcing through gray literature, reference tracking and expert consultation. Data analysis consisted of a qualitative meta-synthesis using constant comparative methods.Results: Sixty-two studies were analyzed. A pattern emerged regarding the recovery paradigms that the studies used to frame their findings. The resulting recovery framework included the domains Social recovery; Prosperity (Legal, political, and economic recovery); Individual Recovery; and Clinical Recovery Experience (SPICE). Service users' definitions of recovery tended to prioritize social aspects, particularly being accepted and connecting with others, while caregivers focused instead on clinical definitions of recovery such as symptom remission. Both groups emphasized individual aspects such as becoming self-sufficient and achieving personal goals, which was strongly linked with having economic means for independence.Conclusions: The recovery model provided by this review offers a template for further research in the field and a guide for policy and practice. Predominant definitions of recovery currently reflect understandings of mental health which focus on an individual perspective, while this review found an important emphasis on socio-political aspects. At the same time, only a small number of studies took place in low-income countries, focused on minoritized populations, or included caregivers' perspectives. These are important gaps in the literature that require further attention.Systematic Review Registration: The review protocol was registered on PROSPERO (CRD42017076450); https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=76450.

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“…Nxumalo Ngubane, McAndrew, & Collier, (2019) presented being accepted and able to contribute to their family and community as an important part of recovery for Swazi women diagnosed with schizophrenia. The socially constructed nature of recovery was emphasised repeatedly, with social discrimination and experiences of stigma being perceived as the opposite of recovery in many of the studies (Cárcamo Guzmán et al, 2019; Gopal et al, 2020; Lee et al, 2020; Nowak et al, 2017; Nxumalo Ngubane et al, 2019; Shepherd et al, 2017; Tofthagen et al, 2017). The definition and achievement of recovery was thought to be co-constructed in society and developed by engaging in honest and genuine mutuality (Kverme et al, 2019).…”

Section: Recovery Themesmentioning

confidence: 99%

Recovery from severe mental health problems: A systematic review of service user and informal caregiver perspectives

Juan

Gronholm

Heslin

et al. 2021

Preprint

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Introduction: The recovery approach aims to have users′ perspectives at the heart of service development and research; it is a holistic perspective that considers social needs, personal growth and inclusion. In the last decade recovery-oriented research and practice has increased greatly, however, a comprehensive model of recovery considering exclusively the perspectives of people with lived experience has not been devised. Aims: This review aimed to develop a framework and contextualise service users′ and informal caregivers′ understanding of recovery from severe mental health problems. Methods: A systematic search of 6 databases including key terms related to knowledge, experience and narratives AND mental health AND personal recovery. The search was supplemented with reference sourcing through grey literature, reference tracking and expert consultation. Data analysis consisted of a qualitative meta-synthesis using constant comparative methods. Results: Sixty-two studies were analysed. A pattern emerged regarding the recovery paradigms that the studies used to frame their findings. Recovery domains included Legal, political and economic recovery; Social recovery; Individual recovery; and Clinical recovery experience. Service users′ definitions of recovery tended to prioritise social aspects, particularly being accepted and connecting with others, while caregivers focused instead on clinical definitions of recovery such as symptom remission. Both groups emphasised individual aspects such as becoming self-sufficient and achieving personal goals, which was strongly linked with having economic means for independence. Conclusions: The recovery model provided by this review offers a template for further research in the field and a guide for policy and practice. Predominant definitions of recovery currently reflect understandings of mental health which focus on an individual perspective, while this review found an important emphasis on socio-political aspects. At the same time, only a small number of studies took place in low-income countries, focused on minoritised populations, or included caregivers′ perspectives. These are important gaps in the literature that require further attention.

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Former patients' experiences of recovery from self‐harm as an individual, prolonged learning process: a phenomenological hermeneutical study

Abstract: To achieve recovery, persons who self-harm need guidance and knowledge of how to realize a personal learning process. More research is needed on how mental health nurses can support individual transition processes and thereby facilitate recovery.

Cited by 13 publications

References 29 publications

Processes of Change and Nonsuicidal Self-Injury: A Qualitative Interview Study With Individuals at Various Stages of Change

Processes of Change and Nonsuicidal Self-Injury: A Qualitative Interview Study With Individuals at Various Stages of Change

Recovery From Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives

Recovery from severe mental health problems: A systematic review of service user and informal caregiver perspectives

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