Narrative research on mental health recovery: two sister paradigms

Spector-Mersel, Gabriela; Knaifel, Evgeny

doi:10.1080/09638237.2017.1340607

Cited by 20 publications

(24 citation statements)

References 56 publications

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“…Particularly, the internal process can strengthen the self-confidence of consumers to take meaningful steps towards their self-care and wellbeing [3,12,13,21]. More so, the internal process could also involve re-building a positive sense of identity in the face of illness [66]. The findings, thus, encourage MHPs to promote the internal recovery process of consumers, which can be achieved by effectively motivating consumers to take active roles in the recovery process [16].…”

Section: Expectation Regarding the Recovery Processmentioning

confidence: 87%

Recovery services and expectation of consumers and mental health professionals in community-based residential facilities of Ghana

et al. 2020

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Background: In the past decades, considerable global attention has been drawn to recovery services that seek to promote the personal recovery journey of consumers with mental illness. However, in most settings, including Ghana, limited empirical studies have attempted to explore, from the perspectives of Mental Health Professionals (MHPs) and consumers, the effectiveness of recovery services and expectation towards the recovery. This study, therefore, explored consumers' and MHPs perspectives concerning recovery services and expectations towards recovery in two community-based residential facilities in Ghana. Methods: A qualitative method, involving in-depth interviews and observations, were used to collect data from 24 participants (5 MHPs and 19 consumers). Thematic analysis was used to analyze the data. Results: The study identified three global themes and nine organizing themes. The global themes were recovery services offered to consumers, expectation regarding personal recovery and challenges in achieving recovery. The study found that recovery services were expected to improve the internal and external recovery processes of consumers. The internal recovery process was independent living whilst the external recovery process were management of illness, economic empowerment and social inclusion. Several systemic and consumer-related factors influenced consumers' and MHPs expectation concerning the recovery journey. Conclusion: The study concludes that the government should prioritize the use of recovery services through policies, financial incentives, infrastructure support, and adequate training of MHPs.

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Section: Expectation Regarding the Recovery Processmentioning

confidence: 87%

Recovery services and expectation of consumers and mental health professionals in community-based residential facilities of Ghana

et al. 2020

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“…Sharing experiences through stories has become a central practice within recovery-based healthcare [10]. Story-sharing has been used to increase the empathy and understanding of healthcare staff [11] and as a mechanism of peer support [12].…”

Section: Introductionmentioning

confidence: 99%

Characteristics of mental health recovery narratives: Systematic review and narrative synthesis

et al. 2019

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Background Narratives of recovery from mental health distress have played a central role in the establishment of the recovery paradigm within mental health policy and practice. As use of recovery narratives increases within services, it is critical to understand how they have been characterised, and what may be missing from their characterisation thus far. The aim of this review was to synthesise published typologies in order to develop a conceptual framework characterising mental health recovery narratives. Method A systematic review was conducted of published literature on the characteristics of mental health recovery narratives. Narrative synthesis involved identifying characteristics and organising them into dimensions and types; and subgroup analysis based on study quality, narrator involvement in analysis, diagnosis of psychosis and experience of trauma. The synthesis was informed by consultation with a Lived Experience Advisory Panel and an academic panel. The review protocol was pre-registered (Prospero CRD42018090188). Results 8951 titles, 366 abstracts and 121 full-text articles published January 2000-July 2018 were screened, of which 45 studies analysing 629 recovery narratives were included. A conceptual framework of mental health recovery narratives was developed, comprising nine dimensions (Genre; Positioning; Emotional Tone; Relationship with Recovery; Trajectory; Use of Turning Points; Narrative Sequence; Protagonists; and Use of Metaphors), each containing between two and six types. Subgroup analysis indicated all dimensions were present across most subgroups, with Turning Points particularly evident in trauma-related studies. Conclusions Recovery narratives are diverse and multidimensional. They may be non-linear and reject coherence. To a greater extent than illness narratives, they incorporate social, political and rights aspects. Approaches to supporting development of recovery narratives should expand rather than reduce available choices. Research into the narratives of more diverse populations is needed. The review supports trauma-informed approaches, and highlights the need to understand and support post-traumatic growth for people experiencing mental health issues.

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“…A two-stage narrative inquiry approach was taken to analysing the narratives. This is an established qualitative method which has been identified as well-suited to mental health recovery research, particularly for under-researched populations [4]. Analysis was undertaken by a team of four experienced researchers (AH, AR, JLB, RM), co-ordinated by a qualitative lead (KP).…”

Section: Discussionmentioning

confidence: 99%

“…The full topic guide is shown in Online Resource 1. In line with a narrative inquiry approach [4], the first part of the topic guide comprised an open-ended question designed to elicit a narrative [32], with minimal or no interruption from the researcher in order to facilitate fluent story-telling [33]. The participant was asked to share their mental ill health and recovery experiences as a story over time, with a beginning, middle, current situation and future considerations [9].…”

Section: Methodsmentioning

confidence: 99%

“…Mental health recovery narratives are first-person lived experience accounts of recovery from mental health problems, which include elements of adversity or struggle and of selfdefined strengths, successes or survival [1]. They have been described as a "key recovery technology" [2], central to the recovery approach within mental health policy and practice [3,4]. Interventions have been developed to support individuals to write [5] and tell [6] their own stories, and guidelines on sharing recovery narratives have been produced [7][8][9].…”

Section: Introductionmentioning

confidence: 99%

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Not the story you want? Assessing the fit of a conceptual framework characterising mental health recovery narratives

Llewellyn-Beardsley

Rennick-Egglestone

Bradstreet

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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Purpose Narratives of recovery have been central to the development of the recovery approach in mental health. However, there has been a lack of clarity around definitions. A recent conceptual framework characterised recovery narratives based on a systematic review and narrative synthesis of existing literature, but was based on a limited sample. The aims of this study were to assess the relevance of the framework to the narratives of more diverse populations, and to develop a refined typology intended to inform narrative-based research, practice and intervention development. Method 77 narrative interviews were conducted with respondents from four under-researched mental health sub-populations across England. Deductive and inductive analysis was used to assess the relevance of the dimensions and types of the preliminary typology to the interview narratives. Results Five or more dimensions were identifiable within 97% of narratives. The preliminary typology was refined to include new definitions and types. The typology was found not to be relevant to two narratives, whose narrators expressed a preference for non-verbal communication. These are presented as case studies to define the limits of the typology. Conclusion The refined typology, based on the largest study to date of recovery narratives, provides a defensible theoretical base for clinical and research use with a range of clinical populations. Implications for practice include ensuring a heterogeneous selection of narratives as resources to support recovery, and developing new approaches to supporting non-verbal narrative construction.

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Narrative research on mental health recovery: two sister paradigms

Cited by 20 publications

References 56 publications

Recovery services and expectation of consumers and mental health professionals in community-based residential facilities of Ghana

Recovery services and expectation of consumers and mental health professionals in community-based residential facilities of Ghana

Characteristics of mental health recovery narratives: Systematic review and narrative synthesis

Not the story you want? Assessing the fit of a conceptual framework characterising mental health recovery narratives

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