Positive Psychotherapy for Psychosis

Slade, Mike; Brownell, Tamsin; Rashid, Tayyab; Schrank, Beate

doi:10.4324/9781315545776

Cited by 15 publications

(6 citation statements)

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“…A mental health service orientation towards supporting recovery is recommended internationally,46 47 and central to national policy in many countries 48–51. A recovery orientation involves system transformation52 requiring new clinical approaches including a greater emphasis on supporting strengths,53–55 self-management,56 57 hope58 59 and well-being,60–62 more use of new interventions such as positive psychology,63 64 Recovery Colleges65–68 and peer support,69 70 and a greater focus on human rights 71 72. The current study supports the case that trauma-informed approaches to mental healthcare should be added to this list of recovery-supporting innovations 73…”

Section: Discussionsupporting

confidence: 68%

Post-traumatic growth in mental health recovery: qualitative study of narratives

et al. 2019

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ObjectivesPost-traumatic growth, defined as positive psychological change experienced as a result of the struggle with challenging life circumstances, is under-researched in people with mental health problems. The aim of this study was to develop a conceptual framework for post-traumatic growth in the context of recovery for people with psychosis and other severe mental health problems.DesignQualitative thematic analysis of cross-sectional semi-structured interviews about personal experiences of mental health recovery.SettingEngland.ParticipantsParticipants were adults aged over 18 and: (1) living with psychosis and not using mental health services (n=21); (2) using mental health services and from black and minority ethnic communities (n=21); (3) underserved, operationalised as lesbian, gay, bisexual and transgender community or complex needs or rural community (n=19); or (4) employed in peer roles using their lived experience with others (n=16). The 77 participants comprised 42 (55%) female and 44 (57%) white British.ResultsComponents of post-traumatic growth were present in 64 (83%) of recovery narratives. Six superordinate categories were identified, consistent with a view that post-traumatic growth involves learning about oneself (self-discovery) leading to a new sense of who one is (sense of self) and appreciation of life (life perspective). Observable positively valued changes comprise a greater focus on self-management (well-being) and more importance being attached to relationships (relationships) and spiritual or religious engagement (spirituality). Categories are non-ordered and individuals may start from any point in this process.ConclusionsPost-traumatic growth is often part of mental health recovery. Changes are compatible with research about growth following trauma, but with more emphasis on self-discovery, integration of illness-related experiences and active self-management of well-being. Trauma-related growth may be a preferable term for participants who identify as having experienced trauma. Trauma-informed mental healthcare could use the six identified categories as a basis for new approaches to supporting recovery.Trial registration numberISRCTN11152837

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Section: Discussionsupporting

confidence: 68%

Post-traumatic growth in mental health recovery: qualitative study of narratives

et al. 2019

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“…The most identified influence was organisational culture, and this is an international challenge [48]. Evidence-based approaches are emerging to change organisational culture, including a greater emphasis on supporting strengths [49][50][51], self-management [52], hope [53,54], well-being [55][56][57] and more use of new interventions such as positive psychology [58,59], recovery colleges [60][61][62] and a greater focus on human rights [63]. New measures to evaluate recovery-related outcomes are also becoming available [64,65].…”

Section: Implications For Practice and Researchmentioning

confidence: 99%

A systematic review of influences on implementation of peer support work for adults with mental health problems

Ibrahim

Thompson

Nixdorf

et al. 2019

Soc Psychiatry Psychiatr Epidemiol

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Purpose The evidence base for peer support work in mental health is established, yet implementation remains a challenge. The aim of this systematic review was to identify influences which facilitate or are barriers to implementation of mental health peer support work. Methods Data sources comprised online databases (n = 11), journal table of contents (n = 2), conference proceedings (n = 18), peer support websites (n = 2), expert consultation (n = 38) and forward and backward citation tracking. Publications were included if they reported on implementation facilitators or barriers for formal face-to-face peer support work with adults with a mental health problem, and were available in English, French, German, Hebrew, Luganda, Spanish or Swahili. Data were analysed using narrative synthesis. A six-site international survey [Germany (2 sites), India, Israel, Tanzania, Uganda] using a measure based on the strongest influences was conducted. The review protocol was pre-registered (Prospero: CRD42018094838). Results The search strategy identified 5813 publications, of which 53 were included. Fourteen implementation influences were identified, notably organisational culture (reported by 53% of papers), training (42%) and role definition (40%). Ratings on a measure using these influences demonstrated preliminary evidence for the convergent and discriminant validity of the identified influences. Conclusion The identified influences provide a guide to implementation of peer support. For services developing a peer support service, organisational culture including role support (training, role clarity, resourcing and access to a peer network) and staff attitudes need to be considered. The identified influences provide a theory base to prepare research sites for implementing peer support worker interventions.

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“…This can include helping the person define their own perception of quality of life aside from any label (WHOQOL-BREF, 1996). We want to foster connection with supports who believe in recovery and the person’s ability to get through the difficulties of their experience, finding a personal identity, and making meaning and purpose in one’s life which can include meaning from the extreme state (Leamy et al, 2011; Morris, 2019; Slade et al, 2016).…”

Section: Making Meaning and Normalizingmentioning

confidence: 99%

“…Invite focus and reminders of the enjoyable parts in one’s life as Positive Psychology incorporates into their work. This can include identifying one’s own strengths and also increasing gratitude, supportive relationships, and finding positive aspects where we may previously have only focused on the negative (Slade et al, 2016). Identify what we value in life and continually assess whether we are taking effective action toward such as in Acceptance and Commitment Therapy (Morris, 2019; Bach, 2015; O’Donoghue et al, 2018).…”

Section: Therapy and Personal Agencymentioning

confidence: 99%

Moving Beyond Current Treatment: Responding to Extreme States With Compassion and Dignity

Mackey

2022

Journal of Humanistic Psychology

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Newer research around extreme experiences is showing that recovery is far more prevalent than has been represented in the past. In addition, some aspects that have traditionally been considered the first line of treatment are now being found to be less effective than once believed or even harmful. However, approaches that combine new information, compassion, and that restore dignity to the individual are finally being recognized as the underpinnings of successful outcomes. Individuals who have gone through an extreme state deserve to learn about the impact of cultural aspects and childhood experiences on such. They should be reminded that many will experience positive growth from the extreme state itself. It should be normalized how frequently these experiences arise throughout the world and how often people do recover. It is important for individuals to understand the beneficial impact of enhancing relationships and connections in their daily life and of fostering empowerment for themselves and their choices. By incorporating research findings and inviting the individual to seek out a meaningful life, as determined by themselves, people can and do recover from these experiences.

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Positive Psychotherapy for Psychosis

Cited by 15 publications

References 0 publications

Post-traumatic growth in mental health recovery: qualitative study of narratives

Post-traumatic growth in mental health recovery: qualitative study of narratives

A systematic review of influences on implementation of peer support work for adults with mental health problems

Moving Beyond Current Treatment: Responding to Extreme States With Compassion and Dignity

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