Restoring the Sense of Self in the Process of Recovery in Schizophrenia

Mathur, Sonal; Bhola, Poornima; Khanam, Fatema; Thirthalli, Jagadisha

doi:10.1007/s40737-014-0002-5

Cited by 7 publications

(6 citation statements)

References 18 publications

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“…Discrimination has been shown to promote the adoption of a paranoid external attributional style (Janssen et al, 2003), which could eventually predispose the individual to PS/PEs (Bentall, Kinderman, & Kaney, 1994; Kinderman & Bentall, 1996; Sharpley, Hutchinson, Murray, & McKenzie, 2001) by promoting the development of ‘high aberrant salience’ (Kapur, 2003). Discriminatory treatment could also foster a sense of social failure and more particularly low self-esteem (Crocker & Major, 1989; Saleem et al, 2014) and thus lead to a low self-concept clarity (Campbell, 1990), which is in part due to internalized stigma (Mathur, Bhola, Khanam, & Thirthalli, 2014). These specific disturbances in social cognition may lead to the development of PS/PEs (Moller & Husby, 2000).…”

Section: Discussionmentioning

confidence: 99%

Perceived ethnic discrimination as a risk factor for psychotic symptoms: a systematic review and meta-analysis

Bardol

Grot

et al. 2020

Psychol. Med.

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BackgroundPrevious studies have shown an elevated risk of psychotic symptoms (PS) and experiences (PEs) among ethnic minority groups, with significant variation between groups. This pattern may be partially attributable to the unfavorable socio-environmental conditions that surround ethnic minority groups. Perceived ethnic discrimination (PED) in particular has been a salient putative risk factor to explain the increased risk.MethodsWe conducted a systematic literature review and meta-analysis to assess the impact of PED on reporting PS/PEs in ethnic minorities. This review abides by the guidelines set forth by Preferred Reporting Items for Systematic Reviews and Meta-Analyses. The included studies were obtained from the databases: Medline, PsycINFO, and Web Of Science. Sub-group analyses were performed assessing the effect of PED in different subtypes of PS, the influence of ethnicity and moderating/mediating factors.ResultsSeventeen studies met the inclusion criteria, and nine were used to conduct the meta-analysis. We found a positive association between PED and the occurrence of PS/PEs among ethnic minorities. The combined odds ratio were 1.77 (95% CI 1.26–2.49) for PS and 1.94 (95% CI 1.42–2.67) for PEs. We found that the association was similar across ethnic groups and did not depend on the ethnic origin of individuals. Weak evidence supported the buffering effects of ethnic identity, collective self-esteem and social support; and no evidence supported the moderating effect of ethnic density. Sensitivity to race-based rejection significantly but only slightly mediated the association.ConclusionThese findings suggest that PED is involved in the increased risk of PS/PEs in ethnic minority populations.

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Section: Discussionmentioning

confidence: 99%

Perceived ethnic discrimination as a risk factor for psychotic symptoms: a systematic review and meta-analysis

Bardol

Grot

et al. 2020

Psychol. Med.

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“…2,9 Recovery can include experiences that are difficult to quantify or observe by others, because as fundamentally subjective matters they can only be known by the recovering person. [10][11][12] This growing work on recovery has pointed to the need to revisit the purposes and mechanisms of mental health treatment. If deeply subjective change is at issue, then teaching skills and reducing symptoms may not go far enough in promoting recovery.…”

Section: Introductionmentioning

confidence: 99%

<p>Metacognitive Reflection and Insight Therapy: A Recovery-Oriented Treatment Approach for Psychosis</p>

Lysaker¹,

Gagen²,

Klion

et al. 2020

PRBM

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Recent research has suggested that recovery from psychosis is a complex process that involves recapturing a coherent sense of self and personal agency. This poses important challenges to existing treatment models. While current evidence-based practices are designed to ameliorate symptoms and skill deficits, they are less able to address issues of subjectivity and self-experience. In this paper, we present Metacognitive Insight and Reflection Therapy (MERIT), a treatment approach that is explicitly concerned with self-experience in psychosis. This approach uses the term metacognition to describe those cognitive processes that underpin self-experience and posits that addressing metacognitive deficits will aid persons diagnosed with psychosis in making sense of the challenges they face and deciding how to effectively manage them. This review will first explore the conceptualization of psychosis as the interruption of a life and how persons experience themselves, and then discuss in more depth the construct of metacognition. We will next examine the background, practices and evidence supporting MERIT. This will be followed by a discussion of how MERIT overlaps with other emerging treatments as well as how it differs. MERIT's capacity to engage patients who reject the idea that they have mental illness as well as cope with entrenched illness identities is highlighted. Finally, limitations and directions for future research are discussed.

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“…Recent studies sheds light on how conflicting feelings about ethnicity and perceived ethnic discrimination are associated with poorer psychosocial, academic and health outcomes (Knauss et al , 2015; Rivas-Drake et al , 2014). Consequently, societal stigma and culture on how the person makes sense of these difficulties, the effects of experiences with services, and loss of employment and other social roles that act is important to identity have a further impact on poor mental health (Mathur et al , 2014). We have observed that the process of reconnection and reconciliation with the person’s own cultural roots was an important part of their recovery journey, in particular for those who did not feel Trieste was their chosen living community.…”

Section: Discussionmentioning

confidence: 99%

The Recovery House in Trieste: rational, participants, intervention as the “work”

Casadio¹,

Marin²,

Thomé³

et al. 2018

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Purpose Too often people with complex mental health needs do not find their way out of the mental health system or find satisfactory solutions that enable them to live a full life. In 2015 the Mental Health Department (MHD) of Trieste established the Recovery House pilot project to address this concern. The paper aims to Investigate the project. Design/methodology/approach The Recovery House was co-created with and for people between 18 and 35 years old with diagnoses of psychosis and other complex mental health conditions. An integral part of the pilot was the organization of the “Recovery Community,” inspired by the Assembly model embraced by Franco Basaglia. The Recovery Community met regularly to both support and learn from the Recovery House and aimed to create a democratic and reflective space where power relationships, self-determination, responsibility and ownership by all the stakeholders, including family members, could be explored together. Findings Over a period of 31 months, four groups of people have successfully completed their residency at the Recovery House. In total, 89 percent of people who stayed at the Recovery House did so up to six months. After the period of staying at the Recovery House most of them moved to independent living or shared supported accommodation. Originality/value This initiative sheds light on the fact that democratic values, approaches and structures can improve both service functioning and the recovery outcomes for people with complex health needs. Further, the Recovery House has had a significant effect on the culture and practice of the MHD in adopting a comprehensive approach to emotional distress.

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Restoring the Sense of Self in the Process of Recovery in Schizophrenia

Cited by 7 publications

References 18 publications

Perceived ethnic discrimination as a risk factor for psychotic symptoms: a systematic review and meta-analysis

Perceived ethnic discrimination as a risk factor for psychotic symptoms: a systematic review and meta-analysis

<p>Metacognitive Reflection and Insight Therapy: A Recovery-Oriented Treatment Approach for Psychosis</p>

The Recovery House in Trieste: rational, participants, intervention as the “work”

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