The central role of self-agency in clinical recovery from first episode psychosis

Bjørnestad, Jone; Brønnick, Kolbjørn; Davidson, Larry; Hegelstad, Wenche ten Velden; Joa, Inge; Kandal, Øyvind; Larsen, Tor Ketil; Langeveld, Johannes; Veseth, Marius; Melle, Ingrid; Johannessen, Jan Olav

doi:10.1080/17522439.2016.1198828

Cited by 25 publications

(28 citation statements)

References 38 publications

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“…Participants expressed an explicit desire for a targeted therapy shortly after the acute phase abated. Here, touching the field of self-agency research ( Frith, 2014 ; Bjornestad et al, 2016a ), alliance research ( Safran and Muran, 2006 ; Farrelly and Lester, 2014 ), and consistent with Vygotskys concept of “scaffolding” ( Vygotsky, 1980 ; Davidson et al, 2011 ) therapists responded by conveying the message that participants had to take the role of active agents in their own change toward recovering. This was combined with systematic and transparent therapeutic pressure reflecting principals of exposure therapy ( Hutton and Taylor, 2014 ).…”

Section: Discussionmentioning

confidence: 99%

Psychotherapy in Psychosis: Experiences of Fully Recovered Service Users

et al. 2018

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Background: Despite the evidence of the importance of including service users’ views on psychotherapy after psychosis, there is a paucity of research investigating impact on full recovery.Objectives: To explore what fully recovered service users found to be the working ingredients of psychotherapy in the recovery process after psychosis.Materials and Methods: The study was designed as a phenomenological investigation with thematic analysis as the practical tool for analysis. Twenty fully recovered service users were interviewed.Results: Themes: (1) Help with the basics, (2) Having a companion when moving through chaotic turf, (3) Creating a common language, (4) Putting psychosis in brackets and cultivate all that is healthy, and (5) Building a bridge from the psychotic state to the outside world.Conclusion: Therapeutic approaches sensitive to stage specific functional challenges seemed crucial for counteracting social isolation and achieving full recovery. Findings indicate that psychotherapy focusing on early readjustment to everyday activities, to what are perceived as meaningful and recovery-oriented, seems to be what is preferred and called for by service users.

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Section: Discussionmentioning

confidence: 99%

Psychotherapy in Psychosis: Experiences of Fully Recovered Service Users

et al. 2018

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“…Et viktig aspekt ved recovery som personlig prosess ser ut til å innebaere å bygge opp igjen eller reparere selvet, ettersom psykose er en lidelse som sterkt influerer følelsen av å vaere en person (Davidson, 2019;Lysaker & Lysaker, 2010). Ifølge en kvalitativ studie ble etableringen av en subjektiv opplevelse av å vaere aktør i eget liv («self-agency») sett på som en vesentlig del av recoveryprosessen hos personer med førsteepisode psykose (Bjornestad et al, 2017a).…”

Section: Hva Vet VI Om Recovery Ved Førsteepisode Psykose Og Tidlig Iunclassified

“…Andre fortalte at en ny interesse eller deltakelse i ulike aktiviteter kunne gi dem ny motivasjon. Betydningen av å handle på egne vegne («self-agency») ble spesielt belyst i en av studiene i metasyntesen (Bjornestad et al, 2017a). Recovery som personlig prosess innebaerer altså også et fokus på ressurser og hva man kan gjøre, i motsetning til den medisinske modellens fokus på symptomer, som i verste fall kan komme til å vektlegge hva man ikke kan gjøre.…”

Section: Hvordan Ivareta Mangfold Og Individuelle Behov?unclassified

“Needing different things from different people” – a qualitative exploration of recovery in first episode psychosis

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Davidson

et al. 2019

Social Work in Mental Health

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“…The relational recovery tradition critiques the clinical and personal recovery approaches for not incorporating the interpersonal embeddedness of recovery . This framework sees interpersonal contexts as permeating individualistic or subjective concepts like connectedness and self‐agency , and advocates against conceptualising recovery as separate from the social and relational reality that partly defines the potentialities for each individual. These issues are just as relevant for DUD as for serious mental illness .…”

Section: Introductionmentioning

confidence: 99%

How often are outcomes other than change in substance use measured? A systematic review of outcome measures in contemporary randomised controlled trials

Bjørnestad

Berg

Moltu

et al. 2020

Drug and Alcohol Review

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Issues. Recovery is a theoretical construct and empirical object of inquiry. The aim was to review whether outcome measures used in randomised controlled trials of drug treatment reflect a comprehensive conceptualisation of recovery. Approach. Systematic review using the following databases: Cochrane Database of Systematic Reviews, Cochrane Controlled Register of Trials, Database of Abstracts of Reviews of Effect, Web of Science, MEDLINE, Embase and PsycINFO. Search returned 6556 original articles and 504 met the following inclusion criteria: randomised controlled trial in English-language peer-reviewed journal; sample meets criteria for drug dependence or drug use disorder; reports non-substance use treatment outcomes. Review protocol registration: PROSPERO (CRD42018090064). Key Findings. 3.8% of the included studies had a follow up of 2 years or more. Withdrawal/craving was present in 31.1% of short-term versus 0% of long-term studies. Social functioning in 8% of short-term versus 36.8% of long-term studies. Role functioning (0.9 vs. 26.3%), risk behaviour (15.6 vs. 36.8%) and criminality (3.8 vs. 21.1%) followed a similar pattern. Housing was not examined short-term and unregularly long-term (2.0%). 'Use of health-care facilities', clinical psychological, behavioural factors were frequently reported. Physiological or somatic health (15.2 vs. 10.5%), motivation (14.2 vs. 15.8%) and quality of life (7.1 vs. 0%) were less frequently reported. Conclusion. The short time interval of the follow up and lack of information on relevant factors in recovery prevents the development of evidence-based approaches to improve these factors. Particularly, measures of social and role functioning should be added to reflect an adequate conceptualisation of recovery. [Bjornestad J, McKay JR, Berg H, Moltu C, Nesvåg S. How often are outcomes other than change in substance use measured? A systematic review of outcome measures in contemporary randomised controlled trials. Drug Alcohol Rev 2020;39:

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The central role of self-agency in clinical recovery from first episode psychosis

Cited by 25 publications

References 38 publications

Psychotherapy in Psychosis: Experiences of Fully Recovered Service Users

Psychotherapy in Psychosis: Experiences of Fully Recovered Service Users

“Needing different things from different people” – a qualitative exploration of recovery in first episode psychosis

How often are outcomes other than change in substance use measured? A systematic review of outcome measures in contemporary randomised controlled trials

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