Experience, Recovery and Positive Changes in Psychosis

The purpose of this thesis is to explore the experience of psychosis, specifically positive changes and recovery following this experience, aiming to provide a novel insight into the phenomena. This was achieved through collating and analysing current research, and through the development of a theory exploring the experience of positive changes following psychosis.

A literature review was completed that sought to synthesise current literature on the use and efficacy of Peer Support (PS) within the context of Early Intervention (EI) Services. Nine papers were identified that explored and evaluated the use and experience of PS. The review identified several reported benefits both for those directly experiencing psychosis, their friends and family members and Health Care Professionals. The key benefits of engaging in PS were the reduction of stigma, shame and social isolation as well as improving recovery and encouraging healthier relationships. However, the studies also noted staff attitudes and experience as potential barriers to implementing PS programmes. Finally, there is a lack of research into PS specifically in the context of EI and further research could explore its use and effectiveness.

An empirical paper presents an original piece of research exploring positive changes following an experience of psychosis. The study recruited eight participants, using social media, who identified as having experienced psychosis. These participants took part in interviews which were then analysed by utilising grounded theory methodologies to help in developing a theory. Key categories were identified, ‘Psychosis Experience’, ‘Initial Perceptions of Psychosis Experience’, ‘Internal and External Catalyst for Change’ ‘Positive Changes’ and ‘Maintenance of Positive Changes’ and the theory generated helps to explain how these interact. The results are compared to current research and limitations, clinical recommendations and directions for future research are discussed.

An executive summary, summarising the empirical study in accessible language was also completed.