Turning Towards Recovery (phd thesis) (original) (raw)
Related papers
“Hitting the wall”: Lived experiences of mental health crises
International Journal of Qualitative Studies on Health and Well-Being, 2011
Background: As Norway moves toward the provision of home-based crisis response, knowledge is needed about understandings of mental health crisis and effective ways of addressing crises within the home. Objective: To elicit and learn from service users' experiences about the subjective meanings of crisis and what kind of help will be most effective in resolving mental health crises. Theoretical: A phenomenological-hermeneutic cooperative inquiry method was used to elicit and analyse focus group responses from mental health service users who had experienced crises. Results: Findings clustered into three themes: (1) Crisis as multifaceted and varied experiences; (2) losing the skills and structure of everyday life; and (3) complexities involved in family support. Conclusion: Several aspects of crises require an expansion of the biomedical model of acute intervention to include consideration of the personal and familial meaning of the crisis, attention to the home context, and activities of daily living that are disrupted by the crisis, and ways for the person and the family to share in and learn from resolution of the crisis.
Narratives of Mental Health Recovery
Brown, W. (2008). Narratives of Mental Health Recovery. [Refereed Journal Article]. Social Alternatives Journal, 27(4), 42-48. This article presents narratives of mental health recovery to investigate and better understand the journey towards recovery for individuals in Scotland. Findings from a research study conducted with this group suggest that recovery is a process – a life journey that has ups and downs. It amounts to much more than an absence of symptoms of illness. Although individual conceptualisations of recovery vary, common themes emerge that link recovery experiences. These include the central role of having hope and being optimistic about their future, having meaning and purpose in one’s life, being valued for social contributions and having trusting, respectful, and reciprocal relationships. Timely access to the right combination of treatment and supports can help individuals better navigate their recovery journeys. Findings provide evidence that people who experience mental health problems can have expertise of their own problems, and many of the most valuable lessons about recovery can be learned from these individuals. Narrators describe recovery as a transformative process sometimes ignited by a turning point, but often acknowledged through refl ection.
Social Psychiatry and Psychiatric Epidemiology
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.
A narrative study of mental health recovery: exploring unique, open-ended and collective processes
International Journal of Qualitative Studies on Health and Well-being
Purpose: Guided by narrative theory and by use of a narrative-inaction approach, the aim of this study was to explore how mental health recovery unfolds through individuals' engagement in everyday activities. Method: Data were created through participant observations with four individuals while doing everyday activities, and analysed through a narrative, interpretive approach. Findings: The findings show how mental health recovery involves unique and open-ended processes of narrative meaning-making, which unfold through an interplay between everyday activities, places and persons. Discussion: Based on these findings, we discuss how we may understand and support mental health recovery as collective processes.
2017
In the UK, mental health service users are asked to "tell their stories" within clinical settings as a tool for diagnosis, formulation and treatment plans. Retelling, reliving and reflecting on traumatic and distressing experiences is not a benign activity. Yet the process of reframing lived experience within a personal narrative could support the development of: a more positive identity; self-management skills and improved social connections (Slade, 2009) and therefore contribute to mental health recovery. This is an exploration of my process as a wounded researcher in the development of a version of my narrative as an autoethnography. I developed a series of 54 vignettes that described memories of my lived experience. To start, I used memorable quotes - the voices of others within my narrative. Developing and analyzing my autoethnography was visceral. It highlighted aspects of my process (and the likely process of others) and raised many unresolved dilemmas. For example:...
Moving Forward: Negotiating Self and External Circumstances in Recovery
Psychiatric Rehabilitation Journal, 2005
This article presents a framework for understanding the concept of recovery from serious mental illness and other life struggles. The framework is based on findings from a longitudinal, qualitative study that involved in-depth interviews with 28 people who experienced serious mental health challenges. The purpose of this article is to clarify the concept of recovery by presenting a grounded theory analysis of the components of recovery. The framework recognizes the experiences of struggle constructed through the words of study participants and captures four main components of recovery: (a) a drive to move forward, (b) a spiral of positive and negative changes, (c) the context of recovery, and (d) a dialectical process of ongoing negotiation between self and external circumstances.
Characteristics of mental health recovery narratives: Systematic review and narrative synthesis
PLOS ONE
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