The impact of mental health recovery narratives on recipients experiencing mental health problems: Qualitative analysis and change model
Autoři:
Stefan Rennick-Egglestone aff001; Amy Ramsay aff002; Rose McGranahan aff003; Joy Llewellyn-Beardsley aff001; Ada Hui aff001; Kristian Pollock aff004; Julie Repper aff005; Caroline Yeo aff001; Fiona Ng aff001; James Roe aff006; Steve Gillard aff007; Graham Thornicroft aff002; Susie Booth aff008; Mike Slade aff001
Působiště autorů:
School of Health Sciences, Institute of Mental Health, University of Nottingham, Nottingham, United Kingdom
aff001; Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United Kingdom
aff002; Unit of Social and Community Psychiatry, Blizard Institute, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom
aff003; School of Health Sciences, University of Nottingham, Nottingham, United Kingdom
aff004; Implementing Recovery for Organisational Change (ImROC), Nottingham, United Kingdom
aff005; National Institute for Health Research CLAHRC East Midlands, Institute of Mental Health, University of Nottingham, United Kingdom
aff006; Population Health Research Institute, St. George's University of London, London, United Kingdom
aff007; NEON Lived Experience Advisory Panel, Nottingham, United Kingdom
aff008
Vyšlo v časopise:
PLoS ONE 14(12)
Kategorie:
Research Article
doi:
https://doi.org/10.1371/journal.pone.0226201
Souhrn
Background
Mental health recovery narratives are stories of recovery from mental health problems. Narratives may impact in helpful and harmful ways on those who receive them. The objective of this paper is to develop a change model identifying the range of possible impacts and how they occur.
Method
Semi-structured interviews were conducted with adults with experience of mental health problems and recovery (n = 77). Participants were asked to share a mental health recovery narrative and to describe the impact of other people’s recovery narratives on their own recovery. A change model was generated through iterative thematic analysis of transcripts.
Results
Change is initiated when a recipient develops a connection to a narrator or to the events descripted in their narrative. Change is mediated by the recipient recognising experiences shared with the narrator, noticing the achievements or difficulties of the narrator, learning how recovery happens, or experiencing emotional release. Helpful outcomes of receiving recovery narratives are connectedness, validation, hope, empowerment, appreciation, reference shift and stigma reduction. Harmful outcomes are a sense of inadequacy, disconnection, pessimism and burden. Impact is positively moderated by the perceived authenticity of the narrative, and can be reduced if the recipient is experiencing a crisis.
Conclusions
Interventions that incorporate the use of recovery narratives, such as peer support, anti-stigma campaigns and bibliotherapy, can use the change model to maximise benefit and minimise harms from narratives. Interventions should incorporate a diverse range of narratives available through different mediums to enable a range of recipients to connect with and benefit from this material. Service providers using recovery narratives should preserve authenticity so as to maximise impact, for example by avoiding excessive editing.
Klíčová slova:
Behavior – Emotions – Human learning – Learning – Mental health and psychiatry – Psychoses – Social systems – Systematic reviews
Zdroje
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Článek vyšel v časopise
PLOS One
2019 Číslo 12
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