ABSTRACT

Background: Experiences of recovery from psychosis have been well explored but not with service users in the acute stages of psychosis. This study aimed to explore the subjective experiences of recovery from psychosis from the perspective of service users receiving acute mental health inpatient care.

Methods: Ten participants undertook a semi-structured interview examining their experiences of recovery from psychosis during acute mental health inpatient care. Data were analysed using Interpretative Phenomenological Analysis (IPA).

Results: Five superordinate themes emerged: “My future is just being ripped out in front of me”: Living with psychosis is a struggle; “Would you want to be in here?”: Traumatic experience of being in hospital; “I know roughly why I got ill anyway and what caused this”: A journey towards reaching an understanding; Recovery/Rehabilitation/Recuperation: A process of evolution; and “You need all the help you can get”: Facilitators of Recovery.

Conclusions: This study highlighted that mental health inpatient settings are not settings where everyone can be in recovery or approaching recovery. For some participants, recovery appeared to be an empty signifier, and is a word used by services but does not necessarily correspond with their experiences of mental health inpatient settings.

摘要

背景：从精神病中康复的经验已经得到了很好的探索，但在精神病急性阶段的服务使用者中却没有。本研究旨在从接受急性心理健康住院护理的服务使用者的角度探讨精神病康复的主观体验。

方法：十名参与者进行了半结构化访谈，检查他们在急性精神健康住院护理期间从精神病中康复的经历。使用解释性现象学分析 (IPA) 分析数据。

结果：出现了五个上层主题：“我的未来正被我撕碎”：与精神病共存是一场斗争；“你愿意待在这里吗？”：住院的创伤经历；“我大致知道我生病的原因以及导致这种情况的原因”：达成谅解的旅程；Recovery/Rehabilitation/Recuperation：一个进化的过程；和“你需要所有你能得到的帮助”：康复促进者。

结论：这项研究强调，精神健康住院环境不是每个人都可以康复或接近康复的环境。对于一些参与者来说，恢复似乎是一个空洞的能指，是服务机构使用的一个词，但不一定与他们在精神健康住院环境中的经历相对应。