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TitleUnderstanding psychological treatment for psychosis from the perspective of those with lived
LanguageEnglish
File Size2.5 MB
Total Pages319
Document Text Contents
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CONTENTS

List of Tables ............................................................................................................................ 7

List of Appendices .................................................................................................................... 7

List of Abbreviations ................................................................................................................ 8

Abstract .................................................................................................................................. 11

Declaration ............................................................................................................................. 12

Copyright statement .............................................................................................................. 12

Acknowledgements ................................................................................................................ 14

The Author ............................................................................................................................. 15

Chapter 1: Literature review: Understanding psychological treatment for psychosis from

the perspective of those with lived experience ..................................................................... 16

1.1 Overview ...................................................................................................................... 16

1.2 Understanding psychosis ............................................................................................. 19

1.2.1 The biomedical model of psychosis ...................................................................... 20

1.2.1.1 Genetic inheritance ........................................................................................ 20

1.2.1.2 Neurophysiology ............................................................................................ 22

1.2.1.3 The dopamine hypothesis .............................................................................. 23

1.2.1.4 The biomedical approach: helpful, or harmful? ............................................ 24

1.2.2 The stress-vulnerability model of psychosis ......................................................... 27

1.2.2.1 Environmental influences on psychosis ......................................................... 28

1.2.2.2 Social influences on psychosis ....................................................................... 29

1.2.2.3 Trauma and psychosis .................................................................................... 30

1.2.3 Psychological models of psychosis ........................................................................ 33

1.2.3.1 Attachment theory ......................................................................................... 34

1.2.3.2 Family models ................................................................................................ 37

1.2.3.3 Psychodynamic theory ................................................................................... 39

1.2.3.4 Dissociation .................................................................................................... 41

1.2.3.5 Recovery style ................................................................................................ 42

1.2.3.6 Coping styles and strategies .......................................................................... 43

1.2.3.7 Cognitive behavioural models of psychosis ................................................... 46

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advantages such as increased rapport between interviewers and interviewees, and

may reduce interviewees’ potential concerns regarding confidentiality and criticism

of professionals, and may also offer “a different view of the world of mental health”

to that produced within mainstream research (Rose, 2008; Rose, 2001).

The present study has been designed and conducted as a user-led

qualitative evaluation of service users’ subjective experiences and perceptions of

CBTp. The study aims to inform user-oriented perspectives on treatment for

psychosis.



5.3 Method

5.3.1 Participants

Participants had experience of CBTp within the last 12 months, and were aged

between 18 and 65. Exclusion criteria included not being able to speak English, and

not being able to give informed consent. Nine participants took part in the study;

five females and four males. The sample had a mean age of 26 years (ranging

between 21 and 65 years of age). Eight participants came from Early Intervention

Services (EIS) and one was recruited from a Community Mental Health Team

(CMHT), all based in or around Greater Manchester. Eight participants were white

British and one was black British.

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