Psychiatric Rehabilitation Journal最新文献

{"title":"The impact of life story work during peer worker training: Identity reconstruction, social connection, and recovery.","authors":"Rikke Amalie Agergaard Jensen, Signe Lehn Brand, Tine Holm, Mike Slade, Dorthe Kirkegaard Thomsen","doi":"10.1037/prj0000639","DOIUrl":"10.1037/prj0000639","url":null,"abstract":"<p><strong>Objective: </strong>Personal recovery has become a guiding vision in mental health care, and peer workers play a key role in assisting individuals on their recovery journey. As a component of training to prepare for this role, peer workers need to engage with their own life story, in order to support recovery in both them and in the service users they will assist. The purpose of the present study was to explore the impact of life story work on peer workers.</p><p><strong>Method: </strong>Fifteen individuals training to be peer workers were interviewed to explore the impact of telling and listening to life stories. Reflexive thematic analysis involving two analysts was conducted.</p><p><strong>Results: </strong>Three main themes were identified: (a) life story work as identity reconstruction, (b) social connection through life story sharing, and (c) negative impacts of engaging with life stories in peer worker training. Each theme was connected to a number of subthemes.</p><p><strong>Conclusions and implications for practice: </strong>Life story work can both facilitate personal recovery in peer workers during their training and aid them in utilizing their stories in their future peer worker roles. Training needs to prepare peer workers to deal with the future role-related challenges of life story work. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"13-22"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"It's like a kind of chronic pain that goes with you\": Understanding the phenomenon of family burden as experienced by primary caregivers of persons with serious mental illness who refuse treatment.","authors":"Carmit-Noa Shpigelman, Netta Galimidi, Matat Kal","doi":"10.1037/prj0000613","DOIUrl":"10.1037/prj0000613","url":null,"abstract":"<p><strong>Objective: </strong>Persons who cope with serious mental illness (SMI) without immediate physical risk to themselves or others have the right to refuse to be treated. Treatment refusal has implications not only for the individual but also for the family, especially the primary caregivers. Still, less is known about the phenomenon of family burden while coping with a situation where the family member with SMI refuses treatment and lives in the community. The present study aimed to understand and describe the caregivers' lived experience of family burden in the context of treatment refusal among their relatives.</p><p><strong>Methods: </strong>Using a descriptive phenomenological qualitative approach and a semi-structured interview guide, 15 family caregivers of persons with SMI refusing to receive medicinal treatment and rehabilitation services were interviewed. Inductive thematic analysis was conducted on the interview transcripts.</p><p><strong>Results: </strong>The caregivers described a complex experience of ongoing and intense burden that had a negative impact on the family cohesion and the caregivers' well-being. Four themes related to the perceived reasons for treatment refusal, the caregivers' experience of the family burden and cohesion, and coping with this situation were identified.</p><p><strong>Conclusions and implications for practice: </strong>The findings demonstrate the unique family burden experienced by the caregivers, mainly as they are the only ones supporting the individual with SMI who refuses treatment. Practitioners should support these families throughout their coping process-from understanding the reasons for the refusal of treatment to continuous support in their daily coping by locating the control of the situation on the family level. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"80-88"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perceived impacts of internalized stigma in individuals with schizophrenia and schizoaffective disorder.","authors":"Jill R Laquidara, Katelyn Furgason, Lindsay M Banks, Sophia Saavedra, Sarah Hope Lincoln","doi":"10.1037/prj0000640","DOIUrl":"10.1037/prj0000640","url":null,"abstract":"<p><strong>Objective: </strong>Internalized stigma, a stigmatized view of oneself, is a prevalent issue in individuals with schizophrenia spectrum disorders (SSDs). Past evidence has suggested that internalized stigma may contribute to lower levels of functional recovery and lower engagement with mental health treatment in this population. The present study first involved a quantitative portion to check whether the current sample aligned with the literature regarding internalized stigma's links with functional recovery and treatment engagement. Then, a qualitative analysis examined participants' perceptions of whether and how their experiences with internalized stigma are related to their functional recovery and treatment engagement.</p><p><strong>Methods: </strong>Adult participants in the United States (<i>N</i> = 29) with diagnoses of schizophrenia or schizoaffective disorder completed self-report quantitative measures of internalized stigma, treatment engagement, and functional recovery, and then, they answered open-ended written questions on their perspectives. Data were collected in the Years 2022-2023.</p><p><strong>Results: </strong>Quantitative results indicate that internalized stigma was associated with lower functional recovery and lower treatment engagement, aligning with prior findings in the literature. Qualitative analysis of written responses revealed that many but not all participants perceive internalized stigma as impacting their functioning and treatment engagement. Themes are described in detail and involve relationship issues, difficulty leaving the house, self-doubt, and decreased engagement with treatment providers.</p><p><strong>Conclusions and implications for practice: </strong>Internalized stigma is a prevalent issue with varying impacts on individuals with SSDs. This study highlights the importance of addressing internalized stigma and its consequences as a part of mental health treatment for individuals with SSDs. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"3-12"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143415835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"Sheltered and secure\": Facilitators and barriers toward recovery for Haredi Jewish women with mental illness.","authors":"Eliana Rohr, Lara Antebi, G Eric Jarvis, Rob Whitley","doi":"10.1037/prj0000625","DOIUrl":"10.1037/prj0000625","url":null,"abstract":"<p><strong>Objective: </strong>The overall aim of this study was to elicit and document the recovery-related perspectives and experiences of Haredi Jews with lived experience of mental illness living in Canada. A more focused objective was to specifically explore self-identified facilitators and barriers toward recovery from mental illness in this group.</p><p><strong>Methods: </strong>We conducted a qualitative study involving semistructured interviews with 20 women who (a) identified as Haredi Jews, (b) had used mental health services in recent years, and (c) were 18+ years of age. Interviews were transcribed and analyzed using thematic analysis techniques.</p><p><strong>Results: </strong>Four prominent themes emerged from the analysis. The first two themes were predominantly facilitators, and the last two themes were predominantly barriers. These themes were (i) a close-knit, supportive, and lively community with considerable social capital; (ii) Judaic beliefs and practices regarding Gd, daily life, and health care giving structure, meaning, and purpose; (iii) community stigma and self-stigma, often related to marriageability of self or offspring, as well as notions of perfection; and (iv) a lack of wider mental health literacy, despite participants speaking positively about mental health services such as medication and therapy.</p><p><strong>Conclusions and implications for practice: </strong>This study indicates several individual-level and community-level factors that are reported to facilitate recovery in Haredi Jews. However, problems of stigma and mental health literacy remain an issue. Targeted antistigma programs, such as co-constructed contact-based educational interventions, may be helpful in contributing to a community climate that further facilitates recovery. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"54-61"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761694","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"\"I was able to share more details\": The experiences of using a smartphone application to support shared decision making in young people with psychosis.","authors":"Astrid Meyer, Stephen F Austin, Tobias Vitger, Lisa Korsbek","doi":"10.1037/prj0000616","DOIUrl":"10.1037/prj0000616","url":null,"abstract":"<p><strong>Objective: </strong>This study explores the experiences of young adults with psychosis using a smartphone application to promote patient activation and support shared decision making in their outpatient treatment.</p><p><strong>Method: </strong>Semistructured interviews were conducted with eight participants who had access to the app while receiving mental health treatment. Qualitative data from the interviews were analyzed using thematic analysis aimed at experiences of interacting with the app.</p><p><strong>Results: </strong>Four themes were extracted from the interviews: <i>supporting users with memory difficulties, giving symptoms substance, a new source of information to guide conversations,</i> and <i>the challenge of capturing complex experiences digitally.</i> While the majority of the themes highlight the benefits of using the app in ways that may facilitate communication between patient and provider, the participants also described some negative experiences when interacting with the app concerning failure to communicate nuances and emotional states satisfyingly.</p><p><strong>Conclusion and implications for practice: </strong>Experiences with the app were double sided. On the one hand, the use of the app supports communication, and conversely, interaction with the app can create limitations and new challenges for communication. There is a need for more research to understand the use of mental health smartphone apps and their role in supporting interactive processes such as shared decision making in mental health. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"71-79"},"PeriodicalIF":1.8,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring interests: A pathway to ikigai and eudaimonic well-being among people with serious mental illness.","authors":"Shinichi Nagata, Shintaro Kono, Kimiko Tanaka, Koji Ota, Emi Hirasawa, Daisuke Kato","doi":"10.1037/prj0000620","DOIUrl":"10.1037/prj0000620","url":null,"abstract":"<p><strong>Objective: </strong>Ikigai is a Japanese concept of a life worth living and related to eudaimonic well-being. Supporting the pursuit of <i>ikigai</i> is of central importance to recovery-oriented psychiatric rehabilitation for people with serious mental illnesses (SMI). While research suggests that work, leisure, and social relationships are potential sources of <i>ikigai</i>, people with SMI have restricted access to these as they encounter systemic barriers to participating in such activities. This study investigated how people with SMI in Japan pursued sources of <i>ikigai</i> in the face of barriers.</p><p><strong>Methods: </strong>A total of 21 community-living individuals who had SMI and were recruited from community psychiatric rehabilitation service providers in Japan participated in the study. Photo-elicitation interviews were conducted, and the interview transcripts were analyzed using reflexive thematic analysis.</p><p><strong>Results: </strong>Three themes were generated: (a) self-determination as a key to <i>ikigai</i>, (b) explorations needed to identify sources of <i>ikigai</i>, and (c) navigating the challenges to engage in the explorations. It was found that a self-determined activity tends to be a source of <i>ikigai</i>. However, participants had to grapple with challenges because identifying a source of <i>ikigai</i> involved the exploration of their personal interests, and the exploration could not be continued without managing the stigma of mental illness.</p><p><strong>Conclusions and implications for practice: </strong>Results suggest that <i>ikigai</i> cannot be achieved instantly. To achieve eudaimonic well-being outcomes, psychiatric rehabilitation professionals should allow consumers to choose activities based on their personal interests and encourage them to try out various activities while they provide continued support to overcome stigma. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"62-70"},"PeriodicalIF":1.2,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"All paths do not lead to Rome or adherence: Innovative antipsychotic prescribing in partnership with people in recovery as they define.","authors":"Dale Sebastian, Erika R Carr","doi":"10.1037/prj0000623","DOIUrl":"10.1037/prj0000623","url":null,"abstract":"<p><strong>Objective: </strong>Though the psychiatric field has primarily focused on medication and symptom amelioration via medication \"adherence,\" contemporary approaches that incorporate recovery-oriented care and shared decision-making (SDM) could provide a more holistic and effective approach to serving individuals experiencing psychosis. This article explores the implementation of such innovative and collaborative practices while highlighting their benefits and challenges. Furthermore, it aims to offer practical implementations of SDM in prescribing practices.</p><p><strong>Method: </strong>This article presents innovative strategies for prescribing antipsychotics utilizing SDM and recovery-oriented care approaches for those who experience psychosis. The study explores the clinical applications of these approaches within an inpatient psychiatric setting.</p><p><strong>Results: </strong>The article emphasizes the numerous challenges for those who experience psychosis in adhering to antipsychotic medication and proposes a recovery-oriented approach facilitated by SDM. It emphasizes the importance of therapeutic alliance and collaboration while providing practical clinical applications of this approach.</p><p><strong>Conclusions and implications for practice: </strong>The article advocates for collaborative approaches in antipsychotic prescribing, such as SDM and recovery-oriented care, to support those experiencing psychosis in constructing a life of meaning as they define it, including in how they choose to take medications. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"303-312"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761695","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"My child's medication journey: A parent's view.","authors":"Orly Yaniv-Harari","doi":"10.1037/prj0000618","DOIUrl":"10.1037/prj0000618","url":null,"abstract":"<p><p>This article discusses the personal experiences of the parents regarding their child's medication journey. Parents can play a vital role in their child's overall mental well-being, ensuring they receive the care and support they need. To navigate these difficult circumstances, it is crucial for parents to maintain open lines of communication with their child as well as with the health care professionals involved in their care. Professionals should be aware that parents' perspectives toward mental health medication can evolve over time, influenced by the experiences and challenges faced by both child and family. Excluding parents from their child's treatment limits the potential for a comprehensive and holistic treatment approach. By recognizing the value of parental input, health care professionals can create a collaborative environment that maximizes the chances of finding the most suitable treatment strategy. It is important for health care professionals to engage families in a respectful and empathetic manner, recognizing the challenges they face. Providing them with the necessary support and guidance can help reduce feelings of helplessness and ensure their active involvement in their child's mental health journey (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"342-344"},"PeriodicalIF":1.9,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141634999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Stories that trap us and stories that save us.","authors":"Helene Speyer","doi":"10.1037/prj0000609","DOIUrl":"10.1037/prj0000609","url":null,"abstract":"<p><p>The prevalence of the medical model in the field of mental health care has undoubtedly contributed to significant scientific progress. However, it is important to recognize that it may not represent the sole perspective for comprehending mental distress. Rather than endorsing particular paradigms, I advocate for a pluralistic approach that empowers individuals to discover their unique narratives, the stories that may save them. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"345-347"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An ethics analysis of antipsychotic dose reduction and discontinuation: Principles for supporting recovery from psychosis.","authors":"Kelly Allott, Allie Pert, Audrey Rattray, Ruth E Cooper, Josefine Winther Davy, Lisa Grünwald, Mark Horowitz, Joanna Moncrieff, Bram-Sieben Rosema, Magenta Simmons, Alexandra Stainton, Anne Emilie Stürup, Eóin Killackey","doi":"10.1037/prj0000599","DOIUrl":"10.1037/prj0000599","url":null,"abstract":"<p><strong>Objective: </strong>To examine the evidence and practice of antipsychotic dose reduction from the lens of biomedical ethics (specifically principlism) to support evidence-based practice and patient choice and self-determination.</p><p><strong>Methods: </strong>An overview of the evidence from randomized controlled trials of antipsychotic dose reduction versus maintenance is presented. This is followed by a theoretical examination of the four key biomedical ethical principles of autonomy, nonmaleficence, beneficence, and justice and how they apply in the case of antipsychotic dose reduction.</p><p><strong>Results: </strong>Existing clinical trial research is dominated by relapse as the primary outcome, with dose reduction associated with a higher risk of relapse than maintenance. Few studies have measured other patient-centered outcomes but have shown preliminary evidence for superior cognitive functioning, lower negative symptoms, and better functioning following dose reduction. Respect for autonomy is a cornerstone of psychiatric rehabilitation, and this includes the right of people to choose to reduce or discontinue antipsychotic medication. Reduced capacity for treatment decision making can be supported. Autonomy and appraisal of nonmaleficence and beneficence associated with dose reduction can be facilitated through shared or supported decision making. Clinicians should continue to strive for justice through the fair allocation of resources to support all people who request antipsychotic dose reduction.</p><p><strong>Conclusions and implications for practice: </strong>Clinicians have a responsibility to balance the four core ethical principles to the best of their ability when supporting a person in their recovery journey. Exploring, trialing, and supporting antipsychotic dose reduction may be part of this process if that is the patient's choice. (PsycInfo Database Record (c) 2024 APA, all rights reserved).</p>","PeriodicalId":47875,"journal":{"name":"Psychiatric Rehabilitation Journal","volume":" ","pages":"291-302"},"PeriodicalIF":1.2,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141761723","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}