scholarly journals Emotional earthquakes in the landscape of psychosis: an interpretative phenomenology

Author(s):  
Jonathan Hutchins ◽  
John Rhodes ◽  
Saskia Keville

AbstractTraditionally studies have neglected emotion in psychosis, possibly as a consequence of psychiatry's emphasis on psychotic symptoms rather than individuals’ lived experience of emotions before, during and after psychotic episodes. This study sought to investigate how individuals experienced their emotions and delusions in the context of psychosis. A qualitative Interpretative Phenomenological Analysis (IPA) research methodology was used. Semi-structured interviews were conducted with a purposively sampled group of eight participants recruited from a local Early Intervention in Psychosis service. Four themes were generated by the analysis. The first highlighted emotional experiences prior to the onset of psychosis: ‘struggling with life distress’. The second highlighted the intense emotional experience within psychotic experiences: ‘transformed world and intense emotion’. The third theme highlighted self-critical tendencies in the post-onset phase of psychosis: ‘blame and guilt after the breakdown’. The final theme highlighted a mixture of emotions in the post-onset phase: ‘confusion, despair and hope’. There were many clinical implications highlighted in the study including the value of normalizing participants’ emotional experiences in order to promote engagement in services and of assessing for self-criticism, despair and hope following the psychotic experience, alongside therapeutically addressing the varying levels of emotional experiences before, during and after a psychotic breakdown.

2021 ◽  
pp. 105477382110166
Author(s):  
Alessia Martina Trenta ◽  
Davide Ausili ◽  
Rosario Caruso ◽  
Cristina Arrigoni ◽  
Massimo Moro ◽  
...  

This study aimed to explore lived experience of patients with heart failure (HF) during the COVID-19 pandemic. A qualitative study was conducted using an interpretative phenomenological analysis (IPA). Data collection performed in March-May 2020, using in-depth, semi-structured interviews on a purposive sample. Data were analyzed according to the IPA methodology, and triangulation, bracketing, journaling, and member checking were used to assure rigor. 14 patients with HF were enrolled, and three main themes described their lived experience during the COVID-19 pandemic: Vulnerability, Hanging in the balance, and Coping strategies. These people felt particularly vulnerable to the novel virus and experienced uncertainty due to hospital organization changes. Because of this, they felt like they were hanging in the balance, experiencing various negative feelings. Nevertheless, they managed to deal with this challenging situation by implementing some peculiar coping strategies. The COVID-19 represents a significant challenge for patients with HF, impacting significantly on their lives.


Dementia ◽  
2018 ◽  
Vol 19 (6) ◽  
pp. 1794-1810
Author(s):  
Helen Hickman ◽  
Chris Clarke ◽  
Emma Wolverson

Humour is a complex social and emotional experience which could constitute a positive resource for people endeavouring to live well with dementia. However, little is currently known about the shared use and value of humour in dyads where one person has dementia. The purpose of this study was therefore to explore how people with dementia and their care-partners experience, use and draw meaning from humour in relation to their shared experiences of dementia and their ongoing relationships. Ten participant dyads (the person with dementia and their spousal partner) took part in joint semi-structured interviews. Interpretative Phenomenological Analysis revealed eight subthemes that were subsumed under three super-ordinate themes: ‘Humour Has Always Been There (and Always Will Be)’; ‘Withstanding Dementia’ and ‘Renewing the Value of Humour in Dementia’. Overall, the findings suggest that humour, in different forms, can represent a salient and enduring relationship strength that helps dyads maintain well-being and couplehood by providing a buffer against stressors associated with dementia. The findings highlight the potential value of integrating a dyadic perspective with strengths-based approaches in future research into how people live well with dementia.


2020 ◽  
Vol 22 (2) ◽  
pp. 71-81
Author(s):  
Harriet Dymond ◽  
Simon Duff

Purpose Research into paedophilia mainly uses offender samples; thus, little is understood about non-offending paedophiles. The limited body of research has been conducted in North America or Europe whose health and legal systems differ from those in the UK. Using semi-structured interviews, the purpose of this study is to explore the experience of three non-offending British paedophilic males. Design/methodology/approach The interview discussed their paedophilia, refraining from offending and perspectives on treatment initiatives. Data were analysed using interpretative phenomenological analysis. Findings Three superordinate themes emerged: “paedophilia as more than a sexuality,” “acceptance leads to management” and “barriers to support.” These encapsulated how paedophilia was understood, how accepting one’s sexual attraction is tantamount to well-being and the various obstacles to providing support were discussed. Research limitations/implications Acknowledging the sampling considerations (size and recruitment), the results implicate research into paedophilia. The onset of paedophilia was chronologically associated with typical sexual attraction, and not the result of sexual abuse as some theories suggest. Furthermore, the tenets of attraction to children extending beyond sexual desire were highlighted. Practically, the results influence future research into the area and highlight the dearth in our understanding of diverse behavioural management techniques (i.e. computerised images of children or human-like dolls). Originality/value This paper presents novel insight into the aspects of paedophilia, excluding offensive behaviour and highlights the need for affordable, UK-based services targeted towards people with a paedophilic attraction to manage child sexual abuse preventatively and not reactively.


2020 ◽  
Vol 2 (2) ◽  
pp. 111-129
Author(s):  
Frances Costello

PurposeResearch was undertaken to understand whether taught resilience programmes which highlight the protective factors of resilience would impact individual resilience outcomes. The research focussed on specific resilience dimensions, change agility, physical, emotional and mental resilience, purpose in life and recovery; in an attempt to bridge the gap in understanding whether it is possible through taught programmes to improve resilience through the creation of new habits.Design/methodology/approachThe research was conducted using interpretative phenomenological analysis methods and used semi-structured interviews with 12 participants to understand participants lived experience of a one-day personal resilience programme, conducted within a private global manufacturing organisation.FindingsThe research found that all 12 participants interviewed 12–18 months post-programme made sustainable habits changes increasing personal resilience levels. Participants built new habits into their everyday lives, in the physical dimension exercising more regularly, taking breaks, changes in nutrition and creating better sleep patterns. Through increased understanding of emotional intelligence participants were able to react more favourably to adverse situations and through mental increased resilience focus achieve work and home priorities. In understanding the change journey participants found that they were able to move more quickly through the change cycle. Almost all participants found understanding their life purpose difficult and were not able to give a conclusive answer to what this might be, they found that attending the programme helped reflection in this dimension.Originality/valueThe paper includes an overview of previous resilience research but differs in its examination of the impact of a specific taught resilience programme in a large private sector organisation using IPA methodology.


2019 ◽  
pp. 135910531988274 ◽  
Author(s):  
Jianbin Xu

This article explores how older Buddhists in Singapore use Buddhist beliefs and practices to cope with stress. Semi-structured interviews with six older Buddhists were conducted. Interview transcripts were analyzed using interpretative phenomenological analysis. Data analysis identified three ways of Buddhist-oriented religious coping: meaning-making coping, meditative coping, and ego-transcendence coping. In meaning-making coping, participants employed the notions of karma and duḥkha to make sense of stress. Participants’ meditative coping methods included visualization and mantra meditation. During ego-transcendence coping, participants drew on the notion of non-attachment to the ego. The three ways of Buddhist-oriented religious coping can be examined in a Buddhism-as-cognitive-schema perspective.


2014 ◽  
Vol 16 (3) ◽  
pp. 228-240 ◽  
Author(s):  
Lucy Jade Lovell ◽  
Gillian Hardy

Purpose – The purpose of this paper is to explore the lived experience of having a diagnosis of Borderline Personality Disorder (BPD) in a forensic setting. Design/methodology/approach – Semi-structured interviews were conducted with eight women with a diagnosis of BPD in private secure units. The interview data were analysed using interpretative phenomenological analysis (IPA). Findings – Four main themes emerged: identity, power, protection and containment, and confusion. The themes of identity, power and protection and containment represented polarised positions which in turn contributed to the theme of confusion. Research limitations/implications – There are limitations to this study mainly the heterogeneous nature of the sample. However, good quality control and the similarities with previous findings indicate that this study makes a valuable contribution to the understanding of BPD in a forensic setting. In addition it has implications for further research; exploring sense of self and the differences between a sample from a community and a sample from a forensic setting with a diagnosis of BPD. Practical implications – For practitioners to acknowledge power dynamics and to be able to formulate and address these with patients with a diagnosis of BPD. Originality/value – This is the first IPA study to ask women with a diagnosis of BPD in a forensic setting what their experience is. It is a qualitative study due to the need to genuinely explore the topic and to provide a basis for others to conduct further research.


PLoS ONE ◽  
2020 ◽  
Vol 15 (12) ◽  
pp. e0243284
Author(s):  
Maddy Slattery ◽  
Hayley Attard ◽  
Victoria Stewart ◽  
Helena Roennfeldt ◽  
Amanda J. Wheeler

Participation in creative activities has been linked with positive outcomes for people with mental illness. This longitudinal qualitative study is a one-year follow-up of eight mental health consumers who participated in a series of creative workshops in Brisbane, Australia that aimed to increase participants’ capacity and skills in sharing their stories of recovery with others. It also sought to understand successful factors of the creative workshops to inform future workshops. Semi-structured interviews gathered information regarding participants’ memories of the workshops and how they had shared their stories with others over the preceding 12 months. Interpretative phenomenological analysis identified that participants’ enjoyed being engaged in a range of creative mediums in a group setting; that peer mentor support was highly valued; and that participants’ recovery stories had become more positive and were shared more often and openly with others. Overall, participation in the creative workshops had long-lasting benefits for participants with respect to improved confidence and understanding about their illness. Future creative workshops should consider the inclusion of peer mentors with lived experience as a support for participants to reauthor their recovery story.


2018 ◽  
Vol 92 (4) ◽  
pp. 316-338 ◽  
Author(s):  
Ruth Parkes ◽  
Nicola Graham-Kevan ◽  
Jo Bryce

This paper examines the experiences of police staff in England who work with sexual offence material (SOM). Eleven officers completed a questionnaire then took part in semi-structured interviews. The data were analysed in two stages: Interpretative Phenomenological Analysis was used to illuminate the ‘lived experience’ of participants, and establish a theme structure. Clinical models of workplace trauma were then employed to explore the theme ‘Impact of working with sexual offending’. Impact includes cognitive intrusions and increased suspiciousness. The authors identify where officers’ accounts intersect with nascent symptoms of both Vicarious Traumatisation (McCann and Pearlman, 1990) and post-traumatic stress disorder (PTSD).


2020 ◽  
Vol 8 (1) ◽  
pp. 118-143
Author(s):  
Andrew M. Sleater ◽  
Julie Scheiner

The aim of this research was to explore the therapist’s “use of self” to gain an understanding of this phenomenon through the participants’ lived experience. A literature review yielded a number of common themes associated with “use of self”: self-disclosure, personality, intersubjectivity, relationality, attachment, belief systems, and embodiment. The study comprised of semi-structured interviews conducted with six experienced and accredited clinicians. Interpretative Phenomenological Analysis was used, as it facilitated the objectives of the research, which were to capture the lived experience of the clinicians, identify common themes, and observe for any new insights. The authors found three superordinate themes in relation to the therapist’s “use of self”, all of which are intertwined: connection, awareness and wellness. The research supports the fact that the therapist’s “use of self” has an impact on therapy. While connection and awareness feature strongly in the literature, the importance of wellness is not highlighted. The authors propose that an obligate symbiosis exists between awareness and wellness.


2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Kayte Jayne Rowe ◽  
Sarah Bailey ◽  
Bonnie Teague ◽  
Kevin Mattless ◽  
Caitlin Notley

Purpose Approximately 3.5% of the workforce is diagnosed with attention deficit hyperactivity disorder (ADHD). With a greater risk of work-related stress and absences, work-based social interactions and environments are significant factors. The purpose of this study was to identify the professional challenges and benefits of living with ADHD in healthcare settings. Design/methodology/approach Interpretative phenomenological analysis was used to explore how employees with ADHD both experience and make sense of their employment and professional relationships. Participants self-identified from two NHS trusts and participated in semi-structured interviews. Findings A total of seven interviews contributed to the final analysis. A total of four themes emerged: social environment (relationships), physical environment, behaviour and work tasks. Complex interactions were observed between individuals’ internal constructs and overall employment experience. Practical implications The findings can be used to inform local NHS management frameworks for supporting workforce with ADHD. Originality/value This is a novel study that explores the psychodynamic and physical presentations of ADHD providing a unique perspective on the challenges and strengths of employees with ADHD.


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