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: 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


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PLOS One


2019 Číslo 12