Qualitative Inquiry in Early Psychosis
Publication Year: 2012
Published by: Wilfrid Laurier University Press
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Title Page, Copyright
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In Canada and internationally, recent years have witnessed an increased growth in qualitative inquiry in the health sciences. Qualitative research exploring the social determinants of health, clinical decision making, interaction between practitioners and patients, patient experiences of illness, health care delivery, and other social aspects of health and health care...
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List of Abbreviations
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Introduction to Early Intervention in First Episode Psychosis
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Interest in first episode psychosis (FEP) and its early intervention began almost twenty years ago. It is now a rapidly expanding field that is part of the mainstream of psychiatry and mental health. Early intervention for psychosis is actually a growth point within the schizophrenia field with exponential development in basic research, clinical research, clinical care,...
1. Recognition of Psychosis in the Pathway to Mental Health Care
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In the field of psychiatry, detection and intervention in the early stages of schizophrenia offer hope for substantial improvements in schizophrenia and schizophrenia spectrum disorders (Addington, 2007). Studies indicate that 2 percent of adolescents in Canada experience psychosis, which is often a precursor to schizophrenia (McMaster University, 2003). Psychosis...
2. Help-Seeking Experiences of Youth with First Episode Psychosis: A Research-Based Dance Production
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Arts-informed research has begun to capture the attention of a number of researchers. Interest in arts-based research methods has grown over recent years, as one consequence of a comprehensive epistemology that recognizes different forms of knowledge (Reason, 1988, 1994). Of particular...
3. Qualitative Research with Families of First Episode and Prodromal Patients
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Psychotic illness takes a toll on patients and their families, particularly the first onset of psychosis, which has been described as a “bewildering nightmare” (Gur and Johnson, 2006). Symptoms begin in adolescence and early adulthood, and are insidious and initially non-specific. Young people may not recognize the changes they are experiencing as symptoms...
4. Primary Care Perspectives of First Episode Psychosis
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This chapter explores the potential roles and responsibilities of the primary care team in providing care and advice for people with first episode psychosis (FEP). It starts with a discussion of the meaning of the term primary care. The chapter then focuses on the strengths and weaknesses of primary care and the role that primary care currently plays, and could play, at the point of diagnosis. The chapter concludes with a discussion of recent...
5. Hearing Echoes: Image Identification and the Clinicians’ (Learning) Experience with Early Intervention
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What can we learn about a person in the early stages of a psychotic illness if we see the experience from the perspective of the clinicians that care for these patients? What do clinicians learn about themselves when they work alongside a person with a developing psychotic disorder? Are these questions worth exploring, and, if so, how do we explore them? Moreover, how...
6. Promoting Constructive Change in the Service System: A Qualitative Study of Change in Staff Attitudes with the Implementation of Early Intervention in Psychosis
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The past decade has seen a significant shift in mental health services towards an early intervention approach to the treatment of first episode psychosis (FEP). The introduction of such a new approach to service provision requires that individual clinicians change their practices in order for the new approach to be available to all who may benefit. Obstacles to...
7. Ironic Interventions: Balancing Risks and Rewards in First Episode Psychosis via Qualitative Inquiry
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In this agnostic reflection on interventions for first episode and early psychosis, I consider whether and how qualitative inquiry can inform and influence clinical and research approaches to early intervention in psychosis. As with other treatments such as chemotherapy and major surgery, interventions for psychosis, early and late, frequently require further interventions...
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Mental health interventions are increasingly complex (Larsen, 2007), involving a number of different “active ingredients” to achieve change (Medical Research Council, 2000). Understanding the contexts and ways in which such interventions achieve their effects is crucial for scientific understanding and effective clinical delivery (Campbell et al., 2000). The “phased” development of complex interventions has been advocated...
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Publication Year: 2012