| 1. |
- Fatouros Bergman, Helena, et al.
(författare)
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Interplay of gaze behaviour and facial affectivity in schizophrenia
- 2011
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Ingår i: Psychosis. - : Taylor & Francis Group. - 1752-2439 .- 1752-2447. ; 3:2, s. 148-150
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Tidskriftsartikel (refereegranskat)abstract
- Background: Some patients diagnosed with schizophrenia display reduced amounts of negative facial affectivity during mutual gaze in everyday conversations with non-professionals. Aims: The aim was to confirm this finding in clinical interviews. Method: Thirty-two video-recorded clinical interviews were conducted with eight patients diagnosed with schizophrenia. Selected sequences were coded for gaze behaviour and facial affective behaviour. Results: During mutual gaze, the patients showed as much negative facial affectivity as expected by chance. Previous findings were not confirmed. Conclusions: Findings suggests that the type of interview has importance for the facial affectivity in patients diagnosed with schizophrenia during mutual gaze.
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| 2. |
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| 3. |
- Strand, Jennifer, 1977, et al.
(författare)
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"If you're not safe anywhere, you turn it inside yourself": Narratives about childhood experiences told by 12 individuals diagnosed with psychosis
- 2012
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Ingår i: Psychosis-Psychological Social and Integrative Approaches. - : Informa UK Limited. - 1752-2439. ; 4:2, s. 137-148
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Tidskriftsartikel (refereegranskat)abstract
- The aim was to study what patients diagnosed with psychosis related about early relationships with caregivers and about themselves as children. Data consisted of transcripts of 12 interviews, which were analyzed according to a thematic analysis. Through the narratives, a picture emerged of parents who had been unable to put aside their own difficulties and negative emotions. Parents were portrayed as sexually, physically, and/or emotionally abusive, often in tandem with a non-abusive parent described as passive. A family atmosphere marked by silence became visible. Further, a picture appeared of an introverted and "conformable" child, who had handled sadness, as well as fear, alone. Childhood strategies such as daydreaming and "trying to become invisible" emerged. These strategies resemble what in other frames of reference are often regarded as childhood symptoms of schizophrenia spectrum disorders. Consequently, it could be questioned whether what are commonly viewed as early symptoms of schizophrenia might instead be the child's attempts to adapt, in order to survive in a disorganized family.
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| 4. |
- Tidefors, Inga, 1949, et al.
(författare)
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Agreement between ratings from self-rating scales and assessments by staff concerning a group of ‘severely mentally ill’ people
- 2014
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Ingår i: Psychosis - Psychological, Social and Integrative Approaches. - : Informa UK Limited. - 1752-2439. ; 6:3, s. 231-234
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Tidskriftsartikel (refereegranskat)abstract
- Previous research shows generally low agreement concerning self-rating scales and assessments by staff regarding people considered to be ‘severely mentally ill’. The aims of this study were to measure the level of agreement between patients’ self-rating and key workers’ assessments, and to explore some of the factors that influence level of agreement. The results of questionnaires from 49 severely mentally ill persons concerning needs, therapeutic alliance, and self-esteem were compared with key workers’ estimates. Agreement was found regarding the number of unmet needs. Concerning met needs, therapeutic alliance and self-esteem, no significant agreements were found, however, for met needs, therapeutic alliance or self-esteem.
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| 5. |
- Topor, Alain, 1952-, et al.
(författare)
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Going beyond : Users’ experiences of helping professionals
- 2015
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Ingår i: Psychosis. - : Informa UK Limited. - 1752-2439 .- 1752-2447. ; 7:3, s. 228-236
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Tidskriftsartikel (refereegranskat)abstract
- Background: Establishing a working alliance has been found to be of great importance for the outcome of professional interventions for people diagnosed with severe mental illnesses. Aim: The aim of the present study was to analyse the concrete actions of helpful professionals in establishing a working alliance. Method: Interviews with 58 persons diagnosed with severe mental illness who were in a recovery process or had recovered were analysed using Grounded Theory. Results: The core category that emerged from the analysis was termed ‘going beyond’. It was constituted on three subcategories: challenging the rationality of the institutions, restoring the professional as a person and restoring the user as a person. Conclusion: Users’ experience-based knowledge about helpful professionals calls into question the traditional view of professional roles.
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| 6. |
- Topor, Alain, et al.
(författare)
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Institutional recovery : a 10-year follow-up of persons after their first psychosis diagnosis. A critical reflexive approach
- 2018
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Ingår i: Psychosis. - : Informa UK Limited. - 1752-2439 .- 1752-2447. ; 10:4, s. 263-274
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Tidskriftsartikel (refereegranskat)abstract
- Background: Despite repeated attempts, it has not been possible to reach a consensus on the definition of recovery. In this paper, we use the term institutional recovery and focus on the persons' use of services. Aim: What type of services were used by men and women who were diagnosed for the first time with psychosis? How did different cut-offs of length of follow up influence the findings? Method: Interventions for 386 persons diagnosed for the first time with psychosis were followed up for 10 years. Data were collected from registers covering psychiatric and social work services and prisons. Results: Results varied according to cut-off. Nevertheless, even using the higher cut-off, fifty-five percent of the persons had no stay in 24/7 institutions during the follow-up's last 5 years. More than 40% had only community-based treatment and support. Fifteen percent had no interventions at all. A 2-year cut-off doubled the percentage of persons with no interventions. No statistically significant gender differences were found. Conclusions: Institutional recovery could be a useful recovery measure. However, the results from different studies are dictated by choices made by the research team, which should be clarified and discussed.
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| 7. |
- Topor, Alain, 1952-, et al.
(författare)
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Psychosis and poverty : Coping with poverty and severe mental illness in everyday life
- 2014
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Ingår i: Psychosis. - : Informa UK Limited. - 1752-2439 .- 1752-2447. ; 6:2, s. 117-127
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Tidskriftsartikel (refereegranskat)abstract
- In psychiatry, it is assumed that the social conditions of everyday life do not in themselves affect the severity of an individual’s mental ill health. Rather, the illness is the cause of problems that the individual meets in daily life. However, recent studies indicate that social factors can explain behavior that has ordinarily been regarded as symptoms of mental illness. The aim of the present study is to investigate how people with a psychosis diagnosis manage their economic difficulties. Nineteen persons with a psychosis diagnosis were interviewed on several occasions in the course of a follow-up study. The interviews were analyzed according to Grounded Theory. The present study shows that the persons had developed different rational ways of coping with economic strain: reducing their expenses, increasing their incomes or borrowing money and acquiring debts. Living under poverty negatively affects their possibility to acquire and maintain a social network and their sense of the self. The study contributes to our knowledge of the nature of psychosis and its relationship to the social context.
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| 8. |
- Topor, Alain, et al.
(författare)
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The costs of friendship : severe mental illness, poverty and social isolation
- 2016
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Ingår i: Psychosis. - : Informa UK Limited. - 1752-2439 .- 1752-2447. ; 8:4, s. 336-345
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Tidskriftsartikel (refereegranskat)abstract
- Background: The relationship between severe mental illness, poverty and social isolation has been explored in a number of studies.Aim: The purpose of the study was to explore the relationship between financial strain and social isolation.Methods: Sixteen persons with severe mental illness were interviewed about their experience of having a severe mental illness, living in poverty and the effect these circumstances had on their social relationships. The interviews were analysed according to thematic analysis.Results: The overarching theme was the cost of having friends; it consisted of five categories: the loss of friends; making do without friends; dependence on friends and family; supported socialisation; and money as an aid to recovery. The participants experienced a connection between their financial circumstances, their social relationships and their lack of initiative in maintaining and developing a social network.Conclusions: The results underline the importance of considering the person in his/her social context in order to avoid the risk of interpreting rational strategies for coping as psychiatric symptoms.
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| 9. |
- Topor, Alain, et al.
(författare)
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The Stockholm Follow-up Study of Users Diagnosed with Psychosis (SUPP) : methodology, patient cohort and services
- 2012
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Ingår i: Psychosis. - : Informa UK Limited. - 1752-2439 .- 1752-2447. ; 4:3, s. 246-257
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Tidskriftsartikel (refereegranskat)abstract
- Background: The de-, re- and trans-institutionalization of psychiatric care has resulted in a number of changes in the interventions available to persons with severe mental disorders. Aims: This article describes the design of a naturalistic follow-up study of persons with a psychosis diagnosis, the characteristics of the study population, and the interventions they received prior to study participation from various agencies in and outside of mental healthcare. Method: data from various registers, such as psychiatric and social services case registers, criminal records, and the cause of death register have been collected and analyzed. Results: Under the period 1997-2004, 42% were in contact only with out-patient care, 58% were in contact with the social services, and 2% had served prison sentences. Conclusions: Studies need to include interventions that are provided beyond the scope of psychiatric services in order to assess the extent of the existing support network and the long-term outcomes for persons with a psychosis diagnosis. The lack of a gender perspective in psychiatric research also needs to be addressed.
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