University of Hertfordshire

Emotional earthquakes in the landscape of psychosis: an interpretative phenomenology

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Emotional earthquakes in the landscape of psychosis: an interpretative phenomenology. / Hutchins, Jonathan; Rhodes, John; Keville, Saskia.

In: The Cognitive Behaviour Therapist, Vol. 9, e30, 07.11.2016.

Research output: Contribution to journalArticlepeer-review

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@article{5c1b6fd18fb645fba56c4cb94086833b,
title = "Emotional earthquakes in the landscape of psychosis:: an interpretative phenomenology",
abstract = "Traditionally studies have neglected emotion in psychosis, possibly as aconsequence of psychiatry{\textquoteright}s emphasis on psychotic symptoms rather than individuals{\textquoteright} 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: {\textquoteleft}struggling with lifedistress{\textquoteright}. The second highlighted the intense emotional experience within psychotic experiences: {\textquoteleft}transformed world and intense emotion{\textquoteright}. The third theme highlighted self-critical tendencies in the post-onset phase of psychosis: {\textquoteleft}blame and guilt after the breakdown{\textquoteright}. The final theme highlighted a mixture of emotions in the post-onset phase: {\textquoteleft}confusion, despair and hope{\textquoteright}. There were many clinical implications highlighted in the study including the value of normalizing participants{\textquoteright} emotional experiences in order to promote engagement in services and of assessing for self-criticism, despair and hopefollowing the psychotic experience, alongside therapeutically addressing the varying levels of emotional experiences before, during and after a psychotic breakdown.",
keywords = "DELUSIONS, EMOTION, HOPE, PSYCHOSIS, SELF-ESTEEM, WORRY",
author = "Jonathan Hutchins and John Rhodes and Saskia Keville",
note = "This document is the Accepted Manuscript version of the following article: Jonathan Hutchins, John Rhodes, and Saskia Keville, 'Emotional earthquakes in the landscape of psychosis: an interpretative phenomenology', Vol. 9, e30, January 2016. The Version of Record is available online at DOI: https://doi.org/10.1017/S1754470X16000167. COPYRIGHT: {\textcopyright} British Association for Behavioural and Cognitive Psychotherapies 2016. Published by Cambridge University Press.",
year = "2016",
month = nov,
day = "7",
doi = "10.1017/S1754470X16000167",
language = "English",
volume = "9",
journal = "The Cognitive Behaviour Therapist",
issn = "1754-470X",
publisher = "Cambridge University Press",

}

RIS

TY - JOUR

T1 - Emotional earthquakes in the landscape of psychosis:

T2 - an interpretative phenomenology

AU - Hutchins, Jonathan

AU - Rhodes, John

AU - Keville, Saskia

N1 - This document is the Accepted Manuscript version of the following article: Jonathan Hutchins, John Rhodes, and Saskia Keville, 'Emotional earthquakes in the landscape of psychosis: an interpretative phenomenology', Vol. 9, e30, January 2016. The Version of Record is available online at DOI: https://doi.org/10.1017/S1754470X16000167. COPYRIGHT: © British Association for Behavioural and Cognitive Psychotherapies 2016. Published by Cambridge University Press.

PY - 2016/11/7

Y1 - 2016/11/7

N2 - Traditionally studies have neglected emotion in psychosis, possibly as aconsequence 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 lifedistress’. 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 hopefollowing the psychotic experience, alongside therapeutically addressing the varying levels of emotional experiences before, during and after a psychotic breakdown.

AB - Traditionally studies have neglected emotion in psychosis, possibly as aconsequence 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 lifedistress’. 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 hopefollowing the psychotic experience, alongside therapeutically addressing the varying levels of emotional experiences before, during and after a psychotic breakdown.

KW - DELUSIONS

KW - EMOTION

KW - HOPE

KW - PSYCHOSIS

KW - SELF-ESTEEM

KW - WORRY

U2 - 10.1017/S1754470X16000167

DO - 10.1017/S1754470X16000167

M3 - Article

VL - 9

JO - The Cognitive Behaviour Therapist

JF - The Cognitive Behaviour Therapist

SN - 1754-470X

M1 - e30

ER -