Näytä suppeat kuvailutiedot

dc.contributor.authorHolma, Juha M.
dc.date.accessioned2020-10-02T09:35:30Z
dc.date.available2020-10-02T09:35:30Z
dc.date.issued1999
dc.identifier.isbn978-951-39-8001-6
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/71983
dc.description.abstractThis study is a subproject of the Finnish multicenter project The Integrated Approach to the Treatment of Acute Psychosis (API project). The basis of this project is the need-adapted treatment model developed in Finland over the last three decades. The aim of the studies presented here was to investigate from a social constructionist narrative viewpoint psychosis and schizophrenia as well as the psychology of the recommendations of the need-adapted treatment model. In recent family therapy, social constructionism and the narrative viewpoint have been the main theoretical approaches. This study integrates the Finnish tradition of treating acute psychosis and schizophrenia with recent developments in the field of family therapy. The material was gathered during the treatment of 21 first-episode psychotic patients. The method used was participant-observer qualitative narrative analysis. The author participated altogether in 140 therapy meetings during the hospitalization stage and in 34 follow-up meetings. The results indicate that constructing a self-narrative is essential in acute psychosis, since it may be either collapsed or not coherent enough (Study I). The search for a narrative in acute psychosis exists but the result of this search can be insufficient because the stories available in the social context do not sufficiently capture the pre-narrative quality of personal experience (Study II). Psychosis can also be an escape in order to maintain a sense of agency. When experiences remain unnarrated, the experience of being-in-time is also missing (Study III). When the patient has trouble in creating narrative form for experiences, the aim of therapy and treatment is to open a channel through which the pre-narrative quality of life can become narrated. Once experiences are given narrative form, they can be left behind as a part of the individual's personal history, enabling present experiences to be narrated and preventing unnarrated experiences from accumulating (Study III). Hence, early, family- and network-centred intervention is of special value in cases of acute psychosis. It is important that the narratives conform to the preunderstanding of the interpreter as well as adequately capture the intentions of its originator, that is, the patient (Study IV). Thus team work utilizing therapeutic principles and involving patient, family and social network alike is specially indicated.en
dc.relation.ispartofseriesJyväskylä Studies in Education, Psychology and Social Research
dc.subjectaika
dc.subjecthermeneutiikka
dc.subjecthoito
dc.subjecthoitomenetelmät
dc.subjectidentiteetti
dc.subjectkerronta
dc.subjectkertomukset
dc.subjectkokemukset
dc.subjectkonstruktivismi
dc.subjectnarratiivinen terapia
dc.subjectnarratiivisuus
dc.subjectperheterapia
dc.subjectpotilaat
dc.subjectpsykiatria
dc.subjectpsykiatrinen hoito
dc.subjectpsykoosit
dc.subjectpsykoterapia
dc.subjectpsyykkisesti sairaat
dc.subjectskitsofrenia
dc.subjectsosiaalinen konstruktivismi
dc.subjectymmärtäminen
dc.subjectexperience
dc.subjectidentity
dc.subjectnarration
dc.subjectpsychiatry
dc.subjectpsychosis
dc.subjectpsychotherapy
dc.subjectschizophrenia
dc.subjecttherapy
dc.subjecttreatment
dc.titleThe search for a narrative : investigating acute psychosis and the need-adapted treatment model from the narrative viewpoint
dc.typeDiss.
dc.identifier.urnURN:ISBN:978-951-39-8001-6
dc.date.digitised2020


Aineistoon kuuluvat tiedostot

Thumbnail

Aineisto kuuluu seuraaviin kokoelmiin

Näytä suppeat kuvailutiedot