Psychosis and the self: How spontaneous discussions of subjective experiences compare in the clinical high-risk and first-episode psychosis populations.

• Tác giả: Cheryl M Corcoran, Matthew Cotter, Melanie Formica, Yunlai Gui, Kate Gwyther, Shaynna N Herrera, Marija Krcmar, Patrick McGorry, Alessia McGowan, Barnaby Nelson, Olivia Neu, Cansu Sarac, Alexandria Selloni, Sophia Shuster, Jessica Spark, Shreya Vaidya, Isaac J Wert
• Ngôn ngữ: eng
• Thông tin xuất bản: United States : Psychiatric rehabilitation journal , 2025
• Bộ sưu tập: NCBI
• ID: 720278

Tóm tắt

OBJECTIVE: Prior qualitative studies show that individuals with psychoticlike experiences express difficulties concerning their identity. However, previous work has studied individuals at clinical high risk for psychosis (CHR) and individuals with first-episode psychosis (FEP) separately. Here, we compare the experiences of individuals at CHR, individuals with FEP, and healthy individuals. METHODS: Participants included 70 individuals at CHR (57% female, RESULTS: Themes related to distress, social difficulties, trauma, gratitude, and communication were spontaneously described by both individuals at CHR and individuals with FEP, with individuals at CHR describing suspiciousness more than individuals with FEP (42% vs. 22%), CONCLUSIONS AND IMPLICATIONS FOR PRACTICE: Individuals at CHR and with FEP spontaneously discuss issues related to their identities in ways that are informed and shaped by the social milieu. The bidirectional nature of these struggles reinforces a need for integrated care through psychiatric rehabilitation, with a specific focus on identity development. (PsycInfo Database Record (c) 2025 APA, all rights reserved).