‘It was like a lightning bolt hitting my world’: Feeling shattered in a first crisis in psychosis

Journal article


Bögle, S. and Boden, Z. (2019). ‘It was like a lightning bolt hitting my world’: Feeling shattered in a first crisis in psychosis. Qualitative Research in Psychology. 19 (2), pp. 377-404. https://doi.org/10.1080/14780887.2019.1631418
AuthorsBögle, S. and Boden, Z.
Abstract

ABSTRACT
Background: The felt and emotional aspects of psychosis are poorly understood, however, their importance for the aetiol- ogy of, and recovery from, psychosis is increasingly accepted. Individuals experiencing psychosis often come into contact with mental health services during a crisis. Currently little is known about the emotional and felt aspects of this experience, yet this could support clinical intervention at this time.
Aims: This research aims to gain an in-depth understanding of the lived, felt experiences of a first crisis in psychosis.
Method: The study took a hermeneutic phenomenological perspective and utilised visual methods. Seven participants participated in idiographic, multi-modal interviews about their experiences.
Results: Participants described their first crisis in psychosis as a shattering experience, entwined with their experiences of interpersonal trauma. In crisis, participants lost basic trust in the world; felt enveloped in a strange, threatening atmo- sphere, and lacked a sense of belonging.
Conclusions: Attention to the felt aspects of a crisis indicate the existential, intersubjective and traumatic nature of the experience. Psychosocial, family and trauma-focused approaches that take into account the holistic, embodied and contextual nature of psychosis experiences seem best-placed to support treatment and research in this area.

Keywords UK; mental health; early psychosis; feelings; embodiment; interpretative phenomenological analysis
Year2019
JournalQualitative Research in Psychology
Journal citation19 (2), pp. 377-404
PublisherTaylor & Francis
ISSN1478-0895
Digital Object Identifier (DOI)https://doi.org/10.1080/14780887.2019.1631418
Web address (URL)https://doi.org/10.1080/14780887.2019.1631418
Publication dates
Print28 Jun 2019
Publication process dates
Deposited21 Jun 2022
Accepted author manuscript
License
File Access Level
Open
Additional information

This is an Accepted Manuscript of an article published by Taylor & Francis in Qualitative Research in Psychology on 28/06/2019, available at: http://www.tandfonline.com/10.1080/14780887.2019.1631418

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