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Psychosis and transformation: A phenomenological inquiry

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Abstract

Conventional views towards psychosis typically portray psychosis as an illness of the brain with a generally poor prognosis, even if treated with antipsychotics. However, there is a growing body of literature which presents an alternative view of psychosis, whereby people are not only able to recover from psychosis, but can also experience transformative and/or spiritual growth through psychosis. To learn more about the transformative potential of psychotic experiences, a phenomenological approach was used to research the experiences of six people who self-identified as having benefited from psychosis in a spiritual and/or transformative manner. Keys themes emerging from interviews with these six individuals included in the pre-psychosis phase “childhood foreshadowing” and “negative childhood events,” and in the psychosis phase, “sudden psychosis,” “psychic/intuitiveness and unusual visual experiences,” “comprised day-to-day functioning,” “experiences of dying,” and “communication with god.” Four themes made up the transformation of psychosis phase including “detachment and mindfulness,” “accepting the dissolution of time into now,” “embracing a spiritual pathway,”“ and ”re-alignment of career path.“ Overall, the results suggest that at least for some individuals, the experience of psychosis can be an important catalyst for spiritual and personally transformative growth.

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References

  • American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, D.C.: American Psychiatric Association.

    Google Scholar 

  • Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16(4), 11–23.

    Google Scholar 

  • Arben, P. D. (1996). Are mental illnesses biological disease? Some public policy implications. Health and Social Work, 21(1), 66–69.

    CAS  PubMed  Google Scholar 

  • Boyle, M. (2002). Schizophrenia: A scientific delusion? (2nd ed.). London: Routledge.

    Google Scholar 

  • Breggin, P. R. (1997). Brain disabling treatments in Psychiatry. New York: Springer.

    Google Scholar 

  • Buckley, P. (1981). Mystical experience and schizophrenia. Schizophrenia Bulletin, 7(3), 516–521.

    CAS  PubMed  Google Scholar 

  • Carpenter, J. (2002). Mental health recovery paradigm: Implications for social work. Health and Social Work, 27(2), 86–94.

    PubMed  Google Scholar 

  • Chadwick, P., Newman Taylor, K., & Abba, N. (2005). Mindfulness groups for people with psychosis. Behavioural and Cognitive Psychotherapy, 33, 351–359.

    Article  Google Scholar 

  • Chessick, R. D. (1995). Nothingness, meaninglessness, chaos, and the ‘black hole’ revisited. Journal of the American Academy of Psychoanalysis, 23(4), 581–601.

    CAS  PubMed  Google Scholar 

  • Cochrane, L. (1985). Position and the nature of personhood. Westport: Greenwood.

    Google Scholar 

  • Cochrane, L. (1986). Portrait and story. Westport: Greenwood.

    Google Scholar 

  • Coursey, R. D. (1989). Psychotherapy with persons suffering from schizophrenia: The need for a new agenda. Schizophrenia Bulletin, 15(3), 349–353.

    CAS  PubMed  Google Scholar 

  • Daley, D., & Moss, H. (2002). Dual disorders; Counselling clients with chemical dependency and mental illness. Center City, Minnesota: Hazelden.

    Google Scholar 

  • Eeles, J., Lowe, T., & Wellman, N. (2003). Spirituality or psychosis? An exploration of the criteria that nurses use to evaluate spiritual-type experiences reported by patients. International Journal of Nursing Studies, 40(2), 197–206.

    Article  PubMed  Google Scholar 

  • Gelman, S. (1999). Medicating schizophrenia: A history. New Jersey: Rutgers University Press.

    Google Scholar 

  • Gloucestershire Hearing Voices Groups (2004). Groupwork for people with psychosis. Retrieved October 24th, 2004, from http://www.hearingvoices.org.uk/

  • Grof, S., & Grof, C. (1989). Spiritual emergency: Understanding evolutionary crisis. In S. Grof & C. Grof (Eds.), Spiritual emergency: When personal transformation becomes a crisis (pp. 1–26). New York: Penguin Putnam.

    Google Scholar 

  • Haley, J. (1989). The effect of long-term outcome studies on the therapy of schizophrenia. Journal of Marital and Family Therapy, 15(2), 127–132.

    Article  Google Scholar 

  • Harding, C.M. (2002, March 10th). Beautiful minds can be reclaimed. The New York Times.

  • Harding, C. M., & Zahniser, J. H. (1994). Empirical correction of seven myths about Schizophrenia with implication for treatment. Acta Psychiatry Scand, 90(Suppl. 384), 140–146.

    Article  Google Scholar 

  • Harding, C. M., Brooks, G. W., Ashikaga, T., Strauss, J. S., & Breier, A. (1987). The Vermont longitudinal study of persons with severe mental illness: II. Long-term outcome of subjects who retrospectively met DSM-II criteria for schizophrenia. American Journal of Psychiatry, 144(6), 727–735.

    CAS  Google Scholar 

  • Harding, C. M., Zubin, J., & Strauss, J. W. (1987). Chronicity in schizophrenia, fact, partial fact, or artifact? Hospital and Community Psychiatry, 38, 477–486.

    CAS  PubMed  Google Scholar 

  • Harrow, M., Sands, J. R., Silverstein, M. L., & Goldberg, J. F. (1997). Course and outcome for schizophrenia versus other psychotic patients: A longitudinal study. Schizophrenia Bulletin, 23(2), 278–303.

    Google Scholar 

  • Heidegger, M. (1962). Being and time. London: SCM Press.

    Google Scholar 

  • Huber, G., Gross, G., & Schuttler, R. (1975). A long-term follow up study of schizophrenia: Psychiatric course of illness and prognosis. Acta Psychiatrica Scandinavica, 52, 49–57.

    Article  CAS  PubMed  Google Scholar 

  • Jimenez, M. A. (1988). Chronicity in mental disorders: Evolution of a concept. Social Casework, 69, 627–633.

    Google Scholar 

  • Johnson, D. P., Penn, D. L., Fredrickson, B. L., Meyer, P. S., Kring, A. M., & Brantley, M. (2009). Loving-kindness meditation to enhance recovery from negative symptoms of schizophrenia. Journal of Clinical Psychology: In session, 65(5), 499–509.

    PubMed  Google Scholar 

  • Kabat-Zinn, J. (2005). Coming to our sense: Healing ourselves and the world through mindfulness. New York: Hyperion.

    Google Scholar 

  • Kabat-Zinn, J., Segal, Z. V., Williams, J. M. G., & Teasdale, J. D. (2002). Mindfulness-based cognitive therapy: A new approach to preventing relapse. New York: Guilford Press.

    Google Scholar 

  • Kasprow, M. C., & Scotton, B. W. (1999). A review of transpersonal theory and its application to the practice of psychotherapy. Journal of Psychotherapy Practice and Research, 8, 12–23.

    CAS  PubMed  Google Scholar 

  • Koener, K., & Linehan, M. M. (2000). Reseach on dialectical behavior therapy for patients with borderline personality disorder. The Psychiatric Clinics of North America, 23(1), 151–167.

    Article  Google Scholar 

  • Koss-Chioino, J. D. (2003). Jung, spirits and madness: Lessons for cultural psychiatry. Transcultural Psychiatry, 40(2), 164–180.

    Article  PubMed  Google Scholar 

  • Kruger, A. (2000). Schizophrenia: Recovery and hope. Psychiatric Rehabilitation Journal, 24(1), 29–37.

    Google Scholar 

  • Levine, S. (1987). Healing into life and death. New York: Anchor Press.

    Google Scholar 

  • Lovejoy, M. (1984). Recovery from schizophrenia: A personal odyssey. Hospital and Community Psychiatry, 35(8), 809–812.

    CAS  PubMed  Google Scholar 

  • Lukoff, D. (1985). The diagnosis of mystical experiences with psychotic features. The Journal of Transpersonal Psychology, 17(2), 155–181.

    Google Scholar 

  • Lukoff, D. (1988). Transpersonal perspectives on manic psychosis: Creative, visionary and mystical states. The Journal of Transpersonal Psychology, 20(2), 111–139.

    Google Scholar 

  • McCay, E., Ryan, K., & Amey, S. (1996). Mitigating engulfment: Recovering from a first episode of psychosis. Journal of Psychosocial Nursing, 34(11), 40–44.

    CAS  Google Scholar 

  • Murphy, M. A. (2000). Coping with the spiritual meaning of psychosis. Psychiatric Rehabilitation Journal, 24(2), 179–183.

    Google Scholar 

  • Nelson, J. E. (1994). Healing the split: Integrating spirit into our understanding of the mentally ill. New York: State University of New York Press.

    Google Scholar 

  • Nixon, G. (1992). The quest for wholeness. University of Calgary: Unpublished doctoral dissertation.

    Google Scholar 

  • Nixon, G. (2000). From authenticity to thick description and externalizing the problem: A turn to narrative therapy in working with people dealing with schizophrenia. International Journal of Practical Approaches to Disability, 24(1/2/3), 56–59.

    Google Scholar 

  • Osborne, J. (1990). Some basic existential phenomenological research methodology for counselors. Canadian Journal of Counselling, 13(4), 79–91.

    Google Scholar 

  • Palmer, R. E. (1969). Hermeneutics : Interpretation theory in Schleiermacher, Dilthey, Heidegger, and Gadamer. Evanston, NY: Northwestern University Press.

    Google Scholar 

  • Perry, J. (2005). The far side of madness (2nd ed.). Englewood Cliffs, N.J.: Prentice Hall.

    Google Scholar 

  • Ram, R., Bromet, E. J., Eaton, W. W., Pato, C., & Schwartz, J. E. (1992). The natural course of schizophrenia: A review of first-admission studies. Schizophrenia Bulletin, 18(2), 185–207.

    CAS  PubMed  Google Scholar 

  • Ridgway, P. (2001). Restorying psychiatric disability: Learning from first person recovery narratives. Psychiatric Rehabilitation Journal, 24(4), 335–343.

    CAS  PubMed  Google Scholar 

  • Roe, D., Chopra, M., Wagner, B., Katz, G., & Rudnick, A. (2004). The emerging self in conceptualizing and treating mental illness. Journal of Psychosocial Nursing and Mental Health Services, 42(2), 32–40.

    PubMed  Google Scholar 

  • Ross, C. A., & Pam, A. (1995). Pseudoscience in biological psychiatry: Blaming the body. New York: Wiley.

    Google Scholar 

  • Schiff, A. C. (2004). Recovery and mental illness: Analysis and personal reflections. Psychiatric Rehabilitation Journal, 27(3), 212–218.

    Article  PubMed  Google Scholar 

  • Schneider, S. (1997). Jerusalem, religious awakenings and schizophrenia. Group Analysis, 30(3), 379–393.

    Article  Google Scholar 

  • Smith, M. K. (2000). Recovery from a severe psychiatric disability: Findings from a qualitative study. Psychiatric Rehabilitation Journal, 24(2), 149–158.

    Google Scholar 

  • Spaulding, W., & Nolting, J. (2006). Psychotherapy for schizophrenia in the year 2030: Prognosis and prognositication. Schizophrenia Bulletin, 32(1), 94–105.

    Article  Google Scholar 

  • Stanton, B., & David, A. (2000). First person accounts of delusions. Psychiatric Bulletin, 24, 333–336.

    Article  Google Scholar 

  • Tsuang, M. T., Woolson, R. F., & Fleming, M. S. (1979). Long term outcome of major psychoses. Archives of General Psychiatry, 36, 1295–1301.

    CAS  PubMed  Google Scholar 

  • Valenstein, E. S. (1998). Blaming the brain. New York: The Free press.

    Google Scholar 

  • Van Manen, M. (1984). Practicing phenomenological writing. Journal of Phenomenology and Pedagogy, 2, 36–49.

    Google Scholar 

  • Van Manen, M. (1990). Researching lived experience: Human sciences for an action sensitive pedagogy. London: The Althouse.

    Google Scholar 

  • von Eckartsberg, R. (1998). Introducing existential-phenomenological psychology. In R. S. Valle (Ed.), Phenomenological inquiry in psychology: Transpersonal dimensions (pp. 3–61). New York: Plenum.

    Google Scholar 

  • Vonnegut, M. (1975). The Eden express. New York: Praeger.

    Google Scholar 

  • Wilber, K. (1986). The spectrum of psychopathology. In K. Wilber, J. Engler & D. Brown (Eds.), Tranformations of consciousness (pp. 65–06). Boston: Shambhala.

    Google Scholar 

  • Wilber, K. (2000). Integral psychology. Boston: Shambhala.

    Google Scholar 

  • Whitaker, R. (2002). Mad in America: Bad science, bad medicine, and the enduring mistreatment of the mentally ill. Cambridge: Perseus.

    Google Scholar 

  • Young, R., & Collin, A. (1988). Career development and hermenutical inquirty Part I: The framework of a hermeneutical approach. Canadian Journal of Counselling, 22(3), 153–161.

    Google Scholar 

  • Young, S. L., & Ensing, D. W. (1999). Exploring recovery from the perspective of people with psychiatric disabilities. Psychiatric Rehabilitation Journal, 22(3), 220–231.

    Google Scholar 

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Nixon, G., Hagen, B. & Peters, T. Psychosis and transformation: A phenomenological inquiry. Int J Ment Health Addiction 8, 527–544 (2010). https://doi.org/10.1007/s11469-009-9231-3

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