Emotional earthquakes in the landscape of psychosis: an interpretative phenomenology
Jonathan Hutchins, John Rhodes, Saskia Keville
The Cognitive Behaviour Therapist 2016 DOI: 10.1017/s1754470x16000167 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Qualitative study using Interpretative Phenomenological Analysis Peer reviewed |
|---|---|
| Sample size | 8 |
| Population | Individuals recruited from a local Early Intervention in Psychosis service |
| Topics | Philosophy of mind |
| Citations | 10 |
| Key findings | Emotions in psychosis are intense and varied across phases—pre-psychosis distress, transformed world during, and self-blame, guilt, confusion, despair, and hope after—highlighting the need for normalization and therapeutic attention to these experiences. |
Abstract
AbstractTraditionally studies have neglected emotion in psychosis, possibly as a consequence 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 life distress’. 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 hope following the psychotic experience, alongside therapeutically addressing the varying levels of emotional experiences before, during and after a psychotic breakdown.
Comparable studies
Other qualitative studies on philosophy of mind, most cited first.
| Study | Year | Design | Participants |
|---|---|---|---|
| Qualitative thematic analysis of the phenomenology of near-death experiences Cardiac arrest survivors | 2018 | Qualitative study | n = 34 |
| Phenomenology and Sequelae of 3,4-Methylenedioxymethamphetamine Use Psychiatrists who had taken MDMA | 1992 | Qualitative study | n = 20 |
| A phenomenology of meditation-induced light experiences: traditional buddhist and neurobiological perspectives American Buddhist practitioners | 2014 | Qualitative study | |
| Evoking the ineffable: The phenomenology of extreme sports. Extreme sports participants across three continents, including BASE jumping, big wave... | 2017 | Qualitative study | n = 15 |
| Phenomenology and content of the inhaled N, N-dimethyltryptamine (N, N-DMT) experience. Naturalistic inhaled N,N-DMT experiences posted to the r/DMT Reddit community | 2022 | Qualitative analysis | n = 3,778 |