Narrative insight in psychosis: the relationship with spiritual and religious explanatory frameworks

Marriott, M.R. ORCID: 0000-0001-7743-5262, Thompson, A.R., Cockshutt, G. and Rowse, G., 2019. Narrative insight in psychosis: the relationship with spiritual and religious explanatory frameworks. Psychology and Psychotherapy: Theory, Research and Practice, 92 (1), pp. 74-90. ISSN 1476-0835

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Objective: When considering psychosis, the concept of narrative insight has been offered as an alternative to clinical insight in determining individuals’ responses to their difficulties, as it allows for a more holistic and person-centred framework to be embraced within professional practice. This study aims to explore the validity of the narrative insight construct within a group of people who have experienced psychosis.

Design: Inductive qualitative methods were used to explore how eight participants utilized spiritual or religious explanatory frameworks for their experiences of psychosis and to consider these in relation to the construct of narrative insight.

Methods: Semi-structured interviews were undertaken with individuals who identified themselves as interested in spiritual or religious ideas and whose self-reported experiences which were identified as akin to psychosis by experienced academic clinicians. Transcriptions from these interviews were subject to interpretative phenomenological analysis within a broader research question; a selection of themes and data from the resultant phenomenological structure are explored here for their relevance to narrative insight.

Results: Participants discussed spiritual and biological explanations for their experiences and were able to hold alternative potential explanations alongside each other. They were reflective regarding the origins of their explanations and would describe a process of testing and proof in relation to them.

Conclusions: These findings suggest that the narrative insight construct has the potential to be a valid approach to understanding experiences of psychosis, and challenge the dominance of the clinical insight construct within clinical practice.

Item Type: Journal article
Publication Title: Psychology and Psychotherapy: Theory, Research and Practice
Creators: Marriott, M.R., Thompson, A.R., Cockshutt, G. and Rowse, G.
Publisher: John Wiley
Date: March 2019
Volume: 92
Number: 1
ISSN: 1476-0835
Rights: © 2018 the authors. This is an open access article under the terms of the Creative Commons Attribution-NonCommercial License, which permits use,distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
Divisions: Schools > School of Social Sciences
Record created by: Jonathan Gallacher
Date Added: 27 Mar 2018 15:32
Last Modified: 12 Jan 2021 14:59

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