A Psychological Study on Experiences of Psychoses during Rehabilitation
|School||Lu Tung University|
|Keywords||psychosis rehabilitation qualitative method grounded theory in-depth interview|
The purpose of the research is to discuss the mental experiences of psychoses during rehabilitation and significance caused by the process such as diagnosis, treated in hospital and the medicine-taking and to obtain a better understanding of the mental experiences of psychoses who are considered to have been clinical recovery. To explore the real situation of the existing mental health system including the relationship between doctors and patients, influences of medical terms on patients’life and the patients’autonomy in the mental health system. Qualitative method was used to present more realistically and wholly experiences and significance of psychoses during rehabiltation . It is hoped to find out some social and cultural factors influencing the overall recovery of patients and clues that facilitate the patients’recovery, therefor to improve the rehabilitation of patients.Grounded theory of qualitative paradigm is employed in this research.In the research, 16 participants were selected through purposes sampling. All of them fit the diagnosis criteria of ICD-10 for major mental disorders (schizophrenia or mood disorder) and have been clinical recovered according to separate assessments of 2 clinical doctors. The researcher interviewed the 16 people in-dept respectively every 2-3 weeks. Each session lasted 40-80 minutes and total duration was 7 months and 2-5 sessions for each person. All material was categorized, encoded and put into different themes based on the grounded theory.In the research, 10 independent topics were obtained. They are: (1) unwillingly experiences of therapic (2) stop the medicine completely (3) Perplexity caused by the past experiences (4) hopes to back previous“I”(5) I myself changed (6) sensitivity and fragility to the here-and-now experiences (7) worries and pessimism about future (8) to face positively and release the stress (9) different understanding of the recovery (10) contradictive feelings toward the doctors. 3 higher and more integrated themes were induced on the basis of the 10 topics that are (1) patients living in negative moods; (2) confusion of self-identity; (3) contradictive treatment relationship. then the substantive (grounded) theory was concluded: the distress patients facing is closely related to the identity changed of themselves . It is found that the recovery from mental illness is not only clinical recovery but also a long process of initiative participation of patients. The mental experiences of recovery is influenced by the contemporary medical model and closely related with certain social culture.Furthermore, the researcher discussed the model of current mental rehabilitation service and limits of that. The existing rehabilitation method hinders the initiative participation of patients to some level due to its preset theoretical assumption and further limits patients’self recovery consciousness and ability. Mental heath system on one hand improves the patients’symptoms, and on the other hand pushes them into a real dilemma. The research also analyzed the social cultural factors behind the contemporary mental heath model and discussed the overruling and disciplining to the human existence by modern society that is characterized with science-technology rationalism and the meaning of power implicated by knowledge construction on the level of discourse.