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

Marriott, Michael R., Thompson, Andrew R. ORCID:, Cockshutt, Graham and Rowse, Georgina 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. 10.1111/papt.12178

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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: Article
Date Type: Publication
Status: Published
Schools: Psychology
Additional Information: This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial License
Publisher: Wiley
ISSN: 2044-8341
Date of First Compliant Deposit: 28 April 2021
Last Modified: 04 May 2023 21:33

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