Beyond Generic Support: The Incidence and Impact of Invalidation Within Peer-Based and Traditional Treatment for Clients with Severe Mental Illness.

Objective: This study explored experiences of validation and invalidation among clients with severe mental illness in treatment with either peer providers or traditional providers. Associations between six- and 12-month outcomes and validating and invalidating provider communications were also examined. Methods: A total of 137 adults with severe mental illness were randomly assigned to either peer-based or traditional intensive case management. At six and 12 months participants completed self-report questionnaires on their quality of life, obstacles to recovery, and perceived invalidating and validating qualities (positive regard, empathy, and unconditional acceptance) of relationships with their providers. Results: Mixed analysis of variance showed that communications from and interactions with providers were perceived to be more validating than invalidating by clients in treatment with peer providers than by those in treatment with traditional providers. Regression analyses showed an association at six months, but not at 12 months, between favorable outcomes and the experience of invalidation from peer providers; invalidation from peer providers was linked to improved quality of life and fewer obstacles to recovery, an association that was not found for clients who experienced invalidation from traditional providers. Conclusions: Peer providers, who reveal their experiences of mental illness to their clients, were perceived to be more validating, and their invalidating communications were linked with favorable short-term outcomes. Both peer and traditional providers sometimes express disapproval of clients\u27 attitudes, values, or behaviors-a form of invalidation. This study found that early in the course of treatment peer providers may be effective in fostering progress by challenging clients\u27 attitudes, values, or behaviors

Others: The role of family, friends, and professionals in the recovery process

Relasjoner har en enorm innvirkning på hvordan folk kommer seg fra schizofreni. Tidligere forskning har fokusert på rollen av klinikere i disse støttende relasjoner, men denne studien finner at disse forholdene kanskje innenfor det psykiske helsesystemet, familien, eller ute i samfunnet

Processes of recovery in serious mental illness: Findings from a multinational study

Som en del av en voksende litteratur som beskriver recoveryprosesser ved psykotiske lidelser, presenterer denne rapporten funn av en intensiv, internasjonal studie. Åpent kvalitative intervjuer ble gjennomført i Italia, Norge, Sverige og USA med til sammen tolv personer som har erfaring med utvinning i psykose. Forskere fra disse landene samarbeidet om å analysere intervjuene og identifisere felles elementer på tvers av de tolv fortellingene