Social inclusion for young people with and without psychosis : the importance of internal and external factors
Year: 2014
Type: dissertation
Study design: Observational Study
Abstract: Psychosis most commonly first occurs during adolescence or early adulthood, \ndisrupting the social and occupational transitions characterising this time. Studies on \nsocial and occupational outcomes in psychosis have tended to focus on observer-rated, \ndysfunction-based outcomes. However, mental health services are increasingly \nadopting a personal recovery model; focusing on facilitating hopeful and individually \nmeaningful lives. Social inclusion is paramount to personal recovery but there is a need \nfor greater awareness of the processes by which mental health services facilitate social \ninclusion for young people with psychosis. Cognitive models and research with longterm \npsychosis service users suggests that negative self-beliefs contribute to poorer \nsocial outcomes in psychosis, whereas personal recovery models emphasise the role \nof hopefulness and therapeutic relationships with optimistic mental health professionals. \nThis thesis first investigates a structural model of social inclusion and its association \nwith hope and negative self-beliefs for healthy young people (n= 387). Then the \nprocesses by which young service users’ self-beliefs, therapeutic relationships and \nprofessionals’ beliefs influence social inclusion are explored using directed path models \n(n= 51). Directed path models then test how professional characteristics, focusing on \nattachment styles and job attitudes, facilitate therapeutic relationships (n= 61). Finally, \nthe contributions of self-beliefs, therapeutic relationships, professional beliefs and \nsocial inclusion in predicting vocational outcomes are explored (n= 51). \n \nCurrent findings support the relative importance of hopefulness over negative selfbeliefs \nin social inclusion for young people with and without psychosis. Hope appears \nparticularly important for adolescents compared to young adults. Positive relationships \nwith optimistic professionals predict service users’ hopefulness, social inclusion and \nvocational activity. Findings suggest that professionals’ own attachment style and job \nattitudes may aid in positive therapeutic relationship formation. These findings \nencourage a greater focus on therapeutic relationships and service users’ hopefulness \nin youth psychosis service provision. Professional training should encourage greater \nawareness of professionals’ own attachment style and job attitudes, and how these \nfactors impact on positive therapeutic relationship development
Author: Clio Berry
Language: English
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W55807228