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Title: An explorative study of processes of reflective function in adaptation to psychosis in young adults
Author: Braehler, Christine
Awarding Body: University of Edinburgh
Current Institution: University of Edinburgh
Date of Award: 2007
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Psychological capacities for affect regulation and reflexive function, which develop in the context of early attachment relationships, may be critical in influencing adaptation to psychosis. Objectives: A primarily qualitative mixed method design was employed to pursue two research questions: 1) How do young people adapt to psychosis? 2) How do processes of reflective function influence the adaptation process? Methods: Two interviews were conducted with each of the 8 young people (aged 18 to 21) who had experienced clinically significant psychosis. To rate the level of reflective function with regard to attachment states of mind (attachment RF) the Adult Attachment Interview was administered. Grounded theory methodology was used to investigate young people’s experience of adaptation to psychosis and the level of reflective function in their accounts (adaptation RF). Results and Discussion: Two main themes relating to adaptation and adolescent individuation emerged. Moderate attachment and adaptation reflective function were linked to primarily positive adjustment and successful individuation following psychosis. Impaired attachment and adaptation reflective function were associated with unresolved adaptation and failed individuation post-psychosis. Conclusion: Level of reflective function appeared to moderate adaptation and individuation processes post-psychosis and should be considered in the delivery of psychological therapies.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available