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Title: Let's talk about psychosis
Author: Steele, Ann
ISNI:       0000 0004 5367 9547
Awarding Body: King's College London
Current Institution: King's College London (University of London)
Date of Award: 2014
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Background: Recent advances in the psychological understanding of psychosis are supplementing the traditional medical model approach to schizophrenia. Furthermore, a patient-centred model of care is being introduced throughout healthcare promoting collaborative care inline with patients’ values and preferences. Research suggests that patients with schizophrenia wish to talk about their psychotic symptoms. In contrast psychiatrists may be reluctant to engage in discussion of psychotic symptoms leading to potential difficulties in delivering truly collaborative care. Aims: The current study aims to explore the aspects of psychotic experiences patients wish to discuss in psychiatric consultations, as well as the features on which psychiatrists focus by applying thematic analysis to extracts of naturally occurring, routine outpatient psychiatric consultations between patients with psychosis and their psychiatrists. Results: Sixty-five consultations from a total of 143 contained at least one discussion about a present positive psychotic symptom. Patients with higher clinical levels of positive psychotic symptoms were more likely to discuss psychotic symptoms during the consultation. Both psychiatrists and patients initiated discussions of symptoms, but psychiatrists were more likely to end the discussion. Conclusions: The focus of psychiatrists during discussion of positive psychotic symptoms in consultations does not correspond to the features of psychosis most salient to patients. In order to be more patient-centred the focus and aims of the psychiatric consultation may need to be adjusted to more closely target the concerns of patients.
Supervisor: Chadwick, Paul Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psy.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available