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Title: ICU psychosis : the patient's experience : an investigation of patients' understanding of hallucinations and delusions whilst in intensive care and post-discharge
Author: Dyer, Annabella
ISNI:       0000 0004 2698 5426
Awarding Body: University of East London
Current Institution: University of East London
Date of Award: 2005
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This study explores how patients understand their hallucinatory and delusional type experiences whilst in intensive care and how they feel about these experiences after they have been discharged from hospital. The aims were to elicit their subjective accounts in order to gain further insights into the phenomena and to improve clinical practice. The study employed a qualitative methodology and eight participants took part in the research. Participants were interviewed using a semi-structured interview design and the interviews were tape-recorded. The transcripts were analysed using an interpretative phenomenological approach. The analysis revealed four super-ordinate categories: awareness of self and surroundings, dream-like experiences, understanding of dreamlike experiences and adjustment after hospital discharge. These contained several subordinate categories. Participants labelled their hallucinatory and delusional experiences as 'dream-like experiences'. These consisted of various sequences that evoked torturous, threatening and persecutory themes or less frightening themes such as escape and adventure. All participants reported their experiences during intensive care as highly distressing. The participants thought that their dream-like experiences were related to parts of themselves that had been incorporated into their dream sequences. They also acknowledged the role of medication and the intensive care unit context. These experiences had a profound effect on some participants in that they felt it had altered their sense of self whereas others felt they were not disturbed by these experiences. The implications of these findings for future research and clinical practice are discussed.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (D.Clin.Psych.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available