Adherence to Treatment in First Episode Psychosis: Acceptance, Refusal, or Ambivalent Process?
Publication: Canadian Journal of Community Mental Health
26 November 2020
Abstract
Drawing from the perspectives of 18 youth (characterized as adherent, ambivalent, nonadherent), 13 relatives and 8 clinicians, this qualitative study, using semi-structured individual interviews and a focus group, explores why individuals suffering from early psychosis accept or refuse treatment. Identity and relationships, understanding of the diagnosis and significance given to treatment are key themes. Varying degrees of ambivalence and nonadherence can be seen as normal stages of a process to rebuild their sense of self and construct their identity. A trusting relationship may facilitate gradual resolution of ambivalence, promoting the individuals’ sense of ownership and empowerment in the context of treatment.
Résumé
Considérant la perspective de 18 individus (adhérents, ambivalents ou non adhérents au traitement), 13 proches et 8 cliniciens, cette étude qualitative utilisant entretiens individuels semi-structurés et groupes de discussion, explore pourquoi les individus souffrant de psychose débutante acceptent ou refusent le traitement. L’identité et les enjeux relationnels, la compréhension du diagnostic et la signification donnée au traitement sont primordiaux. Différents degrés d’ambivalence et de non-observance semblent les étapes d’un processus visant à reconstruire le sens de soi et l’identité. Une relation de confiance faciliterait la résolution progressive de l’ambivalence, favorisant le sentiment d’appropriation et d’autonomisation dans le contexte du traitement.
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Published In
Canadian Journal of Community Mental Health
Volume 39 • Number 3 • November 2020
Pages: 17 - 31
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Version of record online: 26 November 2020
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Laurence Artaud, Amal Abdel-Baki, Marie Nolin, and Cécile Rousseau. 2020. Adherence to Treatment in First Episode Psychosis: Acceptance, Refusal, or Ambivalent Process?. Canadian Journal of Community Mental Health.
39(3): 17-31. https://doi.org/10.7870/cjcmh-2020-018
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