Representations and Strategies for Recovery
Condition: Schizophrenia, Undifferentiated; Anorexia; Bipolar Disorders; Personality Disorders
MeSH terms: Anorexia; Schizophrenia; Bipolar Disorder; Personality Disorders
Study type: Interventional

Summary: 
      In the recent context of deinstitutionalization and longitudinal studies pointing to a large
      number of positive long-term outcommes for people affected by a psychiatric disorder
      (schizophrenia, bipolar disorder, eating disorder, severe personality disorder, etc.), the
      possibility of overcoming the consequences of a psychiatric pathology emerges as a solid
      fact. Therefore, the existence of this possibility calls for the identification of the
      determinants underlying of the various outcomes over time of those affected by a severe
      psychiatric disorder, in particular those likely to underpin the most positive developments.

      While it is well known from a medical point of view that certain dimensions affect the
      prognosis of persons affected by a severe psychiatric disorder (such as the persistence of
      negative symptoms or cognitive disorders in schizophrenic disorders), prognosis from a purely
      medical perspective (and putting aside the role of the person and his environment) seems to
      be able to account only for a modest proportion of the prognosis of people affected by a
      serious psychiatric disorder.

      It is this fact that has gradually led to the emergence of complementary models capable of
      enriching the understanding of the determinants of the future of people affected by a severe
      psychiatric disorder, in particular models inviting to separate "becoming of the person" from
      the " psychiatric disorder "to take into account the" personal role of the person "in his or
      her own healing. This perspective is the "recovery" perspective.

      Recovery process is defined as a personal trajectory which includes the person's experiences
      and the reactions of his / her environment following the installation of a psychiatric
      disorder, which can support a mode of release of the status of "psychiatric patient".
      Recovery thus implies an "approach underpinned by the understanding of the human response to
      pathology" (Noiseux) and, one might add, of its environment.

      However, while these studies point to a number of crucial dimensions involved in the recovery
      of a severe psychiatric disorder, one of the important limitations of these studies is the
      distance from any psychopathological consideration, thus setting aside the possibility of
      specific processes of recovery depending of the pathology. The identification of recurrent
      experiential logics specific to the various psychiatric disorders therefore appears to be an
      important field of investigation. It would potentially be able to guide the development of
      new therapeutic devices based on the recovery model.
    

Detailed description: 
      1. Elaboration of a semi directed grid (exploratory phase)

        2. Collection of individual narratives

        3. Data analysis, according to IPA method (interpretative phenomenological analysis)

             -  On the basis of individual narratives

             -  On the basis of a focus group

        4. Publication of results
    

Intervention name(s): Collection of the individual narrative, semi-directed interviews
Intervention type(s): Behavioral
Intervention description(s): Visit one : individual interview Individual narrative Passing Psychometric Measurement Scales of Recovery: Score at Warwick and Wellness Scale Andreasen scale score Visit two Focus group
Allocation: Non-Randomized
Intervention model: Parallel Assignment
Masking: None (Open Label)
Primary purpose: Other
Keywords: schizophrenia; anorexia; bipolar disorders; personality disorders