Responding mindfully to distressing psychosis: A grounded theory analysis
Abstract
This study investigates the psychological process involved when people with current distressing psychosis learned to respond mindfully to unpleasant psychotic sensations (voices, thoughts, and images). Sixteen participants were interviewed on completion of a mindfulness group program. Grounded theory methodology was used to generate a theory of the core psychological process using a systematically applied set of methods linking analysis with data collection. The theory inducted describes the experience of relating differently to psychosis through a three-stage process: centering in awareness of psychosis; allowing voices, thoughts, and images to come and go without reacting or struggle; and reclaiming power through acceptance of psychosis and the self. The conceptual and clinical applications of the theory and its limits are discussed.
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People with schizophrenia learn through mindfulness to adopt an acceptance-based response to aversive psychotic experiences, which may reduce distress.
“People with schizophrenia learn through mindfulness to abandon their usual response to aversive psychotic experiences—e.g., control efforts and escape-avoidance coping—to adopt a response style fundamentally based on acceptance, which, although counterintuitive, may result in a reduction of the generated distress [25,26].”
From Mindfulness-Based Interventions for People with Schizophrenia: A Systematic Review and Meta-Analysis (2020) · cites this paper as [25]
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“…actually alleviate the distress associated with psychotic symptoms, such as hearing voices, and reduce depression and anxiety (Abba et al., 2008; Chadwick et al., 2008, 2009; Escudero-Perez et al., 2015; Moritz et al., 2015; Randal et al., 2015; Strauss et al., 2015; Tong et al., 2015;…”
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Self-citationDoes mindfulness help people adapt to the experience of hearing voices?
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Evidence-Based Psychotherapy for Schizophrenia 2011 Update
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Entraînement à la pleine conscience en groupe pour atténuer les symptômes psychotiques persistants
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- Authors
- Abba, N., Chadwick, P., & Stevenson, C.
- Affiliations
- Southern Health NHS Foundation Trust (GB)
- Royal South Hants Hospital (GB)
- Dublin City University (IE)
- Corresponding author
- Abba, Nicola
- ORCID
- Chadwick, Paul
- Venue
- Psychotherapy Research
- Publisher
- Informa UK Limited
- Published
- 2008-01
- Volume
- 18
- Issue
- 1
- Pages
- 77-87
- ISSN
- 1050-3307 (ISSN-L)
- 1468-4381
- OpenAlex
- W1988867413
- Cited by
- 159
- References
- 38
- Citations by year
- 2025: 4 · 2024: 3 · 2023: 6 · 2022: 7 · 2021: 9 · 2020: 8 · 2019: 13 · 2018: 6 · 2017: 10 · 2016: 10 · 2015: 12 · 2014: 8 · 2013: 12 · 2012: 19
- FWCI
- 7.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychotherapy Research (publishedVersion)
- PubMed (publishedVersion)
- ePrints Soton (University of Southampton) (submittedVersion)
- Research Portal (King's College London) (submittedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Mindfulness and Compassion Interventions
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Health › Religion, Spirituality, and Psychology
- Keywords
- psychosis, mindfulness, voice, intrusive thoughts, hallucinations, acceptance, self-acceptance, cognitive processes, lived experience of psychosis
- MeSH terms
- Adaptation, Psychological, Adult, Attention, Awareness, Communication, Delusions, Female, Hallucinations, Humans, Internal-External Control, Male, Middle Aged, Paranoid Disorders, Personality Assessment, Power, Psychological, Professional-Patient Relations, Psychological Theory, Psychotherapy, Group, Psychotic Disorders, Reality Testing, Self Concept, Patient Satisfaction, Young Adult
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