Cited by 160Mindfulness and Compassion InterventionsSchizophrenia research and treatmentReligion, Spirituality, and Psychology

Responding mindfully to distressing psychosis: A grounded theory analysis

Abba, Nicola, Chadwick, Paul, Stevenson, Chris·2008·Psychotherapy Research

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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Crossref · 10.1080/10503300701367992

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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].”

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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
Venue
Psychotherapy Research
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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