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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 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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Metadata
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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