Traumatic loss and psychosis – Reconceptualising the role of trauma in psychosis.
Open accessAbstract
Literature suggests that the occurrence of psychological trauma (PT) from various negative life experiences beyond events mentioned in the DSM-criterion A, receives little to no attention when comorbid with psychosis. In fact, despite research indicating the intricate interplay between PT and psychosis, and the need for trauma-focused interventions (TFI), there continue to be mixed views on whether treating PT would worsen psychosis, with many practitioners hesitating to initiate treatment for this reason. This study, therefore, aimed to understand patient perspectives on the role of PT in psychosis and related treatment options. A qualitative exploratory approach was adopted using in-depth interviews with individuals experiencing psychosis. The Global Assessment of Functioning (GAF) scale was administered on a predetermined maximum variation sample resulting in two groups of participants- those with moderate-mild disability (GAF 54-80; n = 10) and those experiencing moderate-severe disability (GAF 41-57; n = 10). With the former group, a semi-structured interview schedule was used, while with the latter, owing to multiple symptoms and difficulty in cognitive processing, a structured interview schedule was used. Results from interpretative phenomenological analysis (IPA) indicated that traumatic loss was central to experienced PT, but received no attention; this often contributed to the psychotic experience and/or depression, through maintenance factors such as cognitive distortions and attenuated affective responses. Further, the experience of loss seems to be more consequential to trauma-related symptoms than the event itself. Participants opined strongly the need for TFI and the role of it in promoting recovery from psychosis.
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People with psychosis experience a lack of opportunities to discuss and address trauma, both within and outside mental healthcare.
“they experience a lack of opportunities to discuss and address trauma, both within and outside mental healthcare (31–33).”
From Making meaning of trauma in psychosis (2023) · cites this paper as [32]
The Results (Thematic outcomes; page unavailable) report that most participants received no care for factors related to traumatic loss, supporting a lack of opportunities to address trauma in mental healthcare. Participants also described a need for social support, but the paper does not establish that they lacked opportunities to discuss or address trauma outside healthcare. (LLM, conf=0.83)
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Christensen, D. C. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.026
Smith, S. L. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.023
Bhabha, F. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.012
Supported Decision-Making and Legal Capacity in Kenya
Kamundia, E., & Plessis, I. G.-D. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.016
Stein, M. A., Mahomed, F., Patel, V., & Sunkel, C. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.001
Stein, M. A., Mahomed, F., Patel, V., & Sunkel, C. (2021) · Cambridge University Press eBooks · doi:10.1017/9781108979016.002
Modifizierte psychodynamische Psychotherapie von Menschen mit Schizophrenien
von Haebler, D. (2026) · Forensische Psychiatrie Psychologie Kriminologie · doi:10.1007/s11757-026-00928-4
- Authors
- Vallath, S., Ravikanth, L., Regeer, B., Borba, P. C., Henderson, D. C., & Scholte, W. F.
- Affiliations
- Vrije Universiteit Amsterdam (NL)
- The Banyan Academy of Leadership in Mental Health (BALM), Centre for Social Action and Research, Kanchipuram, India
- Department of Psychiatry, Boston School of Medicine, MA, USA
- Arq Psychotrauma Expert Group (NL)
- Corresponding author
- Vallath, S.
- Venue
- European Journal of Psychotraumatology
- Publisher
- Informa UK Limited
- Published
- 2020-03-26
- Volume
- 11
- Issue
- 1
- Pages
- 1725322-1725322
- ISSN
- 2000-8066 (ISSN-L)
- PMC
- PMC7170325
- OpenAlex
- W3014077979
- Cited by
- 42
- References
- 65
- Citations by year
- 2026: 1 · 2024: 3 · 2023: 2 · 2022: 1 · 2021: 34 · 2020: 1
- FWCI
- 3.80
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- European Journal of Psychotraumatology (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Data Archiving and Networked Services (DANS) (submittedVersion, other-oa)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- VU Research Portal (submittedVersion, other-oa)
- Funders
- Sundaram Fasteners, Centre for Social Action and Research, The Banyan Academy of Leadership in Mental Health (NA)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Posttraumatic Stress Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Keywords
- psychological trauma, psychosis, traumatic loss, trauma-focused interventions, patient perspectives, recovery from psychosis, depression, cognitive distortions, functional disability, trauma comorbidity
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