The process of recovery from bipolar I disorder: a qualitative analysis of personal accounts in relation to an integrative cognitive model.
Abstract
Objectives. This study explored the process of recovery from bipolar I disorder from a phenomenological and cognitive perspective. Design. A semi‐structured interview was coded and analysed using interpretative phenomenological analysis. Methods. Eleven individuals over the age of 30 with a history of bipolar disorder were selected on the basis of having remained free from relapse, and without hospitalization for at least 2 years, as confirmed by a diagnostic interview (Standardised Interview for DSM‐IV; SCID‐I). This arbitrary and equivocal criterion for ‘recovery’ provided an objective method of defining the sample for the study. Results. The analysis revealed two overarching themes formed from four themes each. Ambivalent approaches referred to approaches that participants felt had both positive and negative consequences: avoidance of mania, taking medication, prior illness versus current wellness, and sense of identity following diagnosis. Helpful approaches referred to approaches that were seen as universally helpful: understanding, life‐style fundamentals, social support and companionship, and social change. Conclusions. These themes were then interpreted in the light of the existing literature and an integrative cognitive model of bipolar disorder. Limitations and future research directions are discussed.
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In studies exploring recovery from bipolar disorders, participants described conflicts between striving for wellness whilst wanting to retain the positive influences of mania.
“In studies exploring recovery from bipolar disorders, participants described conflicts between striving for wellness whilst wanting to retain the positive influences of mania (Mansell, Powell, Pedley, Thomas, & Jones, 2010).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Mansell, Powell, Pedley, Thomas, & Jones, 2010
These findings support the idea that clients have contrasting views of internal states and how to control them.
“These findings support the idea that clients have contrasting views of internal states and how to control them (Mansell et al., 2010).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Mansell et al., 2010
Clients have reported that living purposeful lives is more important to them than avoiding relapse.
“For example, clients have reported that living purposeful lives is more important to them than avoiding relapse (Mansell et al., 2010).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Mansell et al., 2010
Participants have emphasised the importance of a purposeful, fulfilling life over remaining relapse-free, including facing social fears through increasing social activity and learning to express one's own needs.
“Participants have emphasised the importance of a purposeful, fulfilling life over remaining relapse-free (Todd et al., 2012) including facing social fears through increasing social activity and learning to express one's own needs (Mansell et al., 2010).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Mansell et al., 2010
Increasing social contact has been reported as a contributor to recovering from bipolar disorders.
“Increasing social contact has been reported as a contributor to recovering from bipolar disorders (Mansell et al., 2010).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Mansell et al., 2010
Others reported that fear of relapse can lead to hyper-attentiveness around warning signs and counterproductive safety behaviours.
“However, others reported that fear of relapse can lead to hyper-attentiveness around warning signs and counterproductive safety behaviours (Mansell et al., 2010).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Mansell et al., 2010
The authors' experience and knowledge of mental health problems and psychotherapy may have influenced the interviews and analysis, such as through recognising meaningful issues for therapy participants.
“The authors' experience and knowledge of mental health problems and psychotherapy may have influenced the interviews and analysis, such as through recognising meaningful issues for therapy participants (Mansell et al., 2010).”
From What are People's Experiences of a Novel Cognitive Behavioural Therapy for Bipolar Disorders? A Qualitative Investigation with Participants on the TEAMS Trial. (2017) · cites this paper as Mansell et al., 2010
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Cognitive Behavioural Processes across Psychological Disorders (DRAFT)
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Self-citationBipolar disorder and quality of life: a patient-centered perspective
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Researching recovery from psychosis: a user-led project
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Mansell, W., & Jones, S. H. (2006) · Journal of Affective Disorders · doi:10.1016/j.jad.2006.04.004 · Cited by 65 · see citing works
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Murray, G., Leitan, N. D., Thomas, N., Michalak, E. E., Johnson, S. L., Jones, S., Perich, T., Berk, L., & Berk, M. (2017) · Clinical Psychology Review · doi:10.1016/j.cpr.2017.01.002 · Cited by 87 · see citing works
Self-citationTODD, N. J., JONES, S. H., & LOBBAN, F. A. (2012) · Journal of Mental Health · doi:10.3109/09638237.2011.621471 · Cited by 89 · see citing works
Self-citationOnline and mobile technologies for self-management in bipolar disorder: A systematic review.
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Psychological therapy for anxiety in bipolar spectrum disorders: A systematic review
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“(14) identified themes around the importance of self-management.”
BackgroundBerk, L., Hallam, K. T., Venugopal, K., Lewis, A. J., Austin, D. W., Kulkarni, J., Dodd, S., de Castella, A., Fitzgerald, P. B., & Berk, M. (2017) · Bipolar Disorders · doi:10.1111/bdi.12486 · Cited by 22 · see citing works
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Self-citation
- Authors
- Mansell, W., Powell, S., Pedley, R., Thomas, N., & Jones, S. A.
- Affiliations
- University of Manchester (GB)
- University of Leeds (GB)
- Corresponding author
- Mansell, Warren
- Venue
- British Journal of Clinical Psychology
- Publisher
- Wiley
- Published
- 2010-06
- Volume
- 49
- Issue
- 2
- Pages
- 193-215
- ISSN
- 0144-6657 (ISSN-L)
- 2044-8260
- OpenAlex
- W2051659988
- Cited by
- 61
- References
- 5
- Citations by year
- 2026: 1 · 2025: 2 · 2024: 3 · 2023: 1 · 2022: 1 · 2021: 5 · 2020: 1 · 2019: 5 · 2018: 9 · 2017: 5 · 2016: 5 · 2015: 4 · 2014: 5 · 2013: 1 · 2012: 8
- FWCI
- 2.36
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- British Journal of Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Research Explorer (The University of Manchester) (submittedVersion)
- Funders
- Economic and Social Research Council (ES/F037449/1)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Bipolar Disorder and Treatment
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- bipolar I disorder, recovery, relapse prevention, personal account, ambivalence, medication adherence, social support, lifestyle, social change
- MeSH terms
- Adult, Attitude to Health, Bipolar Disorder, Convalescence, Factor Analysis, Statistical, Female, Humans, Interview, Psychological, Male, Middle Aged, Cognitive Behavioral Therapy, Treatment Outcome, Delivery of Health Care, Integrated
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