I know it’s a different Twitter this year, but for those who are still around, I have made a short ‘2022 year in review’ 🧵to keep the tradition going. Only #OpenAccess 🔓 papers published in 2022. From a forthcoming Editorial to the start of the year, it’s been a busy 2022! 1/10
🔜 in Epidemiology and Psychiatric Sciences: we reflect on current methodological trends in psychiatry and aim to build a bridge between two fields that are frequently siloed off from each other— interventional research and phenomenologically-informed research.⏱️this space! 2/10
In Philosophical Psychology, appealing to “position-taking” we understand ‘symptom’ formation in psychosis as a dialectic between anomalous self/world experiences and the person’s efforts at adapting to the ensuing existential challenges. doi.org/10.1080/095150… 3/10
Previously, in @TheLancetPsych, we reviewed all the available qual literature that explored the experience of delusions in psychosis and conducted a thematic synthesis to develop a new theoretical framework grounded in lived experience. doi.org/10.1016/S2215-… 4/10
We found that delusions often involve a radical rearrangement of the lived world dominated by intense emotions, that they are embedded within complex and dynamic processes of intrapersonal and interpersonal identity negotiation and self-constitution, 5/10
and that they are often driven by both individual and intersubjective processes of meaning-making, expressive of a fundamental human need to find coherence and meaning beyond a simple dysfunction framework.
My essay “Overcoming Hermeneutical Injustice in Mental Health: A Role for Critical Phenomenology” winner of the 2021 Wolfe Mays essay prize was published in the Journal of the British Society for Phenomenology doi.org/10.1080/000717… 7/10
And two (2021-online-first) papers were also published:
Ritunnano, R., Humpston, C., & Broome, M. R. (2022). Finding order within the disorder: a case study exploring the meaningfulness of delusions. BJPsych bulletin, 46(2), 109-115 doi.org/10.1192/bjb.20… 8/10
A lot planned already for 2023, kicking off with a mixed-methods empirical investigation of delusions combining phenomenology and linguistics and exploring the roles of #subjectivity, #narrative and #metaphor in the emergence of delusional phenomena in psychosis. 10/10
See you on the other side, here (still hoping) or somewhere else! Happy Holidays 🎄🎄🎄! @IMH_UoB@matthewrbroome /END
Thank you that's a great question! Unfortunately, this information wasn't clearly recorded/delineated in most primary papers for us to be able to draw any conclusions on time course and changes in meaning-making.
This is one of the main limitations we discuss, particularly with regards to the fact that very few studies are available where participants are actively delusional at the time of the interview. Having said so, I think our results still allow to highlight the dynamic
and dialectical processes of searching for meaning that take place throughout the different "phases".
Thank you Phil! Those are both fair points. I think that: 1) new qualitative approaches (e.g., arts based-methods, photo-elicitation etc.) that don't necessarily rely on linguistic abilities may help, along with more attention to biases that may favour the recruitment
of certain populations (those in remission, with "insight" etc.) in qualitative studies.
2) Within the qualitative paradigm (e.g., reflexive TA, IPA) subjectivity is not necessarily a bad thing! To the contrary, it's viewed as something valuable and as a key resource as long as it's acknowledged and becomes part of the analysis through "reflexivity".
It's the first systematic review and qualitative evidence synthesis (QES) to examine the published English-language literature on the lived experience of delusions in help-seeking individuals with psychosis, irrespective of diagnosis and thematic content of the delusion. /2
Our main aim was to gain a deeper and more nuanced understanding of delusional phenomena based on the experiential knowledge of individuals with psychosis as the necessary basis for person-centred assessment and intervention /3
🌟Exciting news🌟 My essay "Overcoming Hermeneutical Injustice in Mental Health: A Role for Critical Phenomenology" - winner of the 2021 Wolfe Mays Essay Prize - is now OUT📑 online in the Journal of the British Society for Phenomenology! ⬇️ @BritishPhen tandfonline.com/doi/full/10.10…
Many thanks again to @PostEurope & @BritishPhen & all committee members 🙏 I really hope this work will bring additional attention to the importance of applied and critical phenomenology across often siloed research areas and help address stigma and injustice in mental health
And, of course, endlessly grateful to my supervisors @matthewrbroome@lisabortolotti and colleagues (particularly Joe Houlders) for their support and for reading what was a very messy first draft of this some time ago...
Before I move forward and officially enter Year-2 of my PhD (as a part-time clinician), let’s take stock of some of the work done so far! There is still a lot (!) to do but here is a short thread for new followers and for those interested #delusions, #psychosis and #meaning 1/7
Here I ask whether delusions could enhance a person’s sense of meaningfulness. This may seem counterintuitive but, Harry tells me he is the happiest man in the world…It’s like a “safety blanket”, he says. What should clinicians do? @matthewrbroome doi.org/10.1192/bjb.20… 2/7
In this opinion piece, we reflect on the role of self-interpretation and meaning-making processes in the context of early psychosis and prediction research...3/7