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Stigma expectations in first episode psychosis: relationships with aversive experiences of mental health and the impact on subjective recovery

Jagielska-Hall, D.; (2010) Stigma expectations in first episode psychosis: relationships with aversive experiences of mental health and the impact on subjective recovery. Doctoral thesis, UCL (University College London).

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Abstract

This thesis focuses on self-stigma in psychosis. The first part, the systematic literature review, examines the theory of self-stigma and distinguishes between two processes described under this term: internalised stigma and stigma expectations. The literature review then focuses on evaluating available measures of internalised stigma and comments on their ability to capture the concept in question. Following this, empirical studies of the impact of internalising stigma on the lives of people with schizophrenia are reviewed. This constitutes a basis for drawing clinical implications and suggesting future research. The empirical part focuses on the second mechanism of self-stigma, stigma expectations. This project builds on the data set collected for three previous D.Clin. Psy projects completed by Agnieszka Gunning (2007), Tristan Morland (2007) and Kate Theodore (2008). This part starts with a summary of findings from the studies on the impact of stigma expectations on people with mental illness. It then describes the research undertaken by the author: a cross-sectional study of stigma expectations in first episode psychosis. The aims of the study were two-fold. First, to establish whether hospitalisation and detention under the Mental Health Act impact on the strength of stigma expectations of individuals with first episode psychosis. Second, to determine whether the strength of stigma expectations impacts on the subjective sense of recovery. The results of the study, its clinical implications and limitations are then discussed. Future directions for research are suggested. The thesis concludes with a critical evaluation of the entire project. The reasons for my interest in the stigma of mental health are presented. Decisions made and difficulties encountered during the project are discussed. An emphasis is placed on an evaluation of the measures used in the empirical study. The appraisal concludes with consideration of ethical issues and the author's reflections on the concept of recovery.

Type:Thesis (Doctoral)
Title:Stigma expectations in first episode psychosis: relationships with aversive experiences of mental health and the impact on subjective recovery
Language:English
Additional information:Thesis in two volumes: volume 2 is restricted
UCL classification:UCL > School of Life and Medical Sciences > Faculty of Brain Sciences > Psychology and Language Sciences (Division of)

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