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Two people making sense of a story: Narrative Exposure Therapy as a trauma intervention in Early Intervention in Psychosis

Sparrow, Rachel; Fornells-Ambrojo, Miriam; (2024) Two people making sense of a story: Narrative Exposure Therapy as a trauma intervention in Early Intervention in Psychosis. European Journal of Psychotraumatology 10.1080/20008066.2024.2355829. Green open access

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Abstract

BACKGROUND: Narrative exposure therapy (NET) is a recommended intervention for people with multiple trauma histories; however, research is lacking into its use with people experiencing psychosis, many of whom report multiple trauma histories. OBJECTIVE: This study aimed to explore experiences of NET in early intervention in psychosis (EIP) services. METHOD: Eight clinicians and four experts with lived experience (experts by experience) of psychosis and multiple trauma were interviewed on a single occasion using two versions (clinician and expert by experience) of a semi-structured interview schedule. Data was analysed using thematic analysis. RESULTS: Five overarching themes were generated, relating to fear and avoidance of memories, importance of trust, organizing memories and making new meaning, reconnecting with emotions, and considerations when delivering NET in EIP. CONCLUSIONS: Directly addressing the impact of multiple trauma in people experiencing first episode psychosis is frightening and emotive, but helps to address painful memories and organize them into a personal narrative. Increases in distress and anomalous experiences were carefully considered by clinicians, but typically outweighed by the benefits of NET. Challenges were comparable to those described in non-psychosis research. Implications for clinical practice and future research are outlined.

Type: Article
Title: Two people making sense of a story: Narrative Exposure Therapy as a trauma intervention in Early Intervention in Psychosis
Open access status: An open access version is available from UCL Discovery
DOI: 10.1080/20008066.2024.2355829
Publisher version: https://doi.org/10.1080/20008066.2024.2355829
Language: English
Additional information: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Psychosis; trauma; trauma intervention; multiple trauma; narrative exposure therapy; qualitative; lived experience; NET; early intervention in psychosis; clinician experience
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Brain Sciences > Div of Psychology and Lang Sciences > Clinical, Edu and Hlth Psychology
URI: https://discovery.ucl.ac.uk/id/eprint/10191927
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