Toward positive psychosocial practice in psychosis: In pursuit of subjective wellbeing in severe mental ill-health
Keywords:subjective wellbeing, positive psychosocial practice, positive clinical psychology, psychosis, severe mental ill-health
AbstractThis article summarises and reflects on the scarce literature on the subject of positive psychosocial practice in the clinical specialism of complex and enduring mental health needs, such as psychosis. An attempt is made to demonstrate that such practice is not only achievable among individuals with severe psychological difficulties but, indeed, has already begun to develop, although it seems still in its infancy. The literature reviewed in this paper appears to indicate that a person with psychosis is as capable of experiencing subjective wellbeing as any other person in the general population. However, in order to promote wellbeing and sustained recovery among such individuals, a specialist psychosocial input needs to be delivered in a positive – that is integrative, person-based, collaborative, socially inclusive, and flow-inducing – manner. Furthermore, the article endeavours to demonstrate that in order to effect a fundamental shift in the perception of severe mental ill-health from a deficit-based and psychopathology-oriented stance toward a person-based and socially inclusive one, the principles of positive practice need to inform a wide range of clinical and social activities, including assessment, intervention, interpersonal reengagement and public policy development. It is nevertheless acknowledged that positive psychosocial approaches to psychosis are still in their infancy and relevant research studies remain considerably underrepresented, and in many aspects virtually non-existent. Hence, it is suggested that future research in positive clinical psychology within the specialty of complex, severe and enduring mental ill-health is actively encouraged and pursued by both clinicians and academics.
Authors who publish with this journal agree to the following terms:
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution Non-Commercial No Derivatives License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal. The license prevents others from using the work for profit without the express consent of the author(s). The license also prevents the creation of derivative works without the express consent of the author(s). Note that derivative works are very similar in nature to the original. Merely quoting (and appropriately referencing) a passage of a work is not making a derivative of it.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).