Not the story you want? Assessing the fit of a conceptual framework characterising mental health recovery narratives

Llewellyn-Beardsley, J. et al. (2020) Not the story you want? Assessing the fit of a conceptual framework characterising mental health recovery narratives. Social Psychiatry and Psychiatric Epidemiology, 55, pp. 295-308. (doi: 10.1007/s00127-019-01791-x) (PMID:31654089)

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Abstract

Purpose: Narratives of recovery have been central to the development of the recovery approach in mental health. However, there has been a lack of clarity around definitions. A recent conceptual framework characterised recovery narratives based on a systematic review and narrative synthesis of existing literature, but was based on a limited sample. The aims of this study were to assess the relevance of the framework to the narratives of more diverse populations, and to develop a refined typology intended to inform narrative-based research, practice and intervention development. Method: 77 narrative interviews were conducted with respondents from four under-researched mental health sub-populations across England. Deductive and inductive analysis was used to assess the relevance of the dimensions and types of the preliminary typology to the interview narratives. Results: Five or more dimensions were identifiable within 97% of narratives. The preliminary typology was refined to include new definitions and types. The typology was found not to be relevant to two narratives, whose narrators expressed a preference for non-verbal communication. These are presented as case studies to define the limits of the typology. Conclusion: The refined typology, based on the largest study to date of recovery narratives, provides a defensible theoretical base for clinical and research use with a range of clinical populations. Implications for practice include ensuring a heterogeneous selection of narratives as resources to support recovery, and developing new approaches to supporting non-verbal narrative construction.

Item Type:Articles
Status:Published
Refereed:Yes
Glasgow Author(s) Enlighten ID:Bradstreet, Dr Simon
Authors: Llewellyn-Beardsley, J., Rennick-Egglestone, S., Bradstreet, S., Davidson, L., Franklin, D., Hui, A., McGranahan, R., Morgan, K., Pollock, K., Ramsay, A., Smith, R., Thornicroft, G., and Slade, M.
College/School:College of Medical Veterinary and Life Sciences > School of Medicine, Dentistry & Nursing
Journal Name:Social Psychiatry and Psychiatric Epidemiology
Publisher:Springer
ISSN:0933-7954
ISSN (Online):1433-9285
Published Online:25 October 2019
Copyright Holders:Copyright © The Authors 2019
First Published:First published in Social Psychiatry and Psychiatric Epidemology 55:295-308
Publisher Policy:Reproduced under a Creative Commons license

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