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UBC Theses and Dissertations

Youth psychosis & family involvement : narratives of a working alliance O’Brien, David

Abstract

Youth psychosis often represents a tumultuous disruption to individual and family life. Researchers and family advocates have recommended mental health service providers work with family caregivers of the seriously mentally ill as "partners" and "allies" in the recovery effort. Little research has examined the experiences and process interactions of these potential partners as they seek to form a working alliance in the context of treatment planning. A qualitative study conducted as a narrative phenomenology was undertaken to explore the experiences related to family involvement in an early psychosis intervention program of a family caregiver, a youth recovering from psychosis, and his primary social worker. A core narrative representing the illness and recovery journey and their perspectives on family involvement was extracted from a joint interview with all three participants. In individual follow-up interviews participants further elaborated on themes related to the effects of illness on personal agency, autonomy and their relationships. Results also addressed how participants constructed "recovery" as well as how the family member participated as an advocate and established a collaborative relationship with the social worker.

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