A “trigger”, a cause or obscured? How trauma and adversity are constructed in psychiatric stress-vulnerability accounts of “psychosis”
Article
Harper, D., O'Donnell, E. and Platts, S. 2020. A “trigger”, a cause or obscured? How trauma and adversity are constructed in psychiatric stress-vulnerability accounts of “psychosis”. Feminism & Psychology. 31 (1), pp. 19-40. https://doi.org/10.1177/0959353520954313
Authors | Harper, D., O'Donnell, E. and Platts, S. |
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Abstract | How do mental health professionals link adverse life experiences with the kinds of beliefs and experiences which attract a diagnosis of psychosis and what implications does this have for women with these diagnoses? Drawing on a broadly critical realist framework, we present data from two studies relevant to these questions. First, we analyse the discursive practices engaged in during a staff-only discussion of a female in-patient with a psychosis diagnosis who had been raped some years previously. Staff oriented to the irrationality and factuality of her ostensibly delusional statements about rape and pregnancy in the present and formulated adverse experience as a ‘stress factor’ triggering a manic episode, thereby precluding alternative contextualising interpretations. In a second, interview-based, study, psychiatrists drew on a range of discursive resources which differentiated psychosis from other forms of distress, constructed trauma as a stressor which could trigger psychosis because of a genetic predisposition, and constructed medication as the primary intervention whilst a focus on trauma was de-emphasised. We discuss the implications of these findings for the kinds of explanations and forms of help offered and suggest ways in which distress might be contextualised as well as possible future directions for feminist research and practice |
Keywords | Psychosis; trauma; stress-vulnerability; discourse analysis |
Journal | Feminism & Psychology |
Journal citation | 31 (1), pp. 19-40 |
ISSN | 1461-7161 |
0959-3535 | |
Year | 2020 |
Publisher | SAGE Publications |
Accepted author manuscript | License File Access Level Anyone |
Digital Object Identifier (DOI) | https://doi.org/10.1177/0959353520954313 |
Publication dates | |
Online | 06 Oct 2020 |
Publication process dates | |
Accepted | 31 Jul 2020 |
Deposited | 04 Aug 2020 |
Copyright information | Users who receive access to an article through a repository are reminded that the article is protected by copyright and reuse is restricted to non-commercial and no derivative uses. Users may also download and save a local copy of an article accessed in an institutional repository for the user's personal reference. |
Additional information | This article has been accepted for publication in Feminism & Psychology, special issue ‘The Politics of Psychological Suffering’. |
https://repository.uel.ac.uk/item/88453
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Accepted author manuscript
Harper et. al 2020, A ‘trigger’, a cause or obscured.pdf | ||
License: All rights reserved | ||
File access level: Anyone |
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