The person in recovery from acute and severe psychosis: The role of dependency, self-criticism, and efficacy

Golan Shahar, Larry Davidson, Peter Trower, Zaffer Iqbal, Max Birchwood, Paul Chadwick

Research output: Contribution to journalArticlepeer-review

24 Scopus citations

Abstract

The role of 3 personality dimensions (i.e., dependency, self-criticism, and efficacy) in recovery from an acute and severe psychosis was examined. Conceptualizing psychosis as involving difficulties in establishing psychological boundaries, the authors hypothesized that dependency has a greater disruptive effect on recovery than self-criticism. Results of a reanalysis of longitudinal data (N = 76) of people with schizophrenia spectrum disorders during recovery from acute psychosis were consistent with this hypothesis: Dependency predicted depressive and negative symptoms, and, under low efficacy, perceived loss of independence and insight into the presence of the illness. These findings elucidate the central role of interpersonal relatedness as a foundation for self-definition in recovery from psychosis.

Original languageEnglish
Pages (from-to)480-488
Number of pages9
JournalAmerican Journal of Orthopsychiatry
Volume74
Issue number4
DOIs
StatePublished - 1 Oct 2004
Externally publishedYes

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Arts and Humanities (miscellaneous)
  • Psychology (miscellaneous)
  • Psychiatry and Mental health

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