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A discourse analyses of persons living with psychotic like experiences

Walsh, Jim (2020) A discourse analyses of persons living with psychotic like experiences. PhD thesis, Dublin City University.

Abstract
A growing number of epidemiology studies have determined significant rates of psychotic experiences throughout general/non-clinical populations. Typically, the term used to classify these phenomena is ‘Psychotic Like Experiences’ described in terms of aberrations, attenuated psychosis or magical ideation. In accordance with Social Constructionist theory, it is expected that there are various interpretations and applications of this knowledge. These range from identification of a psychosis phenotype in order to ascertain those at risk of transition into psychotic illness; to an anti-separation, a normalisation approach whereby the existence of psychotic experiences is portrayed as integral to the human condition, ‘as part of ordinary mental life’. The former is promoted as a route to develop early intervention and prevention health programmes; the latter as part of an anti-stigma and social inclusion agenda. However, there are few qualitative studies into the lives of those living with PLEs beyond the ‘professional, statutory health domain’ and certainly none that attempts to explore the conceptualisations, the social impact and subsequent discourses created by those living with PLEs specifically in Ireland. As part of Social Constructionist theory language and discourse are the primary source that shape the human world where social objects such as psychotic experiences are deliberated. Through the deployment of discourse analysis this thesis sets out to explore discursive devices that arise from texts created by a number of participants living with PLEs in Ireland. Discourse Analysis can help participant groups develop their discourse through consciousness raising including the identification of compromises and contradictions that destabilise social agendas - that of normalisation. The identification of discursive repertoires revealed participant positioning and a number of compromises and dilemmas. Summarily, these were found to be: The continuation 2 of social exclusion through Othering; internalization of a social phenomenon; the individualization of a universal experience; accountability and responsibility and absorption of neo-liberal ideals. I conclude with suggestions to enhance a truth claim, or ‘candidate for knowledge’ through the symbiosis of knowledge, experience and expertise from within the very thing they resist – the meta/grand narratives of psychosis.
Metadata
Item Type:Thesis (PhD)
Date of Award:November 2020
Refereed:No
Supervisor(s):Mac Gabhann, Liam and Irving, Kate
Subjects:Medical Sciences > Mental health
DCU Faculties and Centres:DCU Faculties and Schools > Faculty of Science and Health > School of Nursing, Psychotherapy & Community Health
Use License:This item is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 3.0 License. View License
ID Code:25001
Deposited On:03 Dec 2020 17:10 by Liam Macgabhann . Last Modified 03 Dec 2020 17:10
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