Background and Hypothesis Recovering from a first psychosis is a highly individual process and requires the person to make sense of their experiences. Clinicians, in turn, need to comprehend these first-person perspectives, creating a mutual sense-making dynamic. Antipsychotic medication is a substantial part of psychosis treatment. Providing insight in the lived experience of recovery with antipsychotics could improve the mutual understanding and help bridge the gap between the perspective of the clinician and that of the person recovering from psychosis. Study Design 14 persons in recovery from a first psychosis with the use of antipsychotics were interviewed. Their narratives were analyzed using Interpretative Phenomenological Analysis (IPA). Study Results Five overarching themes were found, representing important and meaningful experiences in recovering with antipsychotic medication. Theme 1: antipsychotics as external dampening (4 subthemes); Theme 2: shifting of realities; Theme 3: pace of recovery; Theme 4: antipsychotics’ influence on identity; and Theme 5: is it truly the antipsychotics? Conclusions Our findings show that recovery from psychosis with antipsychotics is an all-encompassing, multi-faceted, and ambivalent experience. The themes found in this research could inspire clinicians to discuss less obvious aspects of the experience of recovering with antipsychotics. Even more so, paying attention to the first-person perspective could lead to a more thorough understanding and benefit therapeutic relationships.

中文翻译：

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使用抗精神病药物从第一次精神病中恢复：一项定性现象学研究


背景和假设 从第一次精神病中恢复是一个高度个人化的过程，需要这个人理解他们的经历。反过来，临床医生需要理解这些第一人称视角，从而创造一种相互理解的动态。抗精神病药物是精神病治疗的重要组成部分。提供对抗精神病药物康复生活经验的见解可以增进相互理解，并有助于弥合临床医生和精神病康复者的观点之间的差距。研究设计 对 14 名使用抗精神病药物从首次精神病中恢复的人进行了访谈。他们的叙述使用解释性现象学分析 （IPA） 进行分析。研究结果发现了五个总体主题，代表了使用抗精神病药物恢复的重要和有意义的经历。主题 1：抗精神病药作为外部阻尼（4 个子主题）;主题 2：现实的转变;主题 3：复苏速度;主题 4：抗精神病药对身份的影响;和主题 5：真的是抗精神病药吗？结论 我们的研究结果表明，使用抗精神病药物从精神病中恢复是一种包罗万象、多方面和矛盾的体验。本研究中发现的主题可以激发临床医生讨论使用抗精神病药物恢复经验的不太明显的方面。更重要的是，关注第一人称视角可以导致更透彻的理解并有益于治疗关系。