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Hope-inspiring therapeutic relationships, professional expectations and social inclusion for young people with psychosis
journal contribution
posted on 2023-06-08, 22:07 authored by Clio BerryClio Berry, Kathryn GreenwoodKathryn GreenwoodObjective Personal recovery accounts suggest that a positive therapeutic relationship with an optimistic mental health professional may facilitate social inclusion. However, little empirical research has investigated the role of the therapeutic relationship in social outcomes or explored potential mechanisms of change within community psychosis care. This study investigated the direct predictive associations of the therapeutic relationship and professional expectancies for social inclusion and vocational activity for young people with psychosis, and indirect associations through hopefulness. Method Young people with psychosis and their main mental health professional (n = 51 dyads) participated across two time points. Measures of therapeutic relationships, professional expectancies, and vocational activity were obtained at baseline. Measures of hopefulness, social inclusion and vocational activity were obtained at follow-up. Direct and indirect associations between variables were analysed using path modelling. Results Directed path models were consistent with a positive therapeutic relationship and positive professional expectancies predicting social inclusion and vocational activity through mediation by increased patient domain-specific hopefulness. The professional-rated therapeutic relationship more directly predicts change in vocational activity status. Change in vocational activity status predicts increased patient hopefulness. Conclusion The therapeutic relationship between professionals and young people with psychosis appears hope-inspiring and important to patients' social inclusion and vocational outcomes. Vocational activity may produce reciprocal gains in hopefulness.
History
Publication status
- Published
Journal
Schizophrenia ResearchISSN
0920-9964Publisher
ElsevierExternal DOI
Issue
1-2Volume
168Page range
153-160Department affiliated with
- Psychology Publications
Research groups affiliated with
- Developmental and Clinical Psychology Research Group Publications
Full text available
- No
Peer reviewed?
- Yes
Legacy Posted Date
2018-02-16First Compliant Deposit (FCD) Date
2018-02-16Usage metrics
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