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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 Greenwood
Objective 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 Research

ISSN

0920-9964

Publisher

Elsevier

Issue

1-2

Volume

168

Page range

153-160

Department 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

2018-02-16

First Compliant Deposit (FCD) Date

2018-02-16

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