Individuals’ experiences of hope in mental health recovery: an interpretative phenomenological analysis

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dc.contributor.advisor Mulcahy, Helen en
dc.contributor.advisor O'Mahony, James en
dc.contributor.advisor Bradley, Stephen en
dc.contributor.author Murphy, Johanna Carmel
dc.date.accessioned 2019-06-18T12:08:18Z
dc.date.issued 2019
dc.date.submitted 2019
dc.identifier.citation Murphy, J. C. 2019. Individuals’ experiences of hope in mental health recovery: an interpretative phenomenological analysis. PhD Thesis, University College Cork. en
dc.identifier.endpage 225 en
dc.identifier.uri http://hdl.handle.net/10468/8064
dc.description.abstract Background: Mental health services both nationally and internationally have embraced the philosophy and practice of mental health recovery. Service users have consistently identified hope as the catalyst of their mental health recovery, while research has confirmed hope as one of five micro-processes of recovery. However, no study has specifically explored the experience and meaning of hope in mental health recovery. Aim: To explore how individuals describe and make sense of their experience of hope in the context of their recovery from mental health issues. Method: A qualitative Interpretative Phenomenological Analysis (IPA) approach was used. A purposeful sample of 11 individuals was accessed via 2 national email networks. Data were generated through in-depth semi-structured interviews which were audiotaped, transcribed and finally analysed using a 6 step framework developed for IPA. Findings: Analysis generated three superordinate themes which were: “Without it we would wither up and die” - Hope as intrinsic to life; “I will be ok” - Having a sense of possibility and “Making it happen” - Moving forward. Discussion: Further interrogative analysis identified key new findings related to the temporal contextuality within which the experience of hope is located with three key foci emerging strongly. These were: the paradoxical experience of having no hope when attempts were made to end life; the experience of being prescribed psychotropic medication; and the experience of being admitted involuntarily to hospital. Conclusion and Implications: The experience of hope in mental health recovery is highly contextual and dynamic. While the experience of having “no hope” was seen to crystalise the criticality of hope to life, mental health practitioners and educators need to cultivate a more accessible dialogue of “hope” that harnesses its therapeutic potential. The experience both of being prescribed psychotropic medication and that of being admitted involuntarily to mental health services were found to have a significant, predominantly negative, impact on the experience of hope. Thus there is a critical need to access individual interpretations of hope as part of a person-centred approach to practice underpinned by the cultivation of therapeutic relationships. en
dc.format.mimetype application/pdf en
dc.language.iso en en
dc.publisher University College Cork en
dc.rights © 2019, Johanna Carmel Murphy. en
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/ en
dc.subject Hope en
dc.subject Mental health recovery en
dc.subject Interpretative phenomenological analysis en
dc.title Individuals’ experiences of hope in mental health recovery: an interpretative phenomenological analysis en
dc.type Doctoral thesis en
dc.type.qualificationlevel Doctoral en
dc.type.qualificationname DN - Doctor of Nursing en
dc.internal.availability Full text not available en
dc.check.info Indefinite en
dc.check.date 10000-01-01
dc.description.version Accepted Version
dc.description.status Not peer reviewed en
dc.internal.school Nursing and Midwifery en
dc.check.reason This thesis is due for publication or the author is actively seeking to publish this material en
dc.check.opt-out Not applicable en
dc.thesis.opt-out false
dc.check.entireThesis Entire Thesis Restricted
dc.check.embargoformat Apply the embargo to both hard bound copy and e-thesis (If you have submitted an e-thesis and a hard bound thesis and want to embargo both) en
ucc.workflow.supervisor helen.mulcahy@ucc.ie
dc.internal.conferring Summer 2019 en


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© 2019, Johanna Carmel Murphy. Except where otherwise noted, this item's license is described as © 2019, Johanna Carmel Murphy.
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