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

dc.check.date10000-01-01
dc.check.embargoformatApply 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
dc.check.entireThesisEntire Thesis Restricted
dc.check.infoIndefiniteen
dc.check.opt-outNot applicableen
dc.check.reasonThis thesis is due for publication or the author is actively seeking to publish this materialen
dc.contributor.advisorMulcahy, Helenen
dc.contributor.advisorO'Mahony, Jamesen
dc.contributor.advisorBradley, Stephenen
dc.contributor.authorMurphy, Johanna Carmel
dc.date.accessioned2019-06-18T12:08:18Z
dc.date.issued2019
dc.date.submitted2019
dc.description.abstractBackground: 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.description.statusNot peer revieweden
dc.description.versionAccepted Version
dc.format.mimetypeapplication/pdfen
dc.identifier.citationMurphy, J. C. 2019. Individuals’ experiences of hope in mental health recovery: an interpretative phenomenological analysis. PhD Thesis, University College Cork.en
dc.identifier.endpage225en
dc.identifier.urihttps://hdl.handle.net/10468/8064
dc.language.isoenen
dc.publisherUniversity College Corken
dc.rights© 2019, Johanna Carmel Murphy.en
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/3.0/en
dc.subjectHopeen
dc.subjectMental health recoveryen
dc.subjectInterpretative phenomenological analysisen
dc.thesis.opt-outfalse
dc.titleIndividuals’ experiences of hope in mental health recovery: an interpretative phenomenological analysisen
dc.typeDoctoral thesisen
dc.type.qualificationlevelDoctoralen
dc.type.qualificationnameDN - Doctor of Nursingen
ucc.workflow.supervisorhelen.mulcahy@ucc.ie
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