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    A GROUNDED THEORY OF PERSONAL RECOVERY AMONG PEOPLE WITH MENTAL ILLNESS IN QATAR

    Hickey, Jason

    [Thesis]. Manchester, UK: The University of Manchester; 2018.

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    Abstract

    Background. Personal recovery in mental illness refers to a person’s ongoing journey to find meaning in their life despite the limitations caused by mental illness. This concept arose through the published narratives of mental health service users in Western countries and has gained increasing popularity over the past three decades. Many national mental health strategies and services have incorporated a recovery-based approach into service planning and delivery. However, recovery is a personal journey and there is not a one-size-fits-all approach. Limited investigations of personal recovery in non-Western contexts reveals the importance of factors not commonly cited in the predominant recovery literature. Further examining recovery in non-Western contexts may increase the capacity of mental health services to support recovery for diverse service user populations. The aim of the main empirical study for this thesis was undertaken to develop a theoretical understanding of mental illness self-management in Qatar. Self-management was chosen over a more specific focus on personal recovery in order to expand the potential scope of participants’ concerns and to avoid forcing Western-centric concepts of personal recovery into the study. Methods. The empirical study was conducted in Qatar between February 2016 and June 2017. Classic grounded theory was chosen to address the objectives. Recruitment occurred on inpatient psychiatric units and through word-of-mouth. In-depth, unstructured interviews were conducted in English or Arabic with service users who had a range of nationalities and psychiatric diagnoses. In total, 28 interviews were conducted with 21 service users. Constant comparison was used for analysis. Results. Participants’ main concern was reciprocity membership; they wanted to feel a sense of belonging to a group of others and they wanted there to be reciprocity in those relationships. Reciprocity membership becomes balanced when an individual is satisfied with their contribution to the group, the acknowledgement from other group members, the expectations of the group, and their alignment with the values and interests of the group. This satisfaction is appraised by a sub-process called valuing. If reciprocity membership is appraised as being unsatisfactory or unbalanced, two sub-processes, managing relationships and positioning, are sometimes used to achieve or restore balance. Conclusion. Knowledge created through work undertaken for this PhD provides new understanding of service users’ experiences of mental illness in an Arabic context. Further research is needed about the topic. However, the grounded theory of reciprocity membership provides a potential starting point that mental health professionals can use to support personal recovery.

    Bibliographic metadata

    Type of resource:
    Content type:
    Form of thesis:
    Type of submission:
    Degree type:
    Doctor of Philosophy
    Degree programme:
    PhD Nursing FT DL
    Publication date:
    Location:
    Manchester, UK
    Total pages:
    199
    Abstract:
    Background. Personal recovery in mental illness refers to a person’s ongoing journey to find meaning in their life despite the limitations caused by mental illness. This concept arose through the published narratives of mental health service users in Western countries and has gained increasing popularity over the past three decades. Many national mental health strategies and services have incorporated a recovery-based approach into service planning and delivery. However, recovery is a personal journey and there is not a one-size-fits-all approach. Limited investigations of personal recovery in non-Western contexts reveals the importance of factors not commonly cited in the predominant recovery literature. Further examining recovery in non-Western contexts may increase the capacity of mental health services to support recovery for diverse service user populations. The aim of the main empirical study for this thesis was undertaken to develop a theoretical understanding of mental illness self-management in Qatar. Self-management was chosen over a more specific focus on personal recovery in order to expand the potential scope of participants’ concerns and to avoid forcing Western-centric concepts of personal recovery into the study. Methods. The empirical study was conducted in Qatar between February 2016 and June 2017. Classic grounded theory was chosen to address the objectives. Recruitment occurred on inpatient psychiatric units and through word-of-mouth. In-depth, unstructured interviews were conducted in English or Arabic with service users who had a range of nationalities and psychiatric diagnoses. In total, 28 interviews were conducted with 21 service users. Constant comparison was used for analysis. Results. Participants’ main concern was reciprocity membership; they wanted to feel a sense of belonging to a group of others and they wanted there to be reciprocity in those relationships. Reciprocity membership becomes balanced when an individual is satisfied with their contribution to the group, the acknowledgement from other group members, the expectations of the group, and their alignment with the values and interests of the group. This satisfaction is appraised by a sub-process called valuing. If reciprocity membership is appraised as being unsatisfactory or unbalanced, two sub-processes, managing relationships and positioning, are sometimes used to achieve or restore balance. Conclusion. Knowledge created through work undertaken for this PhD provides new understanding of service users’ experiences of mental illness in an Arabic context. Further research is needed about the topic. However, the grounded theory of reciprocity membership provides a potential starting point that mental health professionals can use to support personal recovery.
    Thesis main supervisor(s):
    Thesis co-supervisor(s):
    Language:
    en

    Institutional metadata

    University researcher(s):
    Academic department(s):

    Record metadata

    Manchester eScholar ID:
    uk-ac-man-scw:313775
    Created by:
    Hickey, Jason
    Created:
    13th March, 2018, 16:49:50
    Last modified by:
    Hickey, Jason
    Last modified:
    7th November, 2019, 10:06:05

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