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“You have to be careful who you talk to and what you say …” - on psychosis and making rational choices:  on psychosis and making rational choices
Stockholm University, Faculty of Social Sciences, Department of Social Work. (Socialpsykiatriska seminariet)
Maison Blanche Gem Les amis du non-faire.
2010 (English)In: Journal of Mental Health, ISSN 0963-8237, E-ISSN 1360-0567, Vol. 19, no 6, 553-561 p.Article in journal (Refereed) Published
Abstract [en]



People who have been diagnosed with schizophrenia are regarded as being no longer

capable of making rational choices.





Fifteen users with psychosis diagnosis participated to 10 focus group sessions about different

aspects of everyday life. The discussions were tape recorded and the transcript analyzed using a

grounded theory inspired methodology. A core category that emerged was making choices in crises






Users have to choose whether or not they want help, to whom to turn for help, and how to

describe their problems so as to get the kind of help they seek. The choices were based on past

experiences in connection with the choices available. They were constantly making quality judgements

of the care workers they came into contact with. Experiencing a sense of comradeship emerged as a

vital criterion.





The ability to make rational choices often existed parallel with hallucinations and

delusions. This ability could form the basis for a true collaboration between users and professionals.

The findings of this study indicate that such collaboration is possible, but that it requires a

reassessment of our traditional knowledge base.

Place, publisher, year, edition, pages
2010. Vol. 19, no 6, 553-561 p.
Keyword [en]
Psychosis, rational choice, avolition, experience-based, empowerment
National Category
Research subject
Social Work
URN: urn:nbn:se:su:diva-52550DOI: 10.3109/09638237.2010.520366OAI: diva2:388113
Available from: 2011-01-17 Created: 2011-01-17 Last updated: 2011-01-18Bibliographically approved

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Topor, Alain
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