ABSTRACT

Aims

This paper aims to provide an overview of the lived experience of a group of individuals who participated in an adventure therapy project, as an adjunct to their routine clinical care with an Early Intervention Service (EIS) for psychosis. We hope it will support the growing literature in this field as well as encourage other services to adopt these approaches within their settings.

Method

A group of individuals who had experienced a First Episode of Psychosis (FEP) participated in a programme of outdoor activities, culminating in a six-day residential sailing adventure (N = 5). A semi-structured interview was used to explore their experiences, and an inductive thematic analysis was undertaken to identify themes.

Results

Four key themes emerged from the analysis of the transcripts. The themes centred around what people learnt about themselves from taking part in the project: “enhanced self-perception”; “building friendships and being part of a shared experience”; “navigating and overcoming new challenges”; and “working together as a team”.

Discussion

Adventure-based approaches offer the opportunity to enhance standard treatment outcomes in EIS, and the unique context in which they occur provides a platform to support social and occupational recovery from psychosis.

中文翻译：

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“世界是个美丽的地方——我想去探索一下”：一群经历过精神病的人参加冒险治疗航海项目的经历

摘要

宗旨

本文旨在概述参与冒险治疗项目的一组人的生活经历，作为他们常规临床护理的辅助手段，包括针对精神病的早期干预服务 (EIS)。我们希望它将支持该领域不断增长的文献，并鼓励其他服务在其环境中采用这些方法。

方法

一群经历过首发精神病 (FEP) 的人参加了一项户外活动计划，最终进行了为期六天的住宅航海冒险 ( N  = 5)。使用半结构式访谈来探索他们的经历，并进行归纳主题分析以确定主题。

结果

对成绩单的分析得出了四个关键主题。主题围绕着人们通过参与该项目对自己的了解：“增强自我认知”；“建立友谊并成为共享体验的一部分”；“驾驭和克服新的挑战”；和“团队合作”。

讨论

基于冒险的方法提供了提高 EIS 标准治疗结果的机会，并且它们发生的独特背景提供了一个平台来支持从精神病中恢复社会和职业。