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• W55807228 abstract "Psychosis most commonly first occurs during adolescence or early adulthood,disrupting the social and occupational transitions characterising this time. Studies onsocial and occupational outcomes in psychosis have tended to focus on observer-rated,dysfunction-based outcomes. However, mental health services are increasinglyadopting a personal recovery model; focusing on facilitating hopeful and individuallymeaningful lives. Social inclusion is paramount to personal recovery but there is a needfor greater awareness of the processes by which mental health services facilitate socialinclusion for young people with psychosis. Cognitive models and research with longtermpsychosis service users suggests that negative self-beliefs contribute to poorersocial outcomes in psychosis, whereas personal recovery models emphasise the roleof hopefulness and therapeutic relationships with optimistic mental health professionals.This thesis first investigates a structural model of social inclusion and its associationwith hope and negative self-beliefs for healthy young people (n= 387). Then theprocesses by which young service users’ self-beliefs, therapeutic relationships andprofessionals’ beliefs influence social inclusion are explored using directed path models(n= 51). Directed path models then test how professional characteristics, focusing onattachment styles and job attitudes, facilitate therapeutic relationships (n= 61). Finally,the contributions of self-beliefs, therapeutic relationships, professional beliefs andsocial inclusion in predicting vocational outcomes are explored (n= 51).Current findings support the relative importance of hopefulness over negative selfbeliefsin social inclusion for young people with and without psychosis. Hope appearsparticularly important for adolescents compared to young adults. Positive relationshipswith optimistic professionals predict service users’ hopefulness, social inclusion andvocational activity. Findings suggest that professionals’ own attachment style and jobattitudes may aid in positive therapeutic relationship formation. These findingsencourage a greater focus on therapeutic relationships and service users’ hopefulnessin youth psychosis service provision. Professional training should encourage greaterawareness of professionals’ own attachment style and job attitudes, and how thesefactors impact on positive therapeutic relationship development" @default.
• W55807228 created "2016-06-24" @default.
• W55807228 creator A5035947192 @default.
• W55807228 date "2014-05-29" @default.
• W55807228 modified "2023-09-27" @default.
• W55807228 title "Social inclusion for young people with and without psychosis : the importance of internal and external factors" @default.
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