Paul H Lysaker
Datos Biográficos
| ID | 134650 |
|---|---|
| NOMBRE | Paul H Lysaker |
| NOMBRES | Paul H |
| APELLIDO | Lysaker |
| FIRMA | LYSAKER P H |
| AFILIACIONES | Richard L. Roudebush VA Medical Center |
| ORCID | 0000-0002-6617-9387 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 31 |
| TOTAL DE CITAS | 12 |
| TOTAL COMO AUTOR | 31 |
| TOTAL COMO EDITOR | 0 |
| PRIMER AÑO DE PUBLICACIÓN | 2001 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2024 |
| ÍNDICE H | 2 |
The experience of stigma and treatment-seeking among youth and family members receiving first episode psychosis services
Findings support that it is essential to address stigma in FEP services to improve treatment engagement
Promoting Reflection on the Process of Recovery
Recovery from serious mental illness requires persons to make their own meaning and deal with evolving challenges and possibilities. Psychiatric rehabilitation thus must offer more than manualized curricula that address symptoms and skills. We suggest that exposure to the humanities and in particular literature may offer practitioners unique avenues for developing interventions that are sensitive to the processes that enable meaning to be made. W…
A qualitative exploration of stakeholders’ perspectives on the experiences, challenges, and needs of persons with serious mental illness as they consider finding a partner or becoming parent
In short, intimate relationships and desire to start a family for persons with SMI should be more considered in psychiatric rehabilitation and additional support and interventions should therefore be provided
Self-stigma and cognitive insight in individuals at ultra-high risk for psychosis
Findings show that self-stigma was already present in the UHR phase, to a similar degree as in individuals with a diagnosis of a SSD, and is thus not dependent of previous experience of having a label of SSD. Cognitive insight in individuals at UHR of psychosis appears to be intact, but individuals at UHR showed more self-reflectiveness, and individuals at risk with high cognitive insight also experience high levels of self-stigma. Overall findin…
Psychosis and the challenges to narrative identity and the good life
Comparing symptoms and emotion recognition in African American and White samples with schizophrenia
Racial status has an important role in schizophrenia, with African American samples being rated lower than White participants on a range of constructs. In many studies, however, demographic factors are not accounted for. In the present study, African American ( n = 106) and White participants ( n = 81) were compared on symptom severity and emotion recognition scales while controlling for other demographic factors. Contrary to our hypothesis, ther…
Disturbances in dialogue and metacognition
A dialogical model of psychosis proposed that the collapse of dialogue may explain the alterations in sense of self and agency observed in psychosis. This view was hampered by lack of clarity regarding the processes that support or hinder dialogue. Since then, research on metacognition has offered an alternative but also partially complementary approach. To explore this issue a brief history of the original dialogical conceptualization of psychos…
Empathy and Its Relationship With Social Functioning in Individuals at Ultra-High Risk for Psychosis
Introduction: Social functioning is often impaired in the ultra-high-risk (UHR) phase of psychosis. There is some evidence that empathy is also impaired in this phase and that these impairments may underlie difficulties in social functioning. The main aim of this study was to investigate whether cognitive and affective empathy are lower in people in the UHR phase of psychosis in comparison to healthy controls, and whether possible impairments hav…
Autism Rating Scale
Social dysfunctions (SD) are frequently observed in subjects with schizophrenia. Some of these dysfunctions are also observed in other neuropsychiatric disorders such as autism spectrum disorders (ASD), major depression, bipolar disorder, or Alzheimer disease. Recently, a characterization of a specific type of SD in schizophrenia has been proposed, with the concept of dis-sociality, which form the core aspect of "Schizophrenic Autism" (SA). The p…
Participatory video as a novel recovery-oriented intervention in early psychosis
BACKGROUND: Personal narrative plays an important role in the process of recovery from psychotic illnesses. Participatory video is a novel, active intervention that can be used as a tool for fostering narrative development among people with psychosis. AIM: To assess the feasibility, acceptability and potential clinical utility of participatory video as an innovative tool for promoting recovery in early psychosis. METHODS: Ten outpatients of an ea…
Giving a Voice to Gambling Addiction
Supervision in the Psychotherapy of Schizophrenia
A Disorder by Any Other Name
Humanistic psychology has made us aware that any understanding of schizophrenia must see persons diagnosed with this condition as whole persons who are making sense of what wellness and recovery mean to them. This has raised questions about what the diagnosis of schizophrenia means and whether the diagnostic label of schizophrenia is helpful when we try to conceptualize the actions and aims of treatment. To examine this issue we propose it is ess…
Recovery and Personhood in the Diagnostic Formulation and Treatment of Serious Mental Illness
The present article is a commentary on Pavlo and colleagues’ alternative person centered and recovery oriented diagnostic framework. Three strengths of the framework are identified, including the incorporation of an individual’s environment into the diagnostic formulation, an emphasis on individual strengths and the belief that they exist regardless of illness severity, and a resulting avoidance of stigmatization related to diagnostic labeling. T…
Psychoanalytic phenomenology of schizophrenia
A review of psychoanalytic writings reveals a vibrant but overlooked history of descriptions of the phenomenology of schizophrenia. In this paper we suggest that neglect of these important psychoanalytic contributions to the understanding of alterations of self-experience in schizophrenia is at least partially due to an absence of sufficient operational definitions by which to study these constructs. We then detail an emergent line of research fr…
Stigma resistance at the personal, peer, and public levels
Stigma resistance is consistently linked with key recovery outcomes, yet theoretical work is limited. This study explored stigma resistance from the perspective of individuals with serious mental illness (SMI). Twenty-four individuals with SMI who were either peer-service providers (those with lived experience providing services; N = 14) or consumers of mental health services (N = 10) engaged in semistructured interviews regarding experiences wit…
The stigma of voice-hearing experiences
Interventions targeting mental health self-stigma
OBJECTIVE: With growing awareness of the impact of mental illness self-stigma, interest has arisen in the development of interventions to combat it. The present article briefly reviews and compares interventions targeting self-stigma to clarify the similarities and important differences between the interventions. METHOD: We conducted a narrative review of published literature on interventions targeting self-stigma. RESULTS: Six intervention appro…
Anhedonia in prolonged schizophrenia spectrum patients with relatively lower vs. higher levels of depression disorders
Literature as an exploration of the phenomenology of schizophrenia
When read as a fictional psychosis narrative, Jesus' Son, a collection of short stories by Denis Johnson, reveals important elements of the phenomenology of schizophrenia and recovery. It is possible that Jesus' Son, as a work of fiction, may be able to uniquely add depth and nuance to an understanding of the phenomenology of schizophrenia involving a state of psychological fragmentation, an ever-changing interpersonal field and a loss of persona…
Schizophrenia and alterations in the experience of self and agency
Contemporary researchers have tended to present dysfunction in schizophrenia as the result of biological and social forces. While this has greatly advanced our knowledge, we are still without a full account of the illness’s first-person dimensions. A richer first-person account explains that schizophrenia is a disorder that interrupts the lives of people who must continue to struggle to find and create security and meaning. A range of literature …
Deficits in the ability to recognize one’s own affects and those of others
The Impact of Illness Identity on Recovery from Severe Mental Illness
The impact of the experience and diagnosis of mental illness on one's identity has long been recognized; however, little is known about the impact of illness identity, which we define as the set of roles and attitudes that a person has developed in relation to his or her understanding of having a mental illness. The present article proposes a theoretically driven model of the impact of illness identity on the course and recovery from severe menta…
Health and Adaptation in a Multiple Self
It has been suggested recently that the self consists of multifaceted aspects which are not reducible to a singular core or entity. It is unclear whether the degree of multiplicity that individuals with significant pathology experience is linked with health and adaptation. Both an excess and a restricted degree of activity among multiple aspects of the self have been associated with pathology. We explore the evidence that the impact of degree of …
Impaired self-reflection in psychiatric disorders among adults
Psychosis and the disintegration of dialogical self‐structure
Researchers and theoreticians across widely varying disciplines have increasingly stressed how sense of self is inherently ‘dialogical’, or the product of ongoing dialogue both within the individual and between the individual and others. This perspective emphasizes that self‐awareness is not an awareness of an isolated or seamless viewpoint, but a collective of numerous complementary, competing, and sometimes contradictory, voices. In this paper …
Psychosis and the challenges to narrative identity and the good life
Promoting Reflection on the Process of Recovery
Recovery from serious mental illness requires persons to make their own meaning and deal with evolving challenges and possibilities. Psychiatric rehabilitation thus must offer more than manualized curricula that address symptoms and skills. We suggest that exposure to the humanities and in particular literature may offer practitioners unique avenues for developing interventions that are sensitive to the processes that enable meaning to be made. W…
A Disorder by Any Other Name
Humanistic psychology has made us aware that any understanding of schizophrenia must see persons diagnosed with this condition as whole persons who are making sense of what wellness and recovery mean to them. This has raised questions about what the diagnosis of schizophrenia means and whether the diagnostic label of schizophrenia is helpful when we try to conceptualize the actions and aims of treatment. To examine this issue we propose it is ess…
Recovery and Personhood in the Diagnostic Formulation and Treatment of Serious Mental Illness
The present article is a commentary on Pavlo and colleagues’ alternative person centered and recovery oriented diagnostic framework. Three strengths of the framework are identified, including the incorporation of an individual’s environment into the diagnostic formulation, an emphasis on individual strengths and the belief that they exist regardless of illness severity, and a resulting avoidance of stigmatization related to diagnostic labeling. T…
Psychosis and the disintegration of dialogical self‐structure
Researchers and theoreticians across widely varying disciplines have increasingly stressed how sense of self is inherently ‘dialogical’, or the product of ongoing dialogue both within the individual and between the individual and others. This perspective emphasizes that self‐awareness is not an awareness of an isolated or seamless viewpoint, but a collective of numerous complementary, competing, and sometimes contradictory, voices. In this paper …
Narrative Structure in Psychosis
There is nearly universal acceptance that persons with schizo-phrenia often experience a profound disruption in their basic sense of self. But what does this disruption in sense of self reflect? Is this the result of an internal catastrophe? If so, where and in what manner did this catastrophe occur? To address these issues this paper will review various perspectives on disruptions of self-experience in schizophrenia as well as literature regardi…
Toward Understanding the Insight Paradox
Research has paradoxically linked awareness of illness to both better function outcomes and lesser hope and self-esteem. One possible explanation for these findings is that acceptance of having schizophrenia may impact outcomes differently depending on the meanings the person attaches to this acceptance, particularly whether he or she accepts stigmatizing beliefs about mental illness. To explore this possibility we performed a cluster analysis of…
Pathways Between Internalized Stigma and Outcomes Related to Recovery in Schizophrenia Spectrum Disorders
The mechanisms by which internalized stigma affects outcomes related to recovery among people with severe mental illness have yet to be explicitly studied. This study empirically evaluated a model for how internalized stigma affects important outcomes related to recovery.A total of 102 persons with schizophrenia spectrum disorders completed measures of internalized stigma, awareness of mental illness, psychiatric symptoms, self-esteem, hopefulnes…
Know yourself and you shall know the other… to a certain extent
Narrative accounts of illness in schizophrenia
Impaired self-reflection in psychiatric disorders among adults
The Impact of Illness Identity on Recovery from Severe Mental Illness
The impact of the experience and diagnosis of mental illness on one's identity has long been recognized; however, little is known about the impact of illness identity, which we define as the set of roles and attitudes that a person has developed in relation to his or her understanding of having a mental illness. The present article proposes a theoretically driven model of the impact of illness identity on the course and recovery from severe menta…
Health and Adaptation in a Multiple Self
It has been suggested recently that the self consists of multifaceted aspects which are not reducible to a singular core or entity. It is unclear whether the degree of multiplicity that individuals with significant pathology experience is linked with health and adaptation. Both an excess and a restricted degree of activity among multiple aspects of the self have been associated with pathology. We explore the evidence that the impact of degree of …
Deficits in the ability to recognize one’s own affects and those of others
Schizophrenia and alterations in the experience of self and agency
Contemporary researchers have tended to present dysfunction in schizophrenia as the result of biological and social forces. While this has greatly advanced our knowledge, we are still without a full account of the illness’s first-person dimensions. A richer first-person account explains that schizophrenia is a disorder that interrupts the lives of people who must continue to struggle to find and create security and meaning. A range of literature …
Anhedonia in prolonged schizophrenia spectrum patients with relatively lower vs. higher levels of depression disorders
Literature as an exploration of the phenomenology of schizophrenia
When read as a fictional psychosis narrative, Jesus' Son, a collection of short stories by Denis Johnson, reveals important elements of the phenomenology of schizophrenia and recovery. It is possible that Jesus' Son, as a work of fiction, may be able to uniquely add depth and nuance to an understanding of the phenomenology of schizophrenia involving a state of psychological fragmentation, an ever-changing interpersonal field and a loss of persona…
Interventions targeting mental health self-stigma
OBJECTIVE: With growing awareness of the impact of mental illness self-stigma, interest has arisen in the development of interventions to combat it. The present article briefly reviews and compares interventions targeting self-stigma to clarify the similarities and important differences between the interventions. METHOD: We conducted a narrative review of published literature on interventions targeting self-stigma. RESULTS: Six intervention appro…
Psychoanalytic phenomenology of schizophrenia
A review of psychoanalytic writings reveals a vibrant but overlooked history of descriptions of the phenomenology of schizophrenia. In this paper we suggest that neglect of these important psychoanalytic contributions to the understanding of alterations of self-experience in schizophrenia is at least partially due to an absence of sufficient operational definitions by which to study these constructs. We then detail an emergent line of research fr…
Stigma resistance at the personal, peer, and public levels
Stigma resistance is consistently linked with key recovery outcomes, yet theoretical work is limited. This study explored stigma resistance from the perspective of individuals with serious mental illness (SMI). Twenty-four individuals with SMI who were either peer-service providers (those with lived experience providing services; N = 14) or consumers of mental health services (N = 10) engaged in semistructured interviews regarding experiences wit…
The stigma of voice-hearing experiences
A Disorder by Any Other Name
Humanistic psychology has made us aware that any understanding of schizophrenia must see persons diagnosed with this condition as whole persons who are making sense of what wellness and recovery mean to them. This has raised questions about what the diagnosis of schizophrenia means and whether the diagnostic label of schizophrenia is helpful when we try to conceptualize the actions and aims of treatment. To examine this issue we propose it is ess…
Recovery and Personhood in the Diagnostic Formulation and Treatment of Serious Mental Illness
The present article is a commentary on Pavlo and colleagues’ alternative person centered and recovery oriented diagnostic framework. Three strengths of the framework are identified, including the incorporation of an individual’s environment into the diagnostic formulation, an emphasis on individual strengths and the belief that they exist regardless of illness severity, and a resulting avoidance of stigmatization related to diagnostic labeling. T…
Supervision in the Psychotherapy of Schizophrenia
Participatory video as a novel recovery-oriented intervention in early psychosis
BACKGROUND: Personal narrative plays an important role in the process of recovery from psychotic illnesses. Participatory video is a novel, active intervention that can be used as a tool for fostering narrative development among people with psychosis. AIM: To assess the feasibility, acceptability and potential clinical utility of participatory video as an innovative tool for promoting recovery in early psychosis. METHODS: Ten outpatients of an ea…
Giving a Voice to Gambling Addiction
Comparing symptoms and emotion recognition in African American and White samples with schizophrenia
Racial status has an important role in schizophrenia, with African American samples being rated lower than White participants on a range of constructs. In many studies, however, demographic factors are not accounted for. In the present study, African American ( n = 106) and White participants ( n = 81) were compared on symptom severity and emotion recognition scales while controlling for other demographic factors. Contrary to our hypothesis, ther…
Disturbances in dialogue and metacognition
A dialogical model of psychosis proposed that the collapse of dialogue may explain the alterations in sense of self and agency observed in psychosis. This view was hampered by lack of clarity regarding the processes that support or hinder dialogue. Since then, research on metacognition has offered an alternative but also partially complementary approach. To explore this issue a brief history of the original dialogical conceptualization of psychos…
Empathy and Its Relationship With Social Functioning in Individuals at Ultra-High Risk for Psychosis
Introduction: Social functioning is often impaired in the ultra-high-risk (UHR) phase of psychosis. There is some evidence that empathy is also impaired in this phase and that these impairments may underlie difficulties in social functioning. The main aim of this study was to investigate whether cognitive and affective empathy are lower in people in the UHR phase of psychosis in comparison to healthy controls, and whether possible impairments hav…
Psychology (31 obras) · Psychiatry (23 obras) · Mental Health and Psychiatry (22 obras) · Clinical Psychology (16 obras) · Psychotherapist (16 obras) · Schizophrenia research and treatment (14 obras) · Cognition (13 obras) · Social Psychology (11 obras) · Developmental psychology (9 obras) · Medicine (9 obras)