Representations of Power, Threat and Meaning in Individual Accounts of Psychosis: A Meta-Ethnography of Psychosis Narratives.

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Title: Representations of Power, Threat and Meaning in Individual Accounts of Psychosis: A Meta-Ethnography of Psychosis Narratives.
Authors: Rainey, Paul (AUTHOR), Colbert, Susannah (AUTHOR), McSherry, Pamela (AUTHOR)
Source: Journal of Constructivist Psychology. Jan-Mar2026, Vol. 39 Issue 1, p69-92. 24p.
Subjects: Psychoses, Narration, Mental health, Narrative inquiry (Research method), Suffering, Recovery movement, Psychological distress
Abstract: Despite the wealth of evidence linking adverse experiences and "psychosis," biomedical explanations of distress still represent the dominant narrative within UK mental health services. The Power Threat Meaning Framework (PTMF) offers a conceptual alternative to this position and, in doing so, considers the experience of emotional distress, and its associated behaviors, as a response to adverse life experiences. While the application of the PTMF to experiences of psychosis appears to be both logical and insightful, the extent to which overarching PTMF concepts are represented in people's subjective experiences of psychosis is less clear. The aims of this review were to explore the perceived role of adversity in psychosis, to understand the extent that concepts of power, threat and meaning were represented in depictions of psychosis and to investigate the types of strengths and opportunities that contributed to individual survival and recovery. A systematic literature search and meta-ethnographic synthesis of narrative studies focusing on people's subjective experience of psychosis was undertaken. Six overarching constructs were developed (third-order constructs) from 33 underlying researcher-interpreted themes (second-order constructs) identified within the research. The findings provide further supporting evidence for the role of adversity in psychosis and the importance that meaning-making and re-storying one's experience plays in recovery. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Constructivist Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Representations of Power, Threat and Meaning in Individual Accounts of Psychosis: A Meta-Ethnography of Psychosis Narratives.
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  Data: <searchLink fieldCode="AR" term="%22Rainey%2C+Paul%22">Rainey, Paul</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Colbert%2C+Susannah%22">Colbert, Susannah</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22McSherry%2C+Pamela%22">McSherry, Pamela</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Constructivist+Psychology%22">Journal of Constructivist Psychology</searchLink>. Jan-Mar2026, Vol. 39 Issue 1, p69-92. 24p.
– Name: Subject
  Label: Subjects
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  Data: <searchLink fieldCode="DE" term="%22Psychoses%22">Psychoses</searchLink><br /><searchLink fieldCode="DE" term="%22Narration%22">Narration</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+health%22">Mental health</searchLink><br /><searchLink fieldCode="DE" term="%22Narrative+inquiry+%28Research+method%29%22">Narrative inquiry (Research method)</searchLink><br /><searchLink fieldCode="DE" term="%22Suffering%22">Suffering</searchLink><br /><searchLink fieldCode="DE" term="%22Recovery+movement%22">Recovery movement</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+distress%22">Psychological distress</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Despite the wealth of evidence linking adverse experiences and "psychosis," biomedical explanations of distress still represent the dominant narrative within UK mental health services. The Power Threat Meaning Framework (PTMF) offers a conceptual alternative to this position and, in doing so, considers the experience of emotional distress, and its associated behaviors, as a response to adverse life experiences. While the application of the PTMF to experiences of psychosis appears to be both logical and insightful, the extent to which overarching PTMF concepts are represented in people's subjective experiences of psychosis is less clear. The aims of this review were to explore the perceived role of adversity in psychosis, to understand the extent that concepts of power, threat and meaning were represented in depictions of psychosis and to investigate the types of strengths and opportunities that contributed to individual survival and recovery. A systematic literature search and meta-ethnographic synthesis of narrative studies focusing on people's subjective experience of psychosis was undertaken. Six overarching constructs were developed (third-order constructs) from 33 underlying researcher-interpreted themes (second-order constructs) identified within the research. The findings provide further supporting evidence for the role of adversity in psychosis and the importance that meaning-making and re-storying one's experience plays in recovery. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Journal of Constructivist Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1080/10720537.2025.2463922
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      – Code: eng
        Text: English
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        PageCount: 24
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      – SubjectFull: Psychoses
        Type: general
      – SubjectFull: Narration
        Type: general
      – SubjectFull: Mental health
        Type: general
      – SubjectFull: Narrative inquiry (Research method)
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      – SubjectFull: Suffering
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      – SubjectFull: Recovery movement
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      – SubjectFull: Psychological distress
        Type: general
    Titles:
      – TitleFull: Representations of Power, Threat and Meaning in Individual Accounts of Psychosis: A Meta-Ethnography of Psychosis Narratives.
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            NameFull: Rainey, Paul
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            NameFull: Colbert, Susannah
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            – D: 01
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              Text: Jan-Mar2026
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              Y: 2026
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