ABSTRACT

It is argued that we need to develop a better understanding of those who are diagnosed with psychosis and have suffered trauma or abuse. First different types of abuse are considered and the long-term effects of child abuse described. Next the chapter examines research suggesting that trauma leads to psychosis and considers evidence identifying long-term contributory effects. There is substantial research for all these areas and yet the first person perspective of those who suffer abuse and psychosis has very rarely been explored. A key aim of the book is to present the experiences, and develop understanding, of those with psychosis who have suffered child sexual or physical abuse or political violence as adults. The research employed for the book is qualitative using interpretive phenomenological analysis; how it was employed is described. Finally the content of the book is mapped out which includes: the experiences of the three groups; how meaning is transformed in psychosis; the development of states of the self and how this relates to psychotic identities, voices and depression; how trauma destroys certainty and trust and contributes to psychosis; and finally what sort of therapy might be helpful.