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Social interaction and participation in activities of everyday life among persons with schizophrenia
Örebro University, School of Health and Medical Sciences.
2009 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Difficulties in social interaction frequently accompany a diagnosis of schizophrenia and are an obstacle for participation in everyday life. The overall aim of this licentiate thesis was to develop knowledge about participation in everyday life among persons with schizophrenia. Four persons with schizophrenia, two men and two women, participated in the two studies in this thesis. Data were collected by participant observation (study I and II) and interviews (study II). The data collection took place in the participants’ personal environment and the activities and interactions under study were chosen out of their daily routines. The activities were performed together with one or more persons with a certain amount of regularity in the participant’s everyday life. Qualitative analysis methods were used in both studies. In the first study qualitative content analysis was used to analyse the data and resulted in two themes constituting the main result: Facilitating social interaction in activity performance and Hindering social interaction in activity performance. These two themes served as headings for sub-themes representing factors influencing social interaction in activity performance. A further analysis of the themes and sub-themes identified the following dichotomous contexts as influential: meaningful/not meaningful activity being performed; attitudes were trusting/lacking trust; and location, at home/outside the home. In the second study a narrative analysis was used to identify social processes of participation in performing activities of everyday life among person with schizophrenia by looking at what characterized the social processes that preceded or aggravated participation. Three plots constituted the main result in the second study: 1) To be met by respect, to receive attention from others and to have straightforward communication. 2) To take one’s own initiatives to perform meaningful activities together with others, to trust in one’s social environment and to mean something to others. 3) To take part in discussions and mutual decision-making facilitated by routines and structure. These results indicate several possibilities for supporting and promoting participation among persons with schizophrenia. To focus on the facilitating factors of social interaction and the social processes leading to participation in everyday life identified in this thesis could give health care professionals access to individual preferences and choices concerning meaningful activities, social environment and relationships, a knowledge that can be used to support the person with schizophrenia to gradually start or continue a process towards participation in everyday life.

 

Place, publisher, year, edition, pages
V Frölunda: intellecta infolog , 2009. , 49 p.
Series
Studies from The Swedish Institute for Disability Research, ISSN 1650-1128 ; 28
Keyword [en]
Social interaction, social processes, schizophrenia, everyday life, qualitative content analysis, narrative analysis
National Category
Occupational Therapy
Research subject
Disability Research
Identifiers
URN: urn:nbn:se:oru:diva-8035ISBN: 978-91-7668-672-0 (print)OAI: oai:DiVA.org:oru-8035DiVA: diva2:240686
Presentation
Bion, Forumhuset, Fakultetsgatan 1, Örebro (Swedish)
Opponent
Supervisors
Available from: 2009-11-02 Created: 2009-09-29 Last updated: 2017-10-18Bibliographically approved
List of papers
1. Participation by doing: Social interaction in everyday activities among persons with schizophrenia
Open this publication in new window or tab >>Participation by doing: Social interaction in everyday activities among persons with schizophrenia
2008 (English)In: Scandinavian Journal of Occupational Therapy, ISSN 1103-8128, E-ISSN 1651-2014, Vol. 15, no 3, 162-172 p.Article in journal (Refereed) Published
Abstract [en]

Schizophrenia inpacts on social functioning and participation in everyday life. However, there is limited research describing how persons with schizophrenia interact with others when performing daily activities. The aim of this study is to describe how persons with interact with others while performing everyday activities in different contexts in terms of facilitating and hindering factors. Repeated participant observation of four persons with schizophrenia were conducted in their environment. The observed activities and social interactions were chosen from the participant's daily routines. Fieldnotes were taken during the observations. Qualitative content analysis was used to analyse the data. Two themes constitute the main result: Facilitating social interaction in activity performance and Hindering social interaction in activity performance. These two themes serve as headings for sub-themes representing factors influencing social interaction in activity performance. Through a further analysis of the themes the following dichotomous context were identified as influential: meningful/not meaningful activity being performed; attitudes were trusting/lacking trust; and location, at home/outside the home. Conclusion: If the facilitating contextual factors are considered for each individual when planning and performing everyday activities together with others there is a possibility to improve social interaction skills and thereby participation.

Keyword
Daily activities, mental disability, occupation, qualitative content analysis, social life
National Category
Occupational Therapy Social Work
Research subject
Disability Research
Identifiers
urn:nbn:se:oru:diva-8027 (URN)10.1080/11038120802022102 (DOI)
Available from: 2009-09-29 Created: 2009-09-29 Last updated: 2017-12-13Bibliographically approved
2. Social processes of participation in everyday life among persons with schizophrenia
Open this publication in new window or tab >>Social processes of participation in everyday life among persons with schizophrenia
2009 (English)In: International Journal of Qualitative Studies on Health and Well-being, ISSN 1748-2631, Vol. 4, no 4, 267-279 p.Article in journal (Refereed) Published
Abstract [en]

Schizophrenia has an impact on social functioning and participation in everyday life. However, there is limited research concerning what persons with schizophrenia actually do in their societal context and what characterize the social processes influencing participation. The aim of this study was to identify social processes of participation in performing activities of everyday life among persons with schizophrenia by looking at what characterizes the social processes that precede or aggravate participation. Repeated participant observation of four persons with schizophrenia, performing everyday activities, was conducted, followed by interviews. A narrative analysis was used to analyse the data. Three plots constitute the main result: (1) When I know that I am appreciated and not different from others I want to continue what I'm doing (2) When I trust the people around me and have the possibility to mean something to them I do meaningful things (3)When I know in advance what's going to happen I take part in discussions and mutual decision-making. The findings of this study can be used as a heuristic tool to structure the understanding of how different components co-operate in the social processes of participation and can as such be applied when assisting persons with schizophrenia into participation in everyday life.

Place, publisher, year, edition, pages
Basingstoke: Taylor & Francis, 2009
Keyword
Social processes, schizophrenia, narrative, everyday life
National Category
Occupational Therapy
Research subject
Disability Research
Identifiers
urn:nbn:se:oru:diva-8029 (URN)10.3109/17482620903113112 (DOI)000273358500008 ()2-s2.0-72449152668 (Scopus ID)
Available from: 2009-09-29 Created: 2009-09-29 Last updated: 2017-10-18Bibliographically approved

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Yilmaz, Maria

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