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Hearing Voices

Qualitative Inquiry in Early Psychosis

Edited by H. Bruce Ferguson & Katherine M. Boydell
Subjects Psychology, Social Science, Child Studies
Series SickKids Community and Mental Health Hide Details
Paperback : 9781554582631, 165 pages, June 2012
Ebook (EPUB) : 9781554588855, 165 pages, August 2012
Ebook (PDF) : 9781554583102, 165 pages, August 2012

Table of contents

Table of Contents for Hearing Voices: Qualitative Inquiry in Early Psychosis, edited by Katherine M. Boydell and H. Bruce Ferguson
Preface | Katherine Boydell, University of Toronto
List of Abbreviations
Introduction to Early Intervention in First Episode Psychosis | Jean Addington, University of Calgary
Chapter 1: Recognition of Psychosis in the Pathway to Mental Health Care | Katherine M. Boydell, Elaine Stasiulis, Brenda M. Gladstone, Tiziana Volpe, Jean Addington, Paula Goering, Terry Krupa, and Elizabeth McCay, University of Toronto, Centre for Addiction and Mental Health, Queen’s University, and Ryerson University
Chapter 2: Help-Seeking Experiences of Youth with First Episode Psychosis: A Research-Based Dance Production | Katherine M. Boydell, Siona Jackson, and John S. Strauss, University of Toronto and Yale University
Chapter 3: Qualitative Research with Families of First Episode and Prodromal Patients | Ruth Gerson and Cheryl Corcoran, Columbia University
Chapter 4: Primary Care Perspectives of First Episode Psychosis | Helen Lester, University of Manchester
Chapter 5: Hearing Echoes: Image Identification and the Clinicians’ (Learning) Experience with Early Intervention | Joan McIlwrick, University of Calgary
Chapter 6: Promoting Constructive Change in the Service System: A Qualitative Study of Change in Staff Attitudes with the Implementation of Early Intervention in Psychosis | Alan Rosen, Joanne Gorrell, Alison Cornish, Vivienne Miller, Chris Tennant, Louise Nash, and Dianne McKay, University of Melbourne
Chapter 7: Ironic Interventions: Balancing Risks and Rewards in First Episode Psychosis via Qualitative Inquiry | Sue E. Estroff, University of North Carolina at Chapel Hill
Conclusion | Katherine M. Boydell, H. Bruce Ferguson, and Sarah J. Bovaird, University of Toronto


Qualitative methods are increasingly useful as psychiatry shifts from a focus on symptom reduction to enabling people to live satisfying and meaningful lives. It becomes important to achieve a deeper understanding of the ways in which mental illness interferes with everyday life and the ways in which people can learn to manage and minimize illness in order to pursue their lives as fully as possible. Although qualitative methods in psychiatry have seen a dramatic upsurge, relatively few published studies use such methods specifically to explore the lives, socio-culturally and experientially, of those with first-episode psychosis.
This book highlights qualitative research in early psychosis. The first half of the book centres on the individual lived experience of psychosis—from the perspective of the individual, the family, and the practitioner. The second half moves from the micro level to the macro, focusing on broader system issues, including medical trainees’ encounters with first-episode psychosis in the emergency room and the implementation of first-episode clinics in the UK and Australia. This text is timely, as the proliferation of early-psychosis clinics worldwide demands that we inquire into the subjective experience of those impacted by psychosis and the social contexts within which it occurs and is lived out.
Hearing Voices is the first in a series of titles from The Community Health Systems Resource Group at The Hospital for Sick Children. This series will educate researchers, policy-makers, students, practitioners, and interested stakeholders on such topics as early intervention in psychosis, aggressive-behaviour problems, eating-related disorders, and marginalized youth in educational contexts.


Hearing Voices is a guide to the application of qualitative research methods to the real-life experiences of youth in the early stages of psychosis and will enhance the care offered by early intervention programs. The book provides examples of how to conduct qualitative research with participants who have a first episode of psychosis, using innovative mediums such as dance as a form of knowledge translation. With a practical focus on key issues such as family intervention, pathways to care, primary care, and service delivery, this resource can help clinicians to adopt evidence-based and consumer-driven ideas into their daily clinical practice and aid researchers who want to use qualitative inquiry in their projects involving this special population.

- Dr. Suzanne Archie, Department of Psychiatry, McMaster University, Hamilton, 2012 June

Hearing Voices is a beautiful volume that uniquely captures the history and movement of first episode clinics. It is an outstanding reference book for all who wish to study and understand the importance and effectiveness of early intervention and treatment of first-episode psychosis from a holistic and recovery-oriented perspective. The writers present the lived experiences and voices of patients, family members and service providers, making Hearing Voices a clear narrative of insightful experiential knowledge.

- Chris Summerville, CEO, Schizophrenia Society of Canada, executive director,Manitoba Schizophrenia Society, 2012 June