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Published on: November 19, 2014
Antipsychotics and Identity: The Adverse Effect No One is Talking About.
M Conneely1, D Roe2, I Hasson-Ohayon2
1Division of Psychiatry, University College London, Maple House, W1T 7BN, London, UK. m.conneely@ucl.ac.uk.
Antipsychotic medications can impact a person's sense of self and identity in complex ways, both positively and negatively. Exploring these effects in clinical practice is crucial for recovery-oriented care and building trust.
Area of Science:
- Psychiatry
- Psychology
- Sociology
Background:
- Antipsychotic (AP) medications significantly affect individuals' lives.
- The impact of APs on personal identity and sense of self is often overlooked.
- Existing research highlights a complex, multifaceted relationship between AP use and identity.
Purpose of the Study:
- To explore the nuanced effects of antipsychotic medications on patient identity.
- To emphasize the need for routine clinical discussions regarding identity and APs.
- To advocate for the integration of identity-related conversations into recovery-oriented care.
Main Methods:
- Qualitative research methodology was employed.
- Analysis of the multilayered and changeable relationship between APs and identity.
- Exploration of how prescribed antipsychotics influence self-perception.
Main Results:
- Antipsychotics can restore a pre-symptom sense of self.
- Conversely, APs can be perceived as damaging, erasing, or dulling to one's identity.
- The relationship between APs and identity is complex and varies among individuals.
Conclusions:
- Clinical practice should routinely address the impact of antipsychotics on identity.
- Discussions about identity and agency are vital for shared decision-making and recovery.
- Integrating these conversations can enhance therapeutic alliances and improve patient care.
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