Narrative research on mental health recovery: two sister paradigms

J Ment Health. 2018 Aug;27(4):298-306. doi: 10.1080/09638237.2017.1340607. Epub 2017 Jun 24.

Abstract

Background: Despite the breadth of narrative studies on individuals with severe mental illness, the suitability of narrative inquiry to exploring mental health recovery (MHR) has not been examined.

Aims: (1) Examining the appropriateness of narrative inquiry to studying MHR; (2) assessing the extent to which narrative studies on MHR conform to the unique features of narrative research, as a distinctive form of qualitative inquiry.

Methods: Review of empirical, theoretical and methodological literature on recovery and narrative inquiry.

Results: Considering the perspectives of recovery and narrative as paradigms, the similarity between their ontology and epistemology is shown, evident in 10 common emphases: meaning, identity, change and development, agency, holism, culture, uniqueness, context, language and giving voice. The resemblance between these "sister" paradigms makes narrative methodology especially fruitful for accessing the experiences of individuals in recovery. Reviewing narrative studies on MHR suggests that, currently, narrative research's uniqueness, centered on the holistic principle, is blurred on the philosophical, methodological and textual levels.

Conclusions: Well-established narrative research has major implications for practice and policy in recovery-oriented mental health care. The narrative inquiry paradigm offers a possible path to enhancing the distinctive virtues of this research, realizing its potential in understanding and promoting MHR.

Keywords: Mental health recovery; narrative; narrative paradigm; narrative research; recovery paradigm; severe mental illness.

Publication types

  • Review

MeSH terms

  • Humans
  • Mental Disorders / therapy*
  • Mental Health Recovery*
  • Narration*
  • Research Design