Psychiatric Rehabilitation Journal, Vol 49(3), Sep 2026, 253-264; doi:10.1037/prj0000691
Objective: This study explores participants’ insight and understanding of mental illness and related issues through their participation in a reading intervention that is framed by a dialogic approach to mental health. Method: A qualitative case study was conducted with 23 participants diagnosed with psychosis (six women and 17 men), divided into three groups. Each group participated in 18 sessions of dialogic reading over a period of 5 months, totaling 54 sessions. Data from session transcripts, in-depth group interviews, and focus groups were analyzed using thematic analysis to examine the emerging dialogue content and participants’ perceptions of their experience. Results: Findings indicate that participants engaged in deep reflection on past experiences related to their illness, substance use, and gambling. Through their engagement in the intervention, individuals were able to identify early signs of illness and reconsider potential contributing factors. Conclusions and Implication for Practice: Overall, the findings highlight the potential of dialogic spaces to foster insight and a more integrated self-concept, offering a valuable, participant-led tool for the narrative recovery of individuals with severe mental disorders. (PsycInfo Database Record (c) 2026 APA, all rights reserved)