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Engaging People Who Have Deeply Embedded, Fixed, and Entrenched Psychosis: The Role of Peer Workers

The purpose of this article is to describe the way in which peer workers can approach people with deeply embedded psychosis using an approach that is recovery-based. The connection and mutuality between the peer worker and service user opens up a dialogue about people’s fixed and strange beliefs. Service users trust peer workers more than other staff because of their shared experiences of mental illness. The first author of this paper (Ben) has a diagnosis of paranoid schizophrenia, so is better able to open up a dialogue or narrative about psychosis with service users. Because of their shared experiences of mental illness, peer workers are able to better know, understand, and advocate for service users. This gives a fuller picture of what is really going on in people’s lives, so it is able to support psychiatry and mental health nursing to provide more holistic and person-centered care. Three examples are highlighted to illustrate people’s entrenched psychotic beliefs and the ways in which peer work can, if not resolve them, better help people to understand and cope with psychosis.

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Posted in: Journal Article Abstracts on 09/16/2025 | Link to this post on IFP |
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