To withdraw — a viscous circle in severe mental illness. The aim of this study has been to analyse and describe circumstances behind and experiences of severely mentally ill persons' withdrawal. Six persons, two women and four men, aged 31–57, with experiences of withdrawal due to psychosis, were interviewed. Manifest and latent meanings were described. Factors that led to withdrawals were insufficient medication, alcohol and sleeplessness. The meaning of withdrawal was characterized by a viscous circle. The process starts with the necessesity to avoid external and internal stressors. It continues with changed reality and brooding. Senses of being an outsider are enlarged and the viscous circle is completed with further withdrawal. Psychiatric care is reflected upon as an opportunity for the caregivers to step in early and break up the viscous circle.
MarkströmU. (2003). Den svenska psykiatrireformen: Bland brukare, eldsjälar och byråkrater. Umeå: Borea fölag.
2.
ÖstmanO.ErdnerL.ErshammarD. (2004). Stigmatisering av personer med psykisk sjukdom, ett försummat problem. Läkartidningen, 20, 101.
3.
NyströmM. (2003). Ett liv på egna villkor — Vård och omsorg vid psykiska funktionshinder. Stockholm: Natur och Kultur.
4.
AhnlundM.RosenI., & LundinL. (2002). Vår son har schizofreni. Helsingborg: Lundbeck AB.
5.
CorinE., & LauzonG. (1992). Positive Withdrawal and the Quest for Meaning: The Recontruction of Experience among Schizophrenics. Psychiatry, 55, 3, 279–281.
6.
BealG. (1999). The Constitution of Community: How Individuals Diagnosed with Schizofrenia and their Friends Achieved Community. Psychiatry, 62, 173–186.
7.
BoydellK. M.GladstoneB.E., & CrawfordE.S. (2002). The Dialectic of Friendship for People with Psychiatric Disabilities. Psychiatric Rehabilitation Journal, 26, 2, 123–131.
8.
BoydellK.M., & EverettB. (1992). What Makes a House a Home? An Evaluation of a Supported Housing Project for Individuals with Long-term Psychiatric Backgrounds. Canadian Journal of Common Mental Health, 11, 1, 109–123.
GraneheimU.H., & LundmanB. (2004). Qualitative Content Analysis in Nursing Research: Concepts, Procedures and Measures to achieve Trustworthiness. Nurse Education Today, 24, 105–112.
12.
GustavssonA. (1993). Närhet och gemenskap. En studie av personer med långvariga psykiska störningar och deras sociala situation. Rapp 130:55. Stockholms Universitet: Pedagogiska Institutionen.
13.
GranerudA., & SeverinssonE. (2003). Preserving Integrity. Experiences of People with Mental Health Problems Living in their Own Home in a New Neighbourhood. Nursing Ethics10, 6, 602–613.
14.
MagnussonA-B., & LützénK. (1999). Intruision into Patient Privacy: A Moral Concern in the Home Care of Persons with Chronic Mental Illness. Nursing Ethics, 6, 399–40.
15.
AnderssonM. (1996). Integritet som begrepp och princip — en studie av ett vårdetiskt ideal i utveckling. Andra upplagan. Åbo: Åbo Akademis Förlag.
16.
Hälso- och Sjukvårdslagen. (1982). Stockholm: SFS1982: 763.
17.
MagnussonA-BSeverinssonE., & LützénK. (2003). Reconstructing Mental Health Nursing in Home Care. Journal of Advanced Nursing, 43, 351–359.
18.
MagnussonA-B.HögbergT.LützénK., & SeverinssonE. (2004). Swedish Mental Health Nurses' Responsibility in Supervised Community Care of Persons with Long-term Mental Illness. Nursing and Health Sciences, 6, 1, 19–27.
19.
SvenssonJ. (2002). Den psykiatriska tvångsvården inom SLL 1992–97. Rapport FoU-enheten psykiatri. Stockholm: Västra sjukhusområdet.
20.
DahlbergK.SegestenK.NyströmM.SuserudB-O., & FagerbergI. (2003). Att förstå vårdvetenskap. Lund: Studentlitteratur.
21.
CruzM.CruzR.F., & McEldonW. (2001). Best Practice for Managing Non-complience with Psychiatric Appointments in Community based Care. Psychiatric Services, 52, 11, 143–45.
22.
Van MeijelB.Vaan Der GaagM.KahnR.S., & GrypdonckM. (2002). The Practice of Early Recognition and Early Intervention to Prevent Psychotic Relapse in Patients with Schizophrenia: An Exploratory Study part 1+2. Journal of Psychiatric Mental Health Nursing, 9, 347–355 (part 1) and 357–363 (part 2).
23.
HosticT., & NewelR. (2004). Concordance with Community Mental Health Appointments. Journal of Clinical Nursing, 13, 7, 895–902.
