Date of Paper


Type of Paper

Clinical research paper

Degree Name

Master of Social Work (M.S.W.)


Social Work

First Advisor

Kari L. Fletcher


Social Work


The purpose of this research project was to explore how individuals with psychosis and schizophrenia benefit through participation in a narrative group therapy intervention. Current treatment options for individuals with psychosis and schizophrenia are focused on anti-psychotic medication as a first response to treatment, which has significant negative side-effects for some. Along with medication, a belief exists that individuals with psychosis and schizophrenia lack insight, placing even further dependence on medications and deterring a focus on insight-based therapies. The use of insight-based narrative therapies for individuals with psychosis within a group format is under-researched and lacks discussion in the literature. This qualitative study implemented a secondary data analysis of data collected between November, 2014 and October, 2015 from a current narrative therapy group work program for individuals with psychosis. Using grounded theory, the following two themes were identified: connection and barriers to wellness, each of which had multiple subthemes. The findings of this study show group process as an effective form of intervention, resulting in cohesion, catharsis, and insight. The results of this study demonstrate that individuals with psychosis are able to participate in insight-based narrative therapy and benefit from a group format. Implications for clinical practice and future research are also discussed.

Included in

Social Work Commons