135 Perspective matters in recovery reluctant, unable, or (not) wanting, to take on the role of someone needing/accepting the help another person wants to give, either temporarily or permanently, reflecting the differences in view that may exist in severe mental illness, especially psychosis (10, 12, 13). Misalignment over role would not occur exclusively between persons with severe mental illness and others, but also between family and professionals. Then it would be linked to views on the role of the person with severe mental illness. When misalignment over role was experienced, the consequent interaction could be experienced as challenging, e.g. including negative expectations, not being informed, feeling powerless, and/or the experience of struggle, see Boxes C and D. See table 2 for further illustrative quotes from all three perspectives on role attribution. BOX C Exchange between a person with severe mental illness in a long term inpatient service who did not see himself as someone with mental problems, and an expert by experience interviewer. It illustrates how attributing roles differently, as a result of diverging subjective perspective, might play out similarly between him and professionals from the service offering help. I: And do you have any regular activities? R: Music, I play bass. I: By yourself, or with other people? R: Alone. I2: Wouldn’t you like to play together? R: Yeah, I like to jam. Then you get a better effect of the music. I2: Do you happen to know [mentions music project in local community]? Might be below your level, but it is for people with mental health problems too. R: I don’t have mental health problems I2: Myself, I did... no, I’m not saying you have mental health problems either. I’m just saying what [music project in local community] is.... R: It’s for people with mental health problems? I2: Yeah, but R: Yes, but then I’m not going to go there right? 7
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