94 Chapter 5 independently again. Regaining a sense of self has been described before (41). Some participants mentioned positive experiences of symptoms, especially of psychosis. Schneider et al. found before that up to 54.4 % of one-hundred twelve treatmentseeking patients with symptoms of psychosis reported that they would miss at least some aspects of positive symptoms if they should disappear (42). Also, hearing voices can be experienced as intrusive, but also as providing guidance, depending on cultural context (43). Side-effects of medication, according to some participants, can interfere with the process of recovery. The subjective response to medication can differ substantially between patients (44). Considering the subjective impact of psychotic symptoms, which may be positive and negative, it is important to decide to what extent one should pursue symptom reduction with antipsychotic medication. Whether positive symptoms are an important focus, could be assessed with the Subjective Perception of Positive Symptoms–Revised (SUPPOSY–R) (45). Also, critical evaluation of positive effects and side-effects of medication is advisable, for instance with the Subjective Wellbeing Under Neuroleptic Treatment Scale (SWN) (46, 47). Reducing or stopping medication has been mentioned as an intervention to help people feel less as a patient and to take away side-effects (48). Also, dose-reduction/discontinuation strategies may help balance clinical and personal recovery (49, 50). 3. Hospitalization Admission to a psychiatric clinic was often seen as necessary and positive. Looking back, some also call it a ‘turning point’, making insight in themselves or acceptance of treatment possible. Not much research has been done into the impact of hospitalization on personal recovery. One study showed in thirty-four individuals with psychotic disorders with an average duration of the hospitalization of 81.9 days no significant changes in personal recovery, self-efficacy, and self-esteem, although clinical symptoms significantly improved (51). Possibly, hospitalization is mostly focused on taking care of a crisis and reducing acute symptoms, which might not immediately has an impact on personal recovery. Also, the process of personal recovery can take multiple years and shows ups and downs (52). It might be a good idea to evaluate an admission afterwards with a patient and family to decide to which extent a possible future admission should be included in the treatment plan to support personal recovery. 4. Coercive treatment The coercive interventions that were mentioned in the interviews were forced medication and hospitalization; seclusion was not mentioned. The results indicate
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