Dual case study of continued use vs cessation of cannabis in psychosis: a theoretically informed approach to a hard problem
Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Standard
Dual case study of continued use vs cessation of cannabis in psychosis : a theoretically informed approach to a hard problem. / Larsen, Jonathan Led; Johansen, Katrine Schepelern; Nordgaard, Julie; Mehlsen, Mimi Yung.
I: Advances in Dual Diagnosis, Bind 15, Nr. 1, 2022, s. 22-36.Publikation: Bidrag til tidsskrift › Tidsskriftartikel › Forskning › fagfællebedømt
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Dual case study of continued use vs cessation of cannabis in psychosis
T2 - a theoretically informed approach to a hard problem
AU - Larsen, Jonathan Led
AU - Johansen, Katrine Schepelern
AU - Nordgaard, Julie
AU - Mehlsen, Mimi Yung
N1 - Publisher Copyright: © 2022, Emerald Publishing Limited.
PY - 2022
Y1 - 2022
N2 - Purpose: Cannabis use in the context of psychosis has been shown to have a negative impact on prognosis and yet it is difficult to treat. Recent randomized controlled trials all have negative findings and novel approaches is sought after. This paper aims to use an embodied cognition framework to add to the understanding of cannabis use in psychosis. Design/methodology/approach: The paper presents longitudinal, qualitative data on two individuals diagnosed with schizophrenia and using cannabis at least twice weekly prior to inclusion in the study. Factors influencing cannabis use were mapped in dialogue with the participants. Each participant was interviewed six times over the course of a year. The analysis was informed theoretically to describe processes maintaining or ameliorating cannabis use over time. Findings: This study shows that a systems approach for understanding changes in cannabis use is meaningful; the richness of observations add to the understanding of differences in outcomes. Findings suggest that reductions in cannabis use in psychosis could be dependent on synergistic effects between contextual conditions. Attending closer to the experience of patients may help inform future interventions. However, interventions focusing on single mechanisms may be futile, if an array of individual, formative experiences are a prerequisite for change. A systemic understanding of dual diagnosis calls for tailored, individualized interventions. Originality/value: The research tests a novel systemic perspective on cannabis use in psychosis by applying it to qualitative longitudinal data. Adding a systemic perspective may help develop future interventions addressing cannabis use in psychosis, which has long been considered a “hard problem” in dual diagnosis treatment.
AB - Purpose: Cannabis use in the context of psychosis has been shown to have a negative impact on prognosis and yet it is difficult to treat. Recent randomized controlled trials all have negative findings and novel approaches is sought after. This paper aims to use an embodied cognition framework to add to the understanding of cannabis use in psychosis. Design/methodology/approach: The paper presents longitudinal, qualitative data on two individuals diagnosed with schizophrenia and using cannabis at least twice weekly prior to inclusion in the study. Factors influencing cannabis use were mapped in dialogue with the participants. Each participant was interviewed six times over the course of a year. The analysis was informed theoretically to describe processes maintaining or ameliorating cannabis use over time. Findings: This study shows that a systems approach for understanding changes in cannabis use is meaningful; the richness of observations add to the understanding of differences in outcomes. Findings suggest that reductions in cannabis use in psychosis could be dependent on synergistic effects between contextual conditions. Attending closer to the experience of patients may help inform future interventions. However, interventions focusing on single mechanisms may be futile, if an array of individual, formative experiences are a prerequisite for change. A systemic understanding of dual diagnosis calls for tailored, individualized interventions. Originality/value: The research tests a novel systemic perspective on cannabis use in psychosis by applying it to qualitative longitudinal data. Adding a systemic perspective may help develop future interventions addressing cannabis use in psychosis, which has long been considered a “hard problem” in dual diagnosis treatment.
KW - Abstinence
KW - Cannabis
KW - Change processes
KW - Developmental science
KW - Dual diagnosis
KW - Embodied cognition
KW - Experience
U2 - 10.1108/ADD-11-2021-0013
DO - 10.1108/ADD-11-2021-0013
M3 - Journal article
AN - SCOPUS:85124880561
VL - 15
SP - 22
EP - 36
JO - Advances in Dual Diagnosis
JF - Advances in Dual Diagnosis
SN - 1757-0972
IS - 1
ER -
ID: 309124739