Understanding psychological symptoms

  • Research type

    Research Study

  • Full title

    Meaning and Meaninglessness in Neuropsychiatry: Understanding Psychological Symptoms

  • IRAS ID

    123514

  • Contact name

    Norman Poole

  • Contact email

    norman.poole@kcl.ac.uk

  • Sponsor organisation

    Institute of Psychiatry/ King's College London

  • Research summary

    The research seeks to answer questions about how patients with unusual, sometimes bizarre, psychological symptoms can be understood by health professionals and the patient’s carers. It can be difficult to understand what a patient means when they claim, for example, to be dead. Some mental health professionals have argued that these symptoms can be understood in terms of the patient’s past experiences, culture, values, and prior beliefs. Others argue that they occur as a direct consequence of alteration in brain structure or function.

    The proposed research involves in-depth interviews with patients who are known to be experiencing common neuropsychiatric symptoms – such as confabulation (describing fantastical events that did not happen), anosognosia (being unaware of significant neurological impairment) and so-called neurological delusions such as the delusion of reduplication (believing one’s spouse or even home has been replaced by an exact replica), and/ or a carer of someone with these symptoms.

    The interviews will be conducted using the established methodology employed in Interpretative Phenomenological Analysis (IPA), which generates information-rich verbatim accounts of the phenomena in question. The purpose of the interview is to investigate how these experiences are understood by the patients and carers and whether and to what extent they can be considered meaningful communications.

  • REC name

    London - Queen Square Research Ethics Committee

  • REC reference

    13/LO/1735

  • Date of REC Opinion

    13 Jan 2014

  • REC opinion

    Further Information Favourable Opinion