Reconstructing identity: a structural narrative inquiry into lived psychosis experiences

Background Understanding how people diagnosed with “schizophrenia” narrate their psychosis experiences is essential for developing recovery-oriented mental health care. Although the diagnostic label is associated with stigma and contested validity, individuals must interpret and respond to personal, interpersonal, and social challenges shaped by psychosis and contact with mental health services. Narrative research focusing on identity reconstruction remains limited, particularly in non-Western contexts.Methods This qualitative study employed a structural narrative inquiry approach to explore how 10 people diagnosed with “schizophrenia” organised and made sense of their psychosis experiences. Data were collected through in-depth, face-to-face interviews and analysed using Riessman’s structural narrative method.Results Participants reported difficulties in recognising early changes, uncertainty during the diagnostic process, and challenges in adapting to treatment. Hospitalisation was described as frightening and disempowering, due to restrictive practices, inadequate environments, and limited communication with healthcare professionals. Medication side effects disrupted daily life, while stigma contributed to social withdrawal, employment barriers, and reduced participation in community life. Family support played a central role in maintaining emotional stability and adherence to treatment.Discussion Identity reconstruction was shaped by personal meaning-making processes, the social implications of the “schizophrenia” label, and the broader mental health system. Enhancing therapeutic communication, reducing disempowering inpatient practices, and expanding community-based psychosocial support may facilitate recovery.