Exploring the Mechanisms of Self-Awareness in Psychological Recovery After Acute Psychosis

Abstract

The aim of this study was to identify and explore the mechanisms of self-awareness in the psychological recovery process of individuals with a history of acute psychosis. This qualitative research employed thematic analysis. Data were collected through semi-structured interviews with 16 participants in Tehran who had experienced acute psychotic episodes. Participants were selected purposively, and data collection continued until theoretical saturation. All interviews were transcribed and analyzed using NVivo software through open, axial, and selective coding. Three main themes were identified: “Reconstructing the Self after Psychosis,” “Emotional Self-Regulation Mechanisms,” and “Meaning-Making and Hope in Recovery.” Subthemes included identity disruption, bodily awareness, active coping with negative emotions, emotional support, goal redefinition, and narrative reconstruction. Participants’ narratives revealed a complex, multi-layered experience of reintegration and self-restoration. The findings suggest that self-awareness plays a foundational role in the recovery journey after acute psychosis, encompassing cognitive, emotional, bodily, social, and existential dimensions. Therapeutic interventions that enhance these aspects can facilitate psychological healing and identity reconstruction.