Hostname: page-component-7dd5485656-j7khd Total loading time: 0 Render date: 2025-10-30T01:12:45.930Z Has data issue: false hasContentIssue false

Reflections on the value of lived experience and mutual peer support in recovery from all forms of mental illness, including psychosis

Published online by Cambridge University Press:  29 October 2025

Mike Watts*
Affiliation:
Department of Psychiatry, RCSI, Dublin 2, Ireland

Abstract

The value of people’s unique lived experience of mental illness (including psychosis), professional treatment and recovery as a valid form of knowledge remains relatively unexplored and under-utilised by mental health professionals, policy makers and by those seeking help. Mutual peer support remains a largely untapped resource, often ignored and distanced from mainstream services. In this reflective perspective article, I share my own experiences as a service user, spouse, close relative and brother-in-law and also as someone who worked for many years in mutual peer support and in the area of recovery. I reflect on the findings of my doctoral narrative research which focused on the role played by Grow Mental Health, Ireland’s largest network of mutual peer support groups, in recovery from a wide range of diagnoses. The main finding from this research suggested that recovery can be experienced as a re-enchantment with life and that mental illness can act as a gateway to mental health rather than be experienced as a form of (often life-long) disability. In the discussion I try and envisage what a recovery oriented mental health system might look like, and what changes would need to be introduced. Despite such a long personal history of dealing with mental illness and witnessing many different levels of recovery, I still have much to learn about mental illness and recovery. I also welcome many recent changes made within the system and indeed this special edition of the journal.

Information

Type
Perspective Piece
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of College of Psychiatrists of Ireland

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

Article purchase

Temporarily unavailable

References

Al-Shahrani, MM, Alasmri, BS, Al-Shahrani, RM, Al-Moalwi, NM, Al Qahtani, AA, Siddiqui, AF (2023). The prevalence and associated factors of academic stress among medical students of king khalid university: an analytical cross-sectional study. Healthcare (Basel) 11, 2029. doi:10.3390/healthcare11142029.CrossRefGoogle ScholarPubMed
Bhaktin, MM (1981). The Dialogical Imagination. University of Texas Press: Austin, Texas.Google Scholar
Boland, M, Higgins, A, Beecher, C, Bracken, P, Burn, W, Cody, A, Framer, A, Gronlund, T, Horowitz, M, Huff, C, Jayacodi, S, Keating, D, Kessler, D, Konradsson-Geuken, Åsa, Lamberson, N, Montagu, L, Smith, R, Cadogan, C (2024). Identifying priorities for future research on reducing and stopping psychiatric medication: results of a james lind alliance priority-setting partnership. BMJ open 14, e088266.10.1136/bmjopen-2024-088266CrossRefGoogle ScholarPubMed
Braun, V, Clarke, V (2006). Using thematic analysis in psychology. Qualitative Research in Psychology 3, 77101.CrossRefGoogle Scholar
Emmanuel, EJ, Grady, C (2006). Four paradigms of clinical research and research oversight. Cambridge Quarterly of Health Care Ethics 16, 8296.Google Scholar
Evely, L (1964). That man is you. New Jersey: Paulist Press.Google Scholar
Fricker, M (2006). Powerlessness and social interpretation. Episteme 3(1–2), 96108.CrossRefGoogle Scholar
Grow (1979). Grow comes of age… a celebration and a vision grow publications sydney.Google Scholar
Grow Mental Health (2013). The program book grow in Ireland.Google Scholar
Hoey, J, Fleury, R Dooley, N, Staines, L, Ohland, J, Kelleher, I, Cotter, D, Cannon, M (2024). Stress from Ethnic and Minority Status. In Adversity, Parental Support, Self Reported Mental health and Psychiatric Experiences. A Cross Sectional School Based Survey.Google Scholar
Hoffmann, L (1984). A co-evolutionary framework for systemic family therapy (Unpublished paper).10.1037/e410342004-001CrossRefGoogle Scholar
Kloos, B (1999). Cultivating identity: meaning making in the context of residential treatment settings for persons with h.Google Scholar
Kuhn, TS (1962). The Structure of Scientific Revolutions. Chicago, IL: University of Chicago Press.Google Scholar
Kupfer, F (2013). Chair of DSM-5 task force discusses future of mental health research. Mad in America:, 3 May www.madinamerica.com/wp-content/uploads/2013/05/Statement from dsm-chair-david-kupfer-md.pdf.Google Scholar
Longden, E (2013). The voices in my head TED talk.Google Scholar
Lucey, J (2024). RTE news interview.Google Scholar
Norton, JM (2023). Peer support working: a question of epistemology and ontology. Int J Ment Health Syst 17(1), 1. doi: 10.1186/s13033-023-00570-1.CrossRefGoogle Scholar
Norton, JM (2024). Mandating patient and public involvement in research: is it cause for concern? Journals Bahiana: Oxford.Google Scholar
Norton, JM (2024). Using learned tools for experiential gain: the application of experiential knowledge to traditional service processes. Cambridge University Press.Google ScholarPubMed
Price, RH (1979). Abnormal Behaviour Perspectives in Conflict, Second Edition. Holt, Reinhart and Winston Inc USA.Google Scholar
Riessman, F (1990). Restructuring help: A human services paradigm for the 1990s. American Journal of Community Psychology 18, 221227.CrossRefGoogle Scholar
Royal College of Psychiatrists (2024). Spirituality and psychiatry for today’s world on line video.Google Scholar
Sunkel, C, Sartor, C (2022). Perspectives: involving persons with lived experience of mental health conditions in service delivery, development and leadership. BJPsych Bulletin 46(3), 160164.10.1192/bjb.2021.51CrossRefGoogle ScholarPubMed
Ventriglio, A, Watson, C, Bhugra, D (2020). Suicide among doctors: a narrative review. Indian Journal of Psychiatry.Google Scholar
Watts, M (2012). Recovery from Mental Illness as a Re-enchantment with Life: A Narrative Study, Unpublished PhD Thesis. School of Nursing and Midwifery,Trinity College, Dublin.Google Scholar
Watts, M, Higgins, A (2017). Narratives of recovery from Mental Illness: the role of peer support. Routledge Press: London and New York.Google Scholar
Watts, M, Murphy, E, Keogh, B, Downes, L, Higgins, A (2021). Deciding to discontinue prescribed psychotropic medication: a qualitative study of service user’s experiences. International Journal of Psychiatric Nursing.Google Scholar
Weber, M (2000 [1904]). The Protestant Ethic and the Spirit of Capitalism. Routledge: London.Google Scholar
Whitaker, R (2002). Mad in America: bad science, bad medicine and the enduring mistreatment of the mentally ill. basic books. New York.Google Scholar