{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T09:09:15Z","timestamp":1788858555838,"version":"build-2803163510"},"reference-count":9,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,7,9]],"date-time":"2026-07-09T00:00:00Z","timestamp":1783555200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>At times, the psychiatric inpatient system pathologizes patient perspectives as \u2018lack of insight\u2019, framing survival strategies as DSM symptoms. In these moments, power imbalances emerge that risk silencing patients' experiential knowledge.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>This autoethnography reflects on my journey from invalidated patient to \u2018knower\u2019 to underscore the need for curiosity\u2010driven, person\u2010centred practices that validate lived wisdom in mental health recovery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A first\u2010person autoethnographic narrative draws on lived experience of inpatient care, including periods of compulsory treatment during severe anorexia and post\u2010ECT amnesia, combined with retrospective reflection and critical engagement with psychiatric literature and power dynamics.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>When patients' voices are ignored, recovery stalls, risking internalized illness identities. Reclaiming narrative through writing enables \u2018double recovery\u2019\u2014from suffering and systemic marginalization. This fosters equality through questions like \u2018How do you understand your experience?\u2019\u2014a stark contrast to DSM's symptom\u2010focused framing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Mental Health Nursing<\/jats:title>\n                    <jats:p>Drawing on my experience of inpatient care, mental health nursing can help shift psychiatric practice towards a more collaborative approach that actively incorporates patients' own explanations into assessment, documentation and care planning. This can begin by asking how patients understand what is happening, recording their own explanations alongside clinical observations and co\u2010designing goals that align with patients' priorities. In doing so, staff can better recognize survival strategies as meaningful responses to distress and strengthen trust through more person\u2010centred practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpm.70175","type":"journal-article","created":{"date-parts":[[2026,7,10]],"date-time":"2026-07-10T06:06:06Z","timestamp":1783663566000},"page":"935-938","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["From \u2018Lack of Insight\u2019 to Being a Knower: A Personal Turning Point in Psychiatric Inpatient Care"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1806-3478","authenticated-orcid":false,"given":"Jennie","family":"Moberg","sequence":"first","affiliation":[{"name":"Department of Social Work Stockholm University  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,9]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.58544\/imsj.v3i1.8218"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010022\u201000729\u20100"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2021.637560"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1093\/acprof:oso\/9780198237907.001.0001"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1093\/bjsw\/bcac220"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12306"},{"key":"e_1_2_10_8_1","doi-asserted-by":"publisher","DOI":"10.1891\/EHPP\u20102023\u20100010"},{"key":"e_1_2_10_9_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12741"},{"key":"e_1_2_10_10_1","doi-asserted-by":"publisher","DOI":"10.1353\/aq.2017.0029"}],"container-title":["Journal of Psychiatric and Mental Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpm.70175","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpm.70175","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpm.70175","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T08:29:41Z","timestamp":1788856181000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpm.70175"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,9]]},"references-count":9,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/jpm.70175"],"URL":"https:\/\/doi.org\/10.1111\/jpm.70175","archive":["Portico"],"relation":{},"ISSN":["1351-0126","1365-2850"],"issn-type":[{"value":"1351-0126","type":"print"},{"value":"1365-2850","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,9]]},"assertion":[{"value":"2026-04-20","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-03","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}