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. 2025 Aug 15;11(5):e178. doi: 10.1192/bjo.2025.10802
Would you be willing to talk about your first psychological difficulties?
Context Question 1: What was going on in your life when the difficulties that led you to be monitored and admitted to hospital arose? What was the context?
Positive psychotic symptoms experience Question 2: What were the difficulties or symptoms that appeared at that time?
Follow-ups: Could you elaborate on this? And clarify this?
If it helps, try to think of a time when the symptoms were strongest or most present.
At that time, what was occupying your mind most of the time? Were you preoccupied with something?
Did you have many thoughts at the same time? Can you describe them for me?
During this period of crisis, what was your state of mind? What were your emotions? How did you feel?
What was your opinion of yourself at the time?
Had you changed in any way? Had your behaviour changed? Did you do anything out of character or that you had not done before? Have those around you commented on your behaviour? If so, in what way? Could you elaborate? How did those close to you react to this change in your behaviour? Were your habits and activities different?
At that time, what did you think of the world and of other people in general (e.g. your loved ones, your colleagues, people in the street)? Did you notice any changes in others, in the world or in your environment?
Did you have any other difficulties (e.g. getting organised, communicating or doing things you used to do)? Can you elaborate? How was it more complicated?
Did you have the impression that your thoughts and feelings were controlled by something outside you? (As if your thoughts didn’t belong to you or were controlled by an outside force). What about your actions? Did you feel dispossessed or no longer in control of yourself (thoughts, actions, feelings)?
Did you notice any sensory changes (visual, auditory, smell, taste, touch or other sensations)? Can you describe them to me?
In the case of voices: what were they saying? What did you hear?
What emotions did they evoke?
Were there things that increased or decreased your symptoms? What made the symptoms more or less intense (e.g. location, situation, what you were doing, thoughts, substances)?
Link with past trauma or life events Question 3: Do your symptoms remind you of anything you’ve experienced before (before the first difficulties)?
Follow-ups: Do your symptoms remind you of an event or something significant from your past? Or of things or people you’ve known?
If so, can you tell me about them?
Participants’ theories Question 4: Have you identified anything in your life that may have weakened you (these may have been minor at the time) from birth to before the first difficulties?
Follow-ups: In your opinion, could this have contributed to your difficulties?
If so, in what way?
Relevance of the interview Question 5: Do you think that talking about the links between your personal history and your symptoms could help you?
If so, how?
Traumatic revival Question 6 (if yes to TALE question 18): You may have told us about a difficult start to care (e.g. in the emergency room or during your hospital stay). Did this have an impact on your symptoms? Has it awakened any previous unpleasant memories or feelings?