Introduction: Research suggests that British South Asian individuals, including
those of Pakistani heritage, face a higher risk of developing psychosis compared to
White individuals. Pakistani culture, Islamic teachings and clinical guidelines
strongly emphasise family support, cohesion, and emotional connection. Despite
this, little is known about the experience or effectiveness of family work (FW) for
British Pakistani Muslims experiencing psychosis. Most research on FW has
focused on quantitative outcomes for individuals and carers, in which British
Pakistani Muslim voices remain largely unheard. This is problematic as some
Pakistani studies suggest that individual therapy approaches may not be culturally
appropriate. UK-based research has similarly highlighted the importance of family
involvement in mental healthcare for South Asian communities. The current study,
therefore, aimed to address this critical gap by providing an in-depth exploration of
British Pakistani Muslims’ experiences and understanding of family involvement in
FW for psychosis.
Method: A qualitative approach was used. Five British Pakistani Muslim
individuals who had participated in FW within the context of psychosis were
recruited from Early Intervention in Psychosis Services (EIPs). Semi-structured
interviews were conducted and analysed using Interpretative Phenomenological
Analysis.
Results: Six Group Experiential Themes were identified: 1) A Test of Family
Support and Commitment; 2) Opening Up: A Journey to Safety; 3) Healing Through
Connection; 4) Integrating the Heart, Mind and Soul; 5) Navigating Systems: Family
Work in an EIP Context; and 6) The Toll of Therapy.
Discussion: Findings are discussed in relation to broader theories and literature on mental health, family support, cultural and religious principles, systemic factors, and FW
approaches for psychosis. The study’s strengths and limitations are considered,
followed by an examination of implications for clinical practice and future research.
Key themes include access to FW, implicit narratives, perceived benefits, and the
importance of cultural and religious sensitivity.
