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Issues in mental health nursing2021; 43(3); 201-208; doi: 10.1080/01612840.2021.1975332

The Role of the Horse in an Equine-Assisted Group Intervention-as Conceptualized by Persons with Psychotic Conditions.

Abstract: Adopting positive health interventions is necessary to promote self-image, improve well-being, support meaningful social interaction and reduce loneliness, with benefits for psychological and physical health for persons with psychotic conditions. Raised awareness of the potential benefits of involving horses in these kinds of interventions is warranted. Thus, the aim of this study was to explore the role of the horse in equine-assisted interventions (EAI) as conceptualized among persons with psychotic conditions. Interviews were conducted with eight persons with psychotic conditions who had participated in an EAI, and data were analyzed following conventional qualitative content analysis. The results illustrate how the horse united the group and facilitated personal maturity both at a group level and at a personal level. In the group the horse facilitated interaction and became a healthy and normal topic of discussion. The interaction between the horse and others helped the participants to become aware of and reflect on behaviors of oneself and of others. At an individual level, the horse helped to develop participants' identities and growth by offer mutual friendship. With its size and calming way of being, the horse evoked a healing power among participants who identified characteristics of themselves in the horse. Through its clear body language and communication, the horse facilitated personal maturity and development among the participants that would not have occurred without the horse's presence.
Publication Date: 2021-09-20 PubMed ID: 34543163DOI: 10.1080/01612840.2021.1975332Google Scholar: Lookup
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  • Journal Article

Summary

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This research study focuses on how horses can play a vital role in supporting people with psychotic conditions by promoting self-image, improving well-being, and facilitating meaningful social interaction. The study interviewed eight individuals who participated in an equine-assisted intervention (EAI), tracing the benefits they reaped at both a group and individual level.

Research Methodology

  • The research team conducted interviews with eight individuals suffering from psychotic conditions who had participated in an EAI program in order to understand the perceived impact of interacting with horses.
  • These interviews were analyzed using a conventional qualitative content analysis to extract themes and understand the role of the horse in these interventions.

Research Findings

The study produced several significant findings on both the group and individual level.

Group Level Benefits

  • The presence of a horse proved to be a great unifying factor for the group, establishing a common ground for interaction.
  • Horses became a healthy and non-threatening topic of discussion among participants that fostered interaction and solidarity.
  • Observing the interaction between the horse and other group members was also useful, as it helped participants to become aware of their own behaviors and reflect on them.

Individual Level Benefits

  • The interaction with horses helped to develop the participants’ self-identities and fostered personal growth by offering mutual friendship. This reciprocal relationship strengthened their self-esteem and identity.
  • Participants found therapeutic value in the horses’ size and calming demeanor. They felt that the horse evoked healing power, identifying characteristics of themselves in the horse and developing a deep emotional connection.
  • The clear body language and communication demonstrated by the horse facilitated personal maturity and development because it offered a clear and honest reflection of the actions and intentions of the participants.

Conclusion and Implications

The research findings suggest that including horses in intervention programs could be a beneficial approach for supporting individuals with psychotic conditions. The study demonstrates how horses can facilitate group cohesion and emotional growth, providing a therapeutic connection that traditional treatment methods may not offer. Further research could be directed towards evaluating the long-term effects of such programs and understanding how to make EAI more accessible and effective for those with psychotic conditions.

Cite This Article

APA
Hultsjö S, Jormfeldt H. (2021). The Role of the Horse in an Equine-Assisted Group Intervention-as Conceptualized by Persons with Psychotic Conditions. Issues Ment Health Nurs, 43(3), 201-208. https://doi.org/10.1080/01612840.2021.1975332

Publication

ISSN: 1096-4673
NlmUniqueID: 7907126
Country: England
Language: English
Volume: 43
Issue: 3
Pages: 201-208

Researcher Affiliations

Hultsjö, Sally
  • Department of Psychiatry, Region Jönköping County, Sweden.
  • Department of Health, Medicine and Caring Sciences, Division of Nursing and Reproductive Health, Linköping University, Linköping, Sweden.
Jormfeldt, Henrika
  • School of Health and Welfare, Halmstad University, Halmstad, Sweden.

MeSH Terms

  • Animals
  • Equine-Assisted Therapy
  • Health Status
  • Horses
  • Humans
  • Psychotherapy, Group
  • Psychotic Disorders / therapy

Citations

This article has been cited 3 times.
  1. Fridén L, Hultsjö S, Lydell M, Jormfeldt H. Relatives' experiences of an equine-assisted intervention for people with psychotic disorders. Int J Qual Stud Health Well-being 2022 Dec;17(1):2087276.
    doi: 10.1080/17482631.2022.2087276pubmed: 35698741google scholar: lookup
  2. Seery R, Graham-Wisener L, Wells DL. A Qualitative Exploration of the Lived Experiences and Perspectives of Equine-Assisted Services Practitioners in the UK and Ireland. Animals (Basel) 2025 Jul 30;15(15).
    doi: 10.3390/ani15152240pubmed: 40805030google scholar: lookup
  3. Carlsson IM, Bräutigam Ewe M, Nymberg P, Jormfeldt H. Building up bit by bit, parent's experiences of equine-assisted intervention among children and adolescents with mental illness: a grounded theory study. Int J Qual Stud Health Well-being 2024 Dec;19(1):2354945.
    doi: 10.1080/17482631.2024.2354945pubmed: 38758980google scholar: lookup