As part of the emergence of alternative research paradigms in exercise and
sport psychology, we draw upon data from an ethnographic study of 3 individ
uals with schizophrenia to explore the use of exercise as an adjunct therap
y for schizophrenia. A 10-week exercise program of twice-weekly sessions wa
s implemented. Participant observation and interviews with participants and
their assigned key-workers were the primary sources of data collection use
d. The influence of exercise on the lives of participants and their mental
health and the underlying mechanisms of change were explored. Our findings
indicate that exercise has the potential to help reduce participants' perce
ptions of auditory hallucinations, raise self-esteem, and improve sleep pat
terns and general behavior. The process of exercising, via the provision of
distraction and social interaction rather than the exercise itself, was ve
ry influential in providing these benefits. In conclusion, we strongly reco
mmend the inclusion of exercise as an adjunct treatment in psychiatric reha
bilitation.