Narrative Incoherence in Schizophrenia: The Absent Agent-Protagonist and the Collapse of Internal Dialogue

Lysaker, Paul H.; Wickett, Amanda; Wilke, Neil; Lysaker, John T.

doi:10.1176/appi.psychotherapy.2003.57.2.153

Cited by 65 publications

(45 citation statements)

References 3 publications

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“…For example, Lysaker, Wickett, Wilke and Lysaker (2003) state that with impoverished narratives, people lose the contextual basis of emotions, imagined futures and sustained intimacy. It has therefore been suggested that the construction/recovery of a coherent narrative plays a significant role in the movement towards mental health (Davidson & Strauss, 1992) and may be considered a potential focus of psychotherapy (Fenton, 2000;Lysaker & Lysaker, 2001).…”

Section: Discussionmentioning

confidence: 99%

Sense of self, adaptation and recovery in patients with psychosis in a forensic NHS setting

Laithwaite

Gumley

2007

Clin Psychology and Psychoth

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Qualitative methods have been used to explore users' recovery from psychosis. These studies have highlighted the importance of hope and redefining sense of self as being important aspects of the recovery process. To date there have been no studies that have collaborated with users in high-security forensic settings to develop an experiential perspective of recovery in psychosis. This study used a social constructionist version of grounded theory to develop an experiential account of recovery in psychosis. Thirteen individuals who had experience of psychosis and were residing in a high-security setting were interviewed in depth about their experiences of recovery. The interviews were transcribed and analysed using the social constructionist version of grounded theory. Contrasting accounts of recovery were apparent from the way in which participants spoke about their experiences. Some participants gave rich and reflective accounts of their recovery. These participants spoke about the nature of past experiences and the importance of those experiences in contextualizing their problems, and reflected on the implications of this on the tasks of recovery. In contrast, other participants' transcripts tended to be short and unelaborated. Recovery tasks seemed to be segregated from previous experiences and their reflection on their experience of psychosis seemed minimized. However, all participants spoke about the importance of developing relationships with staff and family. The development of relationships influenced how participants redefined themselves. Implications for clinical practice and further research are reviewed.

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Section: Discussionmentioning

confidence: 99%

Sense of self, adaptation and recovery in patients with psychosis in a forensic NHS setting

Laithwaite

Gumley

2007

Clin Psychology and Psychoth

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“…At these times, the mental illness meta-narrative disrupts the individual's ability and opportunity to maintain or create a personal story which is continuous and coherent with her or his life experiences. This narrative damage is in itself a further threat to mental health which may compromise the development, well-being, and identity of a person with mental illness (Lysaker et al, 2003).…”

Section: A Narrative Life History Approachmentioning

confidence: 99%

Narrative, Identity, and Recovery from Serious Mental Illness: A Life History of a Runner

Carless

2008

Qualitative Research in Psychology

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Published as: Carless, D. (2008). Narrative, identity, and recovery from serious mental illness: A life history of a runner. Qualitative Research in Psychology, 5(4) with mental health problems, often by focussing on how exercise may alleviate symptoms of mental illness. In this article I take a different tack to explore the ways in which exercise contributed a sense of meaning, purpose, and identity to the life of one individual named Ben, a runner diagnosed with schizophrenia. Drawing on life history data, I conducted an analysis of narrative to explore the narrative types that underlie Ben's stories of mental illness and exercise. For Ben, serious mental illness profoundly disrupted a pre-existing athletic identity removing agency, continuity, and coherence from his life story. By returning to exercise several years later, Ben reclaimed his athletic identity and reinstated some degree of narrative agency, continuity, and coherence. While the relationships between narrative, identity, and mental health are undoubtedly complex, Ben's story suggests that exercise can contribute to recovery by being a personally meaningful activity which reinforces identity and sense of self.

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“…Common activities such as grocery shopping can prove either so meaningful or meaningless that they are impossible to participate in (Bovet and Parnas 1993;Sass 1992). Similarly, personal agency may appear to exist wholly outside the self (Frith 1992;Jaynes 1976;Lysaker et al forthcoming).…”

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confidence: 99%

Being Interrupted: The Self and Schizophrenia

Lysaker¹,

Lysaker²

2005

The Journal of Speculative Philosophy

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Narrative Incoherence in Schizophrenia: The Absent Agent-Protagonist and the Collapse of Internal Dialogue

Cited by 65 publications

References 3 publications

Sense of self, adaptation and recovery in patients with psychosis in a forensic NHS setting

Sense of self, adaptation and recovery in patients with psychosis in a forensic NHS setting

Narrative, Identity, and Recovery from Serious Mental Illness: A Life History of a Runner

Being Interrupted: The Self and Schizophrenia

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