Narrative transformation as an outcome in the psychotherapy of schizophrenia

Lysaker, Paul H.; Lancaster, Rebecca; Lysaker, John T.

doi:10.1348/147608303322362505

Cited by 65 publications

(56 citation statements)

References 39 publications

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“…The group, which was designed to provide training in verbal expression using social skills training techniques, also gave patients an opportunity to express the meaning of their work experience and in so doing may have helped them to revise their view of themselves from sick and disabled to more functional. Changes in self-narrative may be necessary for people to keep working when they encounter frustrations or obstacles [38][39][40][41]. Postulating these mechanisms remains speculative, except regarding neurocognitive training for which we have some evidence of a direct relationship.…”

Section: Conditionmentioning

confidence: 95%

Neurocognitive enhancement therapy with work therapy: Productivity outcomes at 6- and 12-month follow-ups

Bell¹,

Bryson²,

Greig³

et al. 2005

JRRD

111

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Abstract-Neurocognitive enhancement therapy (NET), which involves computerized cognitive training and other methods, has been shown to improve working memory and executive function in schizophrenia. In the present study, 145 outpatients with diagnoses of schizophrenia or schizoaffective disorder recruited from a Department of Veterans Affairs mental hygiene clinic and from a community mental health center were randomized to 6 months of paid work therapy (WT) or to NET+WT. Mixed random effects analyses revealed significant increase in hours worked and money earned over time for both conditions (p < 0.0001). NET+WT worked more hours than WT (p < 0.03), with differences emerging after rehabilitation. Responders to NET+WT worked the most during follow-up and tended to have more competitive-wage employment. Results indicate that work outcomes were enhanced by NET training. Effects were greatest for NET responders. Findings support the efficacy of cognitive training when it is integrated into broader rehabilitation programs.

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Section: Conditionmentioning

confidence: 95%

Neurocognitive enhancement therapy with work therapy: Productivity outcomes at 6- and 12-month follow-ups

Bell¹,

Bryson²,

Greig³

et al. 2005

JRRD

111

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“…Evidence that relatively independent domains of hope exist includes findings that changes in expectations of the future and agency are linked with different variables in psychotherapy among persons without psychosis [35]. Literature suggesting that this issue is particularly relevant for persons with schizophrenia includes findings that many with schizophrenia have unique difficulties situating themselves as active agents within their own lives [36][37] and seeing promise in their future [10][11]. In schizophrenia, hope for a good outcome and hoping to persist have also been linked with different rehabilitation outcomes [17].…”

Section: Introductionmentioning

confidence: 99%

Clinical and psychological correlates of two domains of hopelessness in schizophrenia

Lysaker

Salyers²,

Tsai³

et al. 2008

JRRD

Self Cite

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Abstract-Hopelessness is a widely observed barrier to recovery from schizophrenia spectrum disorders. Yet little is known about how clinical, social, and psychological factors independently affect hope. Additionally, the relationships that exist between these factors and different kinds of hope are unclear.To explore both issues, we correlated two aspects of hope, expectations of the future and agency, with stigma, clinical symptoms, anxiety, and coping preferences in 143 persons with a schizophrenia spectrum disorder. Multiple regressions revealed that hope for the future was predicted by lesser alienation, lesser preference for ignoring stressors, and lesser emotional discomfort and negative symptoms, accounting for 43% of the variance. A greater sense of agency was linked to lesser endorsement of mental illness stereotypes, fewer negative symptoms, lesser social phobia, and lesser preference for ignoring stressors, accounting for 44% of the variance. Implications for research and interventions are discussed.

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“…Important schools of thought now view self-experience as at least partly structured through narrative [32]. In psychopathology, this dimension of self-experience is often found to be altered [33,34,35], and narrative change is increasingly related to improvement of health [36]. However, it should be noted that defining or reifying ‘the narrative self' would be an impossible and undesirable endeavor.…”

Section: Discussionmentioning

confidence: 99%

The Self beyond Somatic Symptoms: A Narrative Approach to Self-Experience in Adolescent Chronic Fatigue Syndrome

Geelen

Fuchs²,

Geel³

et al. 2015

Psychopathology

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Background: The self and self-experience are often assumed to play an important role in adolescent patients presenting with severe somatic symptoms and bodily distress. Nonetheless, most empirical work on this subject is confined to studies of personality and patients' experience of negative emotionality. This study aims to move beyond mere descriptions of symptoms, traits and distress, and consequently adopts a narrative approach to self-experience in adolescent chronic fatigue syndrome (CFS). Sampling and Methods: The self-confrontation method (SCM) is a well-validated instrument to systematically analyze narrative self-experience. The SCM was used to study 42 adolescents with CFS, compared to 36 adolescents with juvenile idiopathic arthritis (JIA) and 25 matched healthy controls. The Child Health Questionnaire (CHQ-CF87) was used to assess mental health, self-esteem, and physical and psychosocial functioning. Results: Both patient groups reported significantly less positive self-experience of autonomy and success compared to healthy controls. Furthermore, patients with CFS described significantly more negative self-experience of powerlessness, isolation and unfulfilled longing. In the CHQ-CF87, both patient groups scored significantly lower on physical functioning than controls. Adolescents with CFS also scored significantly lower on mental health and self-esteem. Conclusions: Adolescent CFS entails a serious threat to the self, which might be inherent to the condition. Not only are patients more impaired in mental health, self-esteem, and physical and psychosocial functioning than patients with JIA, they also suffer from a distinct combination of high negative and low positive self-experience. These findings stress the need for strategies that empower patients towards a ‘management of the self'.

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Narrative transformation as an outcome in the psychotherapy of schizophrenia

Cited by 65 publications

References 39 publications

Neurocognitive enhancement therapy with work therapy: Productivity outcomes at 6- and 12-month follow-ups

Neurocognitive enhancement therapy with work therapy: Productivity outcomes at 6- and 12-month follow-ups

Clinical and psychological correlates of two domains of hopelessness in schizophrenia

The Self beyond Somatic Symptoms: A Narrative Approach to Self-Experience in Adolescent Chronic Fatigue Syndrome

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