Self‐image and outcome in first‐episode psychosis

Harder, Susanne

doi:10.1002/cpp.498

Cited by 16 publications

(15 citation statements)

References 42 publications

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“…These studies reflect a trend towards Avoidant attachment being the paramount indicator of a diagnosis of psychosis. However, research also indicates that attachment styles vary and that Secure attachment [43] Anxious attachment [44] and Disorganised attachment [45] have also been found to occur in samples of psychotic subjects.…”

Section: Discussionmentioning

confidence: 99%

Carer Attachment Moderates Resilience for Young People Experiencing Psychosis or Depression

Sawle¹,

Lennings²,

Heard³

2015

ujp

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This paper explored the transactional nature of carer attachment, proposing that carer insecure attachment may influence the development of psychopathology and resilience in Young People (YP) experiencing psychosis or depression. Seventy-five matched carer and YP dyads were grouped according to the YP diagnosis, psychosis forty-three and depression thirty-two. YP and carers completed an attachment protocol, Attachment Style Questionnaire and the YP's scores on the Ego-Resiliency Scale measured resilience. Diagnosis of Depression was associated with low YP resilience and high carer insecure (avoidant) attachment. Diagnosis of Psychosis was associated with high YP resilience and insecure (anxious) carer attachment. The results are plausibly explained by the type of carer insecure attachment combining with the YP's level of resilience to influence development of psychopathology in YP. If so, the assessment of carer attachment is likely to provide insights into the interpersonal transactions that influence resilience in YP experiencing Mental Health problems.

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Section: Discussionmentioning

confidence: 99%

Carer Attachment Moderates Resilience for Young People Experiencing Psychosis or Depression

Sawle¹,

Lennings²,

Heard³

2015

ujp

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“…The crucial role that agency, self-determination and self-esteem play for the process of recovery in schizophrenia has been repeatedly stressed in previous literature (e.g. Avdi, Lerou, & Seikkula, 2015;Frank & Davidson, 2014;Grealish, Tai, Hunter, & Morrison, 2013;Harder, 2006). Empowerment has received increasing attention in the last decade, as it has proved to constitute a core healing factor for schizophrenia (Seikkula & Arnkil, 2014;Warner, 2010).…”

Section: Helpful Factors Of Bpt For Schizophreniamentioning

confidence: 98%

Towards the recovery of a sense of self: An interpretative phenomenological analysis of patients’ experience of body-oriented psychotherapy for schizophrenia

Galbusera

Fellin

Fuchs

2017

Psychotherapy Research

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We discuss the clinical implications for each theme and bring the findings together by describing therapeutic change in schizophrenia as a recovery of sense of self at different but interlocked levels. Moreover, we put forward recommendations for both specific and common factors for schizophrenia therapy. Clinical or methodological significance of this article: The clinical significance of this study is twofold. On the one hand, the findings of this analysis might inform the theory and practice of BPT and might directly feedback into a further development of the manual guidelines. On the other hand, common helpful factors have been identified thatmight also be relevant for the more general clinical practice concerning patients with schizophrenia. Here, we summarize our key messages for the clinical practitioner emerging from the findings: The inclusion of bodily aspects and a focus on pre-reflective experience in psychotherapy can help persons with schizophrenia recover the sense of being a body-mind unity. Empowering persons with schizophrenia, instead of instructing them, seems to foster a sense of agency and self-confidence, which are crucial to the recovery process. A twofold therapeutic stance characterized by openness towards the other and authenticity was experienced by patients as facilitating the rapport building. This might help persons with schizophrenia engage in the relation. Social inclusion might enhance therapeutic change and recovery in schizophrenia. Group therapy might be helpful for fostering a feeling of social belonging, but the inclusion in the wider social and community context remains a critical issue. The experience of joyful moments in psychotherapy might positively contribute to therapeutic change in that it fosters a sense of hope for the future. Overall our paper contributes to the literature aiming at expanding the range of therapeutic modalities, focussing on the creation and use of mixed models of therapy within and beyond talking practices.

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“…Des études de cas quantitatives concernant des schizophrènes montrent qu'un enrichissement du récit personnel peut être observé après quelques mois de psychothérapie individuelle, et qu'il est corrélé à l'amélioration de la symptomatologie et de l'aptitude à conférer du sens aux expériences quotidiennes [42]. D'autres études ont montré que la conception de soi est un prédicteur significatif de l'évolution, notamment des symptômes et du fonctionnement social, aussi bien lors des premiers épisodes [23] que dans les phases plus avancées de la maladie, et ce, quelle que soit l'étiologie des difficultés dans la narrativité [36].…”

Section: Psychothérapie De La Schizophrénie Portant Sur Les Capacitésunclassified

La psychothérapie individuelle de la schizophrénie: mise en perspective de son histoire, de ses développements récents et de ses orientations nouvelles

Lysaker

Erickson

2010

Psychiatr Sci Hum Neurosci

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L'étude empirique du devenir à long terme des personnes atteintes de schizophrénie fait apparaître qu'un rétablissement est souvent possible. Ce dernier peut, selon cette littérature, renvoyer à des expériences différentes selon les personnes qui ont présenté pourtant les mêmes troubles psychiatriques. Pour certaines, le rétablissement peut signifier la rémission des symptômes, alors que pour d'autres il peut se traduire par des accomplissements psychosociaux. Pour d'autres encore, cependant, se rétablir peut impliquer des changements subjectifs dans la manière de se sentir sujet de l'action, porteur de sens dans le monde. Pour certaines personnes, se rétablir sera retrouver pleinement le sentiment de soi, un sentiment de soi qui permette de s'engager dans des relations à autrui dotées de sens et d'affronter les rigueurs de la vie quotidienne. Dans cet article, nous examinerons la capacité de la psychothérapie individuelle d'aborder les aspects les plus subjectifs du rétablissement liés au sentiment de soi. Nous recenserons d'abord la littérature sur l'efficacité de la psychothérapie pour les personnes atteintes de schizophrénie. Nous discuterons ensuite les travaux portant sur la question plus large de savoir de quelle manière le déficit en matière de métacogni-tion narrative, peut être sous-jacent à certains des troubles du sentiment de soi observés dans la schizophrénie. Enfin, nous nous centrerons sur la manière dont la psychothérapie pourrait être conçue et adaptée pour contribuer à enrichir l'expérience de soi par la narration et la métacognition. Des perspectives pour des recherches futures seront discutées. Pour citer cette revue : Psychiatr. Sci. Hum. Neurosci. 8 (2010). Mots clés Schizophrénie · Rétablissement · Psychothérapie · Récit · Métacognition · Psychose · Qualité de vie · SoiAbstract Empirical study of long-term outcomes for persons with schizophrenia suggests that recovery is often possible. This literature also emphasizes that recovery may involve different kinds of experiences for different people with the same psychiatric condition. For some, recovery may mean symptom remission while for others it may be reflected by the achievement of psychosocial milestones. For yet others, however, to recover can involve subjective changes in how those persons experience themselves as meaningful agents in the world. For some, to recover could be to reclaim a full sense of self, a sense of self that permits to engage in relationship with others and the rigors of daily life. In this chapter, we review the potential of individual psychotherapy to address the more subjective aspects of recovery related to sense of self. We first review literature on the effectiveness of psychotherapy for persons with schizophrenia. We then discuss literature on the larger issue of how decrement in personal narrative metacognition may underpin some of the disturbance in sense of self observed in schizophrenia. Finally, we focus on how psychotherapy could be conceptualized and adapted to help enrich self-experience by addressin...

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Self‐image and outcome in first‐episode psychosis

Cited by 16 publications

References 42 publications

Carer Attachment Moderates Resilience for Young People Experiencing Psychosis or Depression

Carer Attachment Moderates Resilience for Young People Experiencing Psychosis or Depression

Towards the recovery of a sense of self: An interpretative phenomenological analysis of patients’ experience of body-oriented psychotherapy for schizophrenia

La psychothérapie individuelle de la schizophrénie: mise en perspective de son histoire, de ses développements récents et de ses orientations nouvelles

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