Movement Towards Coherence in the Psychotherapy of Schizophrenia: A Method for Assessing Narrative Transformation

Lysaker, Paul H.; Wickett, Antanda M.; Campbell, Kikuko; Buck, Kelly D.

doi:10.1097/01.nmd.0000082182.77891.89

Cited by 49 publications

(31 citation statements)

References 20 publications

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“…A total score is obtained by summing all four scores such that the possible range of scores for any point is from 4 to 20. As reported elsewhere (Lysaker et al, 2003a) the STAND has been found to have an acceptable degree of internal consistency (coefficient alpha = 0.86) and inter-rater reliability. The STAND has additionally been found to distinguish the narratives of persons with schizophrenia from those with other disabilities (Lysaker, Wickett, & Davis, 2005).…”

Section: Instrumentsmentioning

confidence: 86%

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Changes in narrative structure and content in schizophrenia in long term individual psychotherapy: a single case study

Lysaker

Davis

Eckert

et al. 2005

Clin. Psychol. Psychother.

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A cornerstone of some forms of psychotherapy for schizophrenia is the assertion that changes in personal narrative and the dialogues from which they spring contribute significantly to recovery from schizophrenia. Yet when such transformation occurs, what changes and according to what dynamics? To address these questions, blind assessments of psychotherapy transcripts were conducted assessing narrative content, structure and metacognition twice a month over a period of 32 months for a single case of integrative individual psychotherapy. These measures improved significantly over time, with analyses of time trends indicating that the degree of improvement of narrative structure from months 4 to 29 was significantly greater than the degree of improvements in narrative content or metacognition (p < 0.05). These findings suggest that narratives in schizophrenia may gain greater degrees of complexity and structure prior to the changing of a story or of the capacity for self-reflection.

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Section: Instrumentsmentioning

confidence: 86%

“…The Scale to Assess Narrative Development (STAND; Lysaker et al, 2003a) is composed of four subscales: Social Worth, Social Alienation, Personal Agency and Illness Conception, each to be rated on a five-point Likert scale. Social Worth assesses the extent to which persons experience themselves as valuable to others.…”

Section: Instrumentsmentioning

confidence: 99%

Changes in narrative structure and content in schizophrenia in long term individual psychotherapy: a single case study

Lysaker

Davis

Eckert

et al. 2005

Clin. Psychol. Psychother.

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“…Phenomenologically oriented psychotherapies for schizophrenia are emerging, 30,32 and their further development and empirical testing are encouraged. More specifically, psychotherapy that allows for integration of the self into treatment and emphasizes how the individual experiences and thinks about the self may yield improved outcomes.…”

Section: Discussionmentioning

confidence: 99%

“…Of note, Lysaker and colleagues have developed a scale to assess development and understanding of one's life story in schizophrenia patients. 30 Additionally, the phenomenologically-based Examination of Anomalous Self Experience 31 instrument from Parnas and colleagues has been utilized to assess disorders of self-awareness in schizophrenia. Future research may investigate the relationship between the SOS variables in the present study and other empirical assessments of self-experience with an emphasis on assessing convergent validity and refining our understanding of how self-disturbance manifests in the lives of those living with schizophrenia.…”

Section: Discussionmentioning

confidence: 99%

Schizophrenia and the Sense of Self

Moe¹,

Docherty²

2013

Schizophrenia Bulletin

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Sense of self (SOS)-understood as the foundation upon which individuals experience their daily lives-has been increasingly investigated in schizophrenia. A disrupted SOS is thought to represent a platform for the experience of psychiatric symptoms, social cognitive deficits, and other abnormalities of consciousness. Few studies, however, have investigated the specificity of disrupted SOS to schizophrenia. The primary objective of the present study was to test the hypothesis that SOS is deficient in schizophrenia patients compared to both nonpsychiatric controls and patients with psychotic bipolar disorder. Using select scales from the Assessment of Self Descriptions, the present study assessed SOS from spontaneous narratives provided by schizophrenia patients (N = 50), bipolar patients with psychotic features (N = 17), and nonpsychiatric controls (N = 24). Our findings indicate that facets of SOS-in particular, certain aspects of agency and relatedness to others-are deficient in schizophrenia compared to nonpsychiatric controls and bipolar patients with psychotic features, even when overall level of functioning and psychiatric symptoms are accounted for. Implications of these results are discussed.

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“…Second, to address the issue of how change in a client's narrative can be assessed quantitatively we randomly selected one psychotherapy note per month and rated it using the Scale to Assess Narrative Development (STAND; Lysaker, Wickett, Campbell, & Buck, 2003). This scale was constructed to measure narrative content within psychotherapy transcripts or notes and is composed of four subscales: Social Worth, Social Alienation, Personal Agency, and Illness Conception.…”

Section: Qualitative and Quantitative Methods Of Analysismentioning

confidence: 99%

Narrative Enrichment in the Psychotherapy for Persons With Schizophrenia: A Single Case Study

Lysaker

Buck

2006

Issues in Mental Health Nursing

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Recovery from schizophrenia may involve persons developing a renewed sense of their illness, identity, agency, and worth within their life stories. To explore the requirements and challenges of psychotherapy that could facilitate this, we present a case study of a person with schizophrenia enrolled in treatment for over 19 months. Observed challenges to this process include the therapist's inclinations to "fix" the client, the client's own deficits and symptoms, and discomfort within the therapeutic relationship. Techniques to address these difficulties are presented, along with an objective means of assessing the treatment outcomes in terms of changes in narrative processes.

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Movement Towards Coherence in the Psychotherapy of Schizophrenia: A Method for Assessing Narrative Transformation

Cited by 49 publications

References 20 publications

Changes in narrative structure and content in schizophrenia in long term individual psychotherapy: a single case study

Changes in narrative structure and content in schizophrenia in long term individual psychotherapy: a single case study

Schizophrenia and the Sense of Self

Narrative Enrichment in the Psychotherapy for Persons With Schizophrenia: A Single Case Study

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