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

Lysaker, Paul H.; Buck, Kelly D.

doi:10.1080/01612840500502676

Cited by 20 publications

(7 citation statements)

References 29 publications

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“…The final elements are stimulating metacognitive self‐reflectivity and reflections on others (g) and metacognitive mastery (h) using questions and reflections tailored to the current metacognitive functioning of the patient. An in‐depth discussion of each of these elements in practice can be found in several case studies (e.g., Lysaker & Buck, ), including the treatment of a person with persistent negative symptoms (van Donkersgoed, de Jong & Pijnenborg, ), severe symptoms of disorganization (de Jong, van Donkersgoed, Pijnenborg, & Lysaker, ), and one client who reached maximum levels of metacognitive capacity at therapy end (Buck & George, ).…”

Section: Methodsmentioning

confidence: 99%

“…Based on extensive clinical experience with the method by the first author of the therapy manual (e.g., Lysaker & Buck, ; Lysaker, Buck, & Ringer, ), a minimum of 40 sessions was established as the minimum to allow for meaningful metacognitive gains. Given the length of therapy, we sought to investigate potential moderators, that is, to identify factors that could predict whether patients would benefit from the treatment or not.…”

Section: Introductionmentioning

confidence: 99%

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Predicting therapy success from the outset: The moderating effect of insight into the illness on metacognitive psychotherapy outcome among persons with schizophrenia

Jong

Hasson‐Ohayon

Donkersgoed

et al. 2019

Clin Psychology and Psychoth

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The degree to which a person recognizes their mental disorder, attributes symptoms to the disorder, and recognizes that treatment may be necessary is frequently referred to as clinical insight. The current study investigates whether clinical insight at baseline moderates the effects on metacognitive capacity of 40 sessions of metacognitive reflection and insight therapy among 35 participants with psychosis.Findings showed that clinical insight did not predict drop-out from therapy. Multilevel analyses provided support for our hypotheses that insight at baseline significantly moderates metacognitive gains at both postmeasurement and follow-up. Our findings demonstrate that lacking clinical insight substantially hampers the effect of this psychosocial intervention. We posit that research efforts should shift from developing interventions, which enhance clinical insight, to interventions, which are effective in absence of clinical insight.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Predicting therapy success from the outset: The moderating effect of insight into the illness on metacognitive psychotherapy outcome among persons with schizophrenia

Jong

Hasson‐Ohayon

Donkersgoed

et al. 2019

Clin Psychology and Psychoth

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“…The barriers to psychotherapy in the treatment of mental illness were detailed long ago (Arieti 1974;Fromm-Reichmann 1959;Searles 1965) and even contemporary approaches (Lysaker and Buck 2006) building on the formulations of the pioneers in the field underscore the complexity of the endeavor. Although new treatments certainly made a difference, they did not ensure facile resolutions of old difficulties.…”

Section: Reaching a Fragile Rapprochementmentioning

confidence: 99%

The Contours of Identity: Relational Dynamics in the Psychotherapy of Long-Term Mental Illness

Horowitz¹

2011

Clin Soc Work J

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After the waves of change resulting from the biological revolution in psychiatry gradually receded, interpersonal approaches to the study of serious mental illness, long in decline, once again regained currency. The renewed emphasis on subjectivity, spurred in large measure by the burgeoning recovery movement, brought the lived experience of illness to the forefront of research. However, inquiries into psychotherapy paid little heed to the interior world of therapists immersed in the longterm treatment of severe mental illness. Their experiences failed to garner much attention despite the adoption of intersubjective perspectives in broader interpretations of psychotherapy. The purpose of this essay is to look anew at the dynamics that arise in the psychotherapy of major mental illness and recast light on the struggles of both clients and clinicians through an intensive case presentation exploring the contours of identity.

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“…We use an instrumental case study method to focus on an issue -using poetry to communicate and interpret the experience of bipolar disorder -and we select a bounded case -one family's experience -as an illustration [27]. As such, we offer a "detailed contextual analysis of real life situations" aimed at evolving understandings of the "interrelationship of complex issues" [28]. Our case is defined as experiences of living with bipolar disorder and supporting close family members who have bipolar disorder presented from the perspectives of three members -two sisters and their mother -from a family where both sisters and their father have bipolar disorder.…”

Section: Instrumental Case Studymentioning

confidence: 99%

“…Amidst this discussion, a small body of qualitative work is surfacing that is aimed at capturing the experiences of "staying well" with bipolar disorder [2,13,[24][25][26]. Jonssen, Wijk, Skarsater and Danielson (2008) interviewed 18 individuals with bipolar about their views of the illness and the future; these authors highlight the importance their participants place on striving to understand their illness [2].…”

Section: Introductionmentioning

confidence: 99%

Poetry as a Framework for Understanding Embodied Experiences of Bipolar Disorder

Lashewicz¹

2013

J Psychol Psychother

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This paper is about making sense of bipolar disorder. We open with lines from a poem titled "Oasis of Life" by the poet /coauthor of this article which are part of his endeavor to know and tell some of his embodied experience living with bipolar disorder. We then use this poetry as a framework for interpreting stories of others living with/ supporting someone living with bipolar disorder as described by three members-two sisters and their mother-from a family where both sisters and their father have bipolar disorder. These family members stories are treated here as an instrumental casestudy and were collected through in-depth private interviews as part of a qualitative study conducted by the first author to better understand needs of adults who have disability and/or mental health issues and who support close family members with disability and/or mental health issues. Our purpose is to bring together poetry and research data in an exploratory way with the poet, or to use Hornstein's term, "expert by experience", sharing in data analysis with the researcher or "expert by training". From our analysis, we provide an early stage illustration of how poetry may be an effective and unifying mechanism for interpretation and communication of complex embodied experience of bipolar disorder.

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

Cited by 20 publications

References 29 publications

Predicting therapy success from the outset: The moderating effect of insight into the illness on metacognitive psychotherapy outcome among persons with schizophrenia

Predicting therapy success from the outset: The moderating effect of insight into the illness on metacognitive psychotherapy outcome among persons with schizophrenia

The Contours of Identity: Relational Dynamics in the Psychotherapy of Long-Term Mental Illness

Poetry as a Framework for Understanding Embodied Experiences of Bipolar Disorder

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