Narrative enrichment in the psychotherapy for persons with schizophrenia: a single case study.
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.
Roudebush VA Medical Center and Indiana University School of Medicine, Department of Psychiatry, Indianapolis, Indiana 46202, USA. plysaker@iupui.edu
Paul H
PH
Lysaker
Kelly D
KD
Buck
D000328:Adult; D003142:Communication; D006801:Humans; D008297:Male; D013811:Psychotherapeutic Processes; D011613:Psychotherapy / Q000379:methods*; D012559:Schizophrenia / Q000534:rehabilitation*; D012565:Schizophrenic Psychology