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Self-recovery in schizophrenia: Insight from autobiographical narratives of patients

Published online by Cambridge University Press:  15 April 2020

F. Berna*
Affiliation:
Hôpitaux Universitaires de Strasbourg, Inserm U1114, Strasbourg Universit‰tsklinikum Eppendorf, Hamburg, Germany
M.C. Allé
Affiliation:
Hôpitaux Universitaires de Strasbourg, Inserm U1114, Strasbourg Universit‰tsklinikum Eppendorf, Hamburg, Germany
J. Potheegadoo
Affiliation:
Hôpitaux Universitaires de Strasbourg, Inserm U1114, Strasbourg Universit‰tsklinikum Eppendorf, Hamburg, Germany
C. Kber
Affiliation:
Hôpitaux Universitaires de Strasbourg, Inserm U1114, Strasbourg Universit‰tsklinikum Eppendorf, Hamburg, Germany
P. Schneider
Affiliation:
Hôpitaux Universitaires de Strasbourg, Inserm U1114, Strasbourg Universit‰tsklinikum Eppendorf, Hamburg, Germany
H. Kobayashi
Affiliation:
Hôpitaux Universitaires de Strasbourg, Inserm U1114, Strasbourg Universit‰tsklinikum Eppendorf, Hamburg, Germany
R. Coutelle
Affiliation:
Hôpitaux Universitaires de Strasbourg, Inserm U1114, Strasbourg Universit‰tsklinikum Eppendorf, Hamburg, Germany
T. Habermas
Affiliation:
Hôpitaux Universitaires de Strasbourg, Inserm U1114, Strasbourg Universit‰tsklinikum Eppendorf, Hamburg, Germany
J.-M. Danion
Affiliation:
Hôpitaux Universitaires de Strasbourg, Inserm U1114, Strasbourg Universit‰tsklinikum Eppendorf, Hamburg, Germany
*
*Corresponding author. E-mail address: fabrice.berna@chru-strasbourg.fr (F. Berna)

Abstract

The self or identity is often seriously challenged by the emergence of psychotic symptoms. A first reason for that is most likely due to the traumatic experience caused by the sudden emergence of hallucinations or persecutory ideas that challenge both the representation of oneself and that of the world and others. A second reason is linked to the social consequences of having a mental illness and of being assigned with the label of “mentally ill or disabled person”. A third relates to the patients’ cognitive impairment that alters their ability to take distance from these self-challenging events, to give a meaning to these experiences and to build coherent narratives of their life that integrate a great variety of personal experiences such as turning points or unpleasant events. For these reasons, recovering from a severe mental illness is a process through which the self evolves by integrating the lessons of past personal events, building new representations of oneself and looking to new directions for future projects. Excerpts of patients’ narratives collected in experimental setting will be presented in order to illustrate how indexes of recovery can be measured in self-narratives and how they help identifying the steps of self-recovery that have been identified in qualitative research on patients with schizophrenia .

Type
Congrès français de psychiatrie: Rencontres avec l’expert
Copyright
Copyright © European Psychiatric Association 2015

Disclosure of interest

The authors declare that they have no competing interest.

References

Reference

Koenig-Flahaut, M.Catillo, M.-C.Schaer, V.Le Borgne, P.Bouleau, J.-H.Blanchet, A.Le rétablissement du soi dans la schizophrénie. Info Psychiatr. 2012; 4(88): 279285.Google Scholar

Further reading

Allé, MCPotheegadoo, JKber, CSchneider, PCoutelle, RHabermas, T, et al. Impaired coherence of life narratives of patients with schizophrenia. Sci Rep 2015;5:12934.CrossRefGoogle ScholarPubMed
Berna, FBennouna-Greene, MPotheegadoo, JVerry, PConway, MADanion, J-M. Impairment of meaning making relating to self-defining memories in patients with schizophrenia. Conscious Cogn 2011;20(3):703–11.CrossRefGoogle Scholar
Berna, FPotheegadoo, JAouadi, IRicarte, JJAllé, MCCoutelle, R, et al. A meta-analysis of autobiographical memory studies in schizophrenia spectrum disorder. Schizophr Bull. http://dx.doi.org/10.1093/schbul/sbv099. [in press].CrossRefGoogle Scholar
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