Psychiatry Research
Volume 157, Issue 1 , Pages 31-38 , 15 January 2008

Associations of metacognition and internalized stigma with quantitative assessments of self-experience in narratives of schizophrenia

  • Paul H. Lysaker

      Affiliations

    • Department of Psychiatry, 116H, Roudebush VA Medical Center, 1481 West 10th St., Indianapolis, IN 46202, USA
    • Department of Psychiatry, Indiana University School of Medicine, Indianapolis, IN, USA
    • Corresponding Author InformationCorresponding author. Department of Psychiatry, 116H, Roudebush VA Medical Center, 1481 West 10th St., Indianapolis, IN 46202, USA. Fax: +1 317 988 3578.
    • ,
  • Kelly D. Buck

      Affiliations

    • Department of Psychiatry, 116H, Roudebush VA Medical Center, 1481 West 10th St., Indianapolis, IN 46202, USA
    • ,
  • Amanda C. Taylor

      Affiliations

    • Department of Psychology, Indiana University Purdue University at Indianapolis, Indianapolis, IN, USA
    • ,
  • David Roe

      Affiliations

    • Department of Community Mental Health, University of Haifa, Haifa, Israel

Received 26 January 2007 ,Revised 20 April 2007 ,Accepted 27 April 2007.

References 

  1. Amador XF, Flaum M, Andreasen NC, Strauss DH, Yale SA, Clark SC, et al. Awareness of illness in schizophrenia and schizoaffective and mood disorders. Archives of General Psychiatry. 1994;51:826–836
  2. Bebout RR, Harris M. Personal myths about work and mental illness: response to Lysaker and Bell. Psychiatry. 1995;58:401–404
  3. Bleuler E. Dementia Praecox or the Group of Schizophrenias Translated by J. Zinkin. New York: International Universities Press; 1911/1950;
  4. Corrigan PW. Toward an integrated structural model of psychiatric rehabilitation. Psychiatric Rehabilitation Journal. 2003;26:346–358
  5. Crowne DP, Marlowe D. A new scale of social desirability independent of psychopathology. Journal of Counseling Psychology. 1960;24:349–354
  6. Davidson L. Living Outside Mental Illness: Qualitative Studies of Recovery in Schizophrenia. New York: New York University Press; 2003;
  7. Gallagher S. Philosophical conceptions of the self: implications for cognitive science. Trends in Cognitive Sciences. 2000;4:14–21
  8. Gallagher S. Self narrative in schizophrenia. In:  Kirshner T,  David A editor. The Self in Neuroscience and Neuropsychiatry. Cambridge, UK: Cambridge University Press; 2003;p. 336–353
  9. Harding CM, Zubin J, Strauss J. Chronicity in schizophrenia. British Journal of Psychiatry. 1992;161(Suppl. 18):27–37
  10. Holma J, Aaltonen J. The sense of agency and the search for narrative in acute psychosis. Contemporary Family Therapy. 1997;19:463–477
  11. Horowitz R. Memory and meaning in the psychotherapy of the long term mentally ill.. Clinical Social Work Journal. 2006;34:175–185
  12. Jacobson N. Experiencing recovery: a dimensional analysis of recovery narratives. Psychiatric Rehabilitation Journal. 2002;24:248–254
  13. Koren D, Sneidman LJ, Goldsmith M, Harvey PD. Real world cognitive and metacognitive dysfunction in schizophrenia: a new approach for measuring and remediating. Schizophrenia Bulletin. 2006;32:310–326
  14. Lally SJ. Does being in here mean there is something wrong with me?. Schizophrenia Bulletin. 1989;15:253–265
  15. Langdon R, Coltheart M, Ward PB, Catts SV. Mentalizing, executive planning and disengagement in schizophrenia. Cognitive Neuropsychiatry. 2001;6:81–108
  16. Lysaker PH, Lysaker JT. Narrative structure in psychosis: schizophrenia and disruptions in the dialogical self. Theory and Psychology. 2002;12:207–220
  17. Lysaker PH, Buck KD. Psychotherapeutic dialogue and schizophrenia: movements towards recovery within client's personal narratives.. Journal of Psychosocial Nursing and Mental Health Services. 2006;44:28–36
  18. Lysaker PH, Clements CA, Plascak-Hallberg CD, Knipscheer SJ, Wright DE. Insight and personal narratives of illness in schizophrenia. Psychiatry. 2002;65:197–206
  19. Lysaker PH, Lancaster RS, Lysaker JT. Narrative transformation as an outcome in the psychotherapy of schizophrenia. Psychology and Psychotherapy. 2003;76:285–300
  20. Lysaker PH, Wickett AM, Campbell K, Buck KD. Movement toward coherence in the psychotherapy of schizophrenia: a method for assessing narrative transformation. Journal of Nervous and Mental Disease. 2003;191:538–541
  21. Lysaker PH, Wickett AM, Wilke N, Lysaker JT. Narrative incoherence in schizophrenia: the absent agent-protagonist and the collapse of internal dialogue. American Journal of Psychotherapy. 2003;57:153–166
  22. Lysaker PH, Carcione A, Dimaggio G, Johannesen JK, Nicolò G, Procacci M, et al. Metacognition amidst narratives of self and illness in schizophrenia: associations with insight, neurocognition, symptom and function. Acta Psychiatrica Scandinavica. 2005;112:64–71
  23. Lysaker PH, Davis LD, Eckert GJ, Strasburger A, Hunter N, Buck KD. Changes in narrative structure and content in schizophrenia in long term individual psychotherapy: a single case study. Clinical Psychology and Psychotherapy. 2005;12:406–416
  24. Lysaker PH, Wickett AM, Davis LW. Narrative qualities in schizophrenia: associations with impairments in neurocognition and negative symptoms. Journal of Nervous and Mental Disease. 2005;193:244–249
  25. Lysaker PH, Buck KD, Hammoud K, Taylor AC, Roe D. Associations of symptom remission, psychosocial function and hope with qualities of self-experience in schizophrenia: comparisons of objective and subjective indicators of recovery. Schizophrenia Research. 2006;82:241–249
  26. Lysaker PH, Taylor A, Miller A, Beattie N, Strasburger A, Davis LW. The Scale to Assess Narrative Development: associations with other measures of self and readiness for recovery in schizophrenia spectrum disorders. Journal of Nervous and Mental Disease. 2006;27:233–247
  27. Markowitz FE. The effects of stigma on the psychological well-being and life satisfaction of persons with mental illness. Journal of Health and Social Behavior. 1998;39:335–347
  28. Resnick SG, Rosenheck RA, Lehman AF. An exploratory analysis of correlates of recovery. Psychiatric Services. 2004;55:540–547
  29. Ritsher JB, Phelan JC. Internalized stigma predicts erosion of morale among psychiatric outpatients. Psychiatry Research. 2004;129:257–265
  30. Ritsher JB, Otilingam PG, Grajales M. Internalized stigma of mental illness: psychometric properties of a new measure. Psychiatry Research. 2003;121:31–49
  31. Roe D. Progressing from “patienthood” to “personhood” across the multi-dimensional outcomes in schizophrenia and related disorders. Journal of Nervous and Mental Disease. 2001;189:691–699
  32. Roe D, Ben-Yishai A. Exploring the relationship between the person and the disorder among individuals hospitalized for psychosis. Psychiatry. 1999;62:370–380
  33. Roe D, Chopra M, Rudnik A. Coping with mental illness: people as active agents interacting with the disorder. Journal of Psychiatric Rehabilitation. 2004;28:122–128
  34. Semerari A, Carcione A, Dimaggio G, Falcone M, Nicolo G, Procaci M, et al. How to evaluate metacognitive function in psychotherapy? The metacognition assessment scale: its applications. Clinical Psychology and Psychotherapy. 2003;10:238–261
  35. Semerari A, Carcione A, Dimaggio G, Nicolo G, Pedone R, Procacci M. Metarepresentative functions in borderline personality disorder. Journal of Personality Disorders. 2005;
  36. Spaniol L, Wewiorsky NJ, Gagne C, Anthony W. The process of recovery from schizophrenia. International Review of Psychiatry. 2002;14:327–336
  37. Stenghellini G. Disembodied Spirits and Deanimated Bodies: The Psychopathology of Common Sense. New York: Oxford University Press; 2004;
  38. Wechsler D. Wechsler Adult Intelligence Scale-III. San Antonio, TX: Psychological Corporation; 1997;
  39. Whitehorn D, Brown J, Richard J, Rui Q, Kopla L. Multiple dimensions of recovery in early psychosis. International Review of Psychiatry. 2002;14:273–293
  40. Wright ER, Gronfein WP, Owens TJ. Deinstitutionalization, social rejection and the self esteem of former mental patients. Journal of Health and Social Behavior. 2000;41:68–90
  41. Young SL, Ensign DS. Exploring recovery from the perspective of persons with psychiatric disabilities. Psychiatric Rehabilitation Journal. 1999;22:219–231

PII: S0165-1781(07)00147-3

doi: 10.1016/j.psychres.2007.04.023

Psychiatry Research
Volume 157, Issue 1 , Pages 31-38 , 15 January 2008

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