Livshistorier og förstegangspsykose - en klinisk metode for systematisk narrativt arbeid: hvordan
vurderer pasienten nytten av kronologisk livslöpsdiagram (KLD) i utredning av förstegangspsykose?
Engelsk titel: Life stories and first-episode psychosis - a clinical method for systematic narrative work: how does
the patient evaluate the chronological lifespan chart (CLC) in assessment of first-episode psychosis?
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Författare:
Lindaas, Marit
;
Mjösund, Nina Helen
;
Möller, Paul
Email: marit.lindaas@vestreviken.no
Språk: Nor
Antal referenser: 41
Dokumenttyp:
Artikel
UI-nummer: 10083100
Sammanfattning
Aim. To gain knowledge about first-episode psychosis patients’ experience with and judgements of a specific narrative method, as part of initial
assessment.
Background. Subjective illness insight is an important yet underfocused goal for psychosis treatment and should be aided as early as possible,
even during assessments. No study, to our knowledge, has explored psychotic patients’ experience with specific clinical methods to promote
insight.
Methods. Psychosis is often associated with difficulties in telling coherent life stories. Chronological Lifespan Chart (CLC) is a means to systematically
recreate parts of the patients’ subjective life story. Through semi-structured interviews, 19 patients were asked to describe and quantify
the experienced value of using this narrative tool, with particular reference to recognition, participation and self-understanding. The study
has a qualitative, phenomenological, and hermeneutic approach.
Findings and conclusions. The patient-therapist cooperative work with CLC gave the majority of the patients a strong sense of being recognized,
clearly encouraging the dialogue. They further experienced being active participants during initial assessments, and the felt ownership of
their narratives increased. The patients’ self-understanding was strengthened by raising the consciousness about own coping strategies and consequences
of the illness in daily life.