A Meaningful Life? A Qualitative Narrative Analysis of Life Stories of Patients with Personality Disorders Before and After Intensive Psychotherapy

IF 1 4区心理学 Q3 PSYCHOLOGY, CLINICAL Journal of Constructivist Psychology Pub Date : 2022-01-17 DOI:10.1080/10720537.2021.2015729

Angelien Steen, Sanne Graste, C. Schuhmann, Sylvie P. de Kubber, A. Braam

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引用次数: 2

Abstract

Abstract Patients with personality disorder (PD) experience problems with identity and self-directedness, resulting in a lack of an autobiographical sense of self and of meaning in life. Here we report on a qualitative narrative analysis using a holistic content approach and theoretical thematic analysis to investigate meaning in life in 15 life stories of patients with PD before and after intensive psychotherapy. The seven theoretical themes were purpose, moral worth, self-worth, competence, comprehensibility, connectedness, and spiritual transcendence. The pretreatment life stories mostly concerned tragic lives and problems within the seven themes, but hardly any spiritual transcendence. Being a victim of moral injustice indicated the theme of moral worth. In the post-treatment life stories comprehensibility, self-acceptance and an awareness of existential vulnerability emerged. The presence and/or emergence of the specific meaning in life themes could result from attaining treatment goals that ameliorate personality dysfunction. Here the meaning in life themes of purpose, self-worth, competence, comprehensibility and connectedness are of interest as they also turn up as personality functions in the DSM-5 alternative model for Personality Disorders.

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有意义的生活？人格障碍患者强化心理治疗前后生活故事的定性叙事分析

摘要人格障碍（PD）患者在身份认同和自我导向方面存在问题，导致缺乏自传体的自我意识和生活意义。在这里，我们报道了一项定性叙事分析，使用整体内容法和理论主题分析来调查15名帕金森病患者在强化心理治疗前后的生活故事中的生活意义。这七个理论主题是目的、道德价值、自我价值、能力、可理解性、连通性和精神超越。预处理的人生故事大多关注七个主题中的悲剧人生和问题，但几乎没有任何精神上的超越。作为道德不公的受害者，体现了道德价值的主题。在治疗后的生活故事中，出现了可理解性、自我接纳和对生存脆弱性的意识。生活主题中特定意义的存在和/或出现可能是由于实现了改善人格功能障碍的治疗目标。在这里，目标、自我价值、能力、可理解性和连通性等生活主题的意义是令人感兴趣的，因为它们也作为人格障碍DSM-5替代模型中的人格功能出现。

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来源期刊

Journal of Constructivist Psychology PSYCHOLOGY, CLINICAL-

CiteScore

2.40

自引率

0.00%

发文量

期刊介绍： Psychology and related disciplines throughout the human sciences and humanities have been revolutionized by a postmodern emphasis on the role of language, human systems, and personal knowledge in the construction of social realities. The Journal of Constructivist Psychology is the first publication to provide a professional forum for this emerging focus, embracing such diverse expressions of constructivism as personal construct theory, constructivist marriage and family therapy, structural-developmental and language-based approaches to psychology, and narrative psychology.