The Process of Identity Adaptation（Oriai） in Community-Dwelling People with Schizophrenia. －Results from Content Analyses and Text Mining

Abstract

— T his study aimed to further elucidate the process of identity adaptation in people with schizophrenia by talking t o them about their illness. Semi-structured interviews were conducted with nine community-dwelling people with schizophrenia. Analysis was performed using Krippendorf’s approach , and Text Mining. Eleven content categories were derived: “ illness acceptance” , “ self-control” , “ help from family” , “ help from friends” , “ help from doctors or nurses” , “ modifying thinking” , “ social roles and activities” , “ worthwhile work” , “ enjoyment of life” , “ being happy” , and “ being free” . Participants with schizophrenia were found to attain “ illness acceptance” based on “ help from family” , “ help from friends” , and “ help from doctors and nurses” . Text mining results is 400 keywords were identified. The top 5 in order of importance and frequency were: “omou” (feel/think), “naru” (become), “iu” (say), “suru” (do), and “kusuri” (medication).As a result of an interactive process surrounding the concepts of “ illness acceptance” , “ self-control” and “ modifying thinking” the participants sought out “ social roles and activities” and “ worthwhile work” to acquire a social identity. Thus, it was found that the participants felt they “ enjoyed life and were happy” and “ they were free”, because they were productive members of society.