Abstract
The aim of this study was to apply the narrative approach in analyzing family therapy meetings in cases of acute psychosis. The self-narrative is essential in acute psychosis since it is either collapsed or not coherent enough. The results indicate that it is important to create concrete practices that produce stories concerning the patient in relation to others. The self-narrative must be re-authored by the patient even though it is socially constructed. This is achieved by creating multiple perspectives of self-narratives in so-called therapy meetings with the patient, family members, and staff members representing different professionals.
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References
American Psychiatric Association. (1987).Diagnostic and statistical manual of mental disorders (3rd ed., rev.). Washington, DC: Author.
Aaltonen, J., Vartiainen, A., Kalliokoski, M.-L., & Riikonen, T. (1994). Team treatment of acute psychosis.Journal of Family Psychotherapy, 5, 77–95.
Alanen, Y. O., Räkköläinen, V., Laakso, J. Rasimus, R. & Kaljonen, A. (1986).Towards need-specific treatment of schizophrenic psychoses. Berlin: Springer.
Alanen, Y. O., Lehtinen, K., Räkköläinen, V., & Aaltonen, J. (1991). Need-adapted treatment of new schizophrenic patients: Experiences and results of the Turku Project.Acta Psychiatrica Scandinavica, 83, 363–372.
Andersen, T. (1990). The reflecting team. In Andersen, T. (Ed.),The reflecting team. Dialogues and dialogues about the dialogues (pp. 18–107). Kent: Borgmann.
Davies, B., & Harré, R. (1990). Positioning: The discursive production of selves.Journal of the Theory of Social Behavior, 20, 44–63.
Epston, D., White, M., & Murray, K. (1992). A proposal for a re-authoring therapy: Rose's revisioning of her life and a commentary. In S. McNamee, & K. J. Gergen (Eds.),Therapy as social construction. (pp. 97–115). London: Sage.
Erlandson, D. A., Harris, E. L., & Allen, S. D. (1993).Doing naturalistic inquiry: A guide to methods. Newbury Park, CA: Sage Publications.
Gergen, K. J., & Gergen, M. M. (1988). Narrative and the self as relations. In L. Berkowitz (Ed.),Aduvances in experimental social psychology, Vol21. (pp. 17–56).
Hamel, J., Duford, S., & Fortin, D. (1993).Case study methods. Newbury Park, CA: Sage Publications.
Lax, W. D. (1992). Postmodern thinking in clinical practice. In S. McNamee, & K. J. Gergen, K. J. (Eds.),Therapy as social construction (pp. 69–85). London: Sage.
Lehtinen, K. (1993). Need-adapted treatment of schizophrenia: A five-year follow-up study from the Turku project.Acta Psychiatrica Scandinavica, 87, 96–101.
National Board of Health in Finland. (1988). The schizophrenia project 1981–1987.Final report of the national programme for the study, treatment and rehabilitation of schizophrenic patients in Finland. (English summary). Series of Handbook No. 4. Helsinki: National Board of Health in Finland.
Räkköläinen, V., Lehtinen, K., & Alanen, Y. O. (1991). Need-adapted treatment of schizophrenic processes: The essential role of family-centered therapy meetings.Contemporary Family Therapy, 13, 573–582.
White, M. (1989). The process of questioning: A therapy of literary merit? In M. White,Selected papers. (pp. 37–46). Adelaide: Dulwich Centre Publications.
White, M. & Epston, D. (1990).Narrative means to therapeutic ends. New York: Norton.
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Holma, J., Aalonen, J. The self-narrative and acute psychosis. Contemp Fam Ther 17, 307–316 (1995). https://doi.org/10.1007/BF02252668
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DOI: https://doi.org/10.1007/BF02252668