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Understanding identity changes in psychosis : a systematic review and narrative synthesis
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Conneely, Maev, McNamee, Philip , Gupta, Veenu , Richardson, John , Priebe, Stefan, Jones, Janelle M. and Giacco, Domenico (2021) Understanding identity changes in psychosis : a systematic review and narrative synthesis. Schizophrenia Bulletin, 47 (2). pp. 309-322. doi:10.1093/schbul/sbaa124 ISSN 0586-7614.
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Official URL: https://doi.org/10.1093/schbul/sbaa124
Abstract
Background and Objective
Experiencing psychosis can be associated with changes in how people see themselves as individuals and in relation to others (ie, changes in their identity). However, identity changes receive little attention in treatment, possibly due to a lack of clarity or consensus around what identity change means in people with psychosis. We aimed to create a conceptual framework synthesizing how identity changes are understood in the psychosis literature.
Methods
Electronic databases were searched up to April 2020. Studies about identity changes among people with psychotic disorders were analyzed using narrative synthesis by a collaborative review team, including researchers from different disciplines, clinicians, and people who have experienced psychosis.
Results
Of 10 389 studies screened, 59 were eligible. Identity changes are understood in 5 ways as (1) characteristics of psychosis, (2) consequences of altered cognitive functioning, (3) consequences of internalized stigma, (4) consequences of lost roles and relationships, and (5) reflections of personal growth. These 5 understandings are not mutually exclusive. Across a heterogeneous literature, identity changes were mostly framed in terms of loss.
Conclusions
Our conceptual framework, comprising 5 understandings, highlights the complexity of studying identity changes and suggests important implications for practice and research. For clinicians, this framework can inform new therapeutic approaches where the experience and impact of identity changes are acknowledged and addressed as part of treatment. For researchers, the conceptual framework offers a way of locating their understandings of identity changes when undertaking research in this area.
Item Type: | Journal Article | |||||||||
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Subjects: | R Medicine > RC Internal medicine | |||||||||
Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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Library of Congress Subject Headings (LCSH): | Psychoses, Identity (Psychology), Dissociative disorders, Schizophrenia, Selflessness (Psychology) | |||||||||
Journal or Publication Title: | Schizophrenia Bulletin | |||||||||
Publisher: | Oxford University Press | |||||||||
ISSN: | 0586-7614 | |||||||||
Official Date: | March 2021 | |||||||||
Dates: |
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Volume: | 47 | |||||||||
Number: | 2 | |||||||||
Page Range: | pp. 309-322 | |||||||||
DOI: | 10.1093/schbul/sbaa124 | |||||||||
Status: | Peer Reviewed | |||||||||
Publication Status: | Published | |||||||||
Access rights to Published version: | Open Access (Creative Commons) | |||||||||
Date of first compliant deposit: | 28 August 2020 | |||||||||
Date of first compliant Open Access: | 6 October 2020 | |||||||||
RIOXX Funder/Project Grant: |
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