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Exploring identity and personal meanings in psychosis using the repertory grid technique: A systematic review.

08:00 EDT 14th August 2019 | BioPortfolio

Summary of "Exploring identity and personal meanings in psychosis using the repertory grid technique: A systematic review."

Current research and clinical practice in person-centered approaches highlight the importance of self, identity, and personal meanings in psychosis. Previous research has focused on dimensions of self, but less attention has been paid to the personal meanings involved in identity. The Personal Construct Theory framework and the Repertory Grid Technique (RGT) allow the study of identity and personal meanings within person-centered approaches of psychopathology and treatment in psychosis, as suggested by studies that began more than 40 years ago. However, their contributions have not yet been reviewed. We aimed to systematically review the evidence for the role of identity and personal meanings in psychotic disorders. We performed a systematic search using personal construct and RGT terms in PsycINFO, Web of Science, PubMed, EBSCO, Scopus, and Google Scholar. After identifying 2574 articles, 15 were included. Nine studies followed an idiographic assessment and six were nomothetic. Patients reported their subjective experience of isolation in terms of high self-ideal discrepancy and high perceived discrepancy with their significant others, which some studies associated with a lower degree of recovery or with the way in which positive symptoms were construed. Self-fragmentation either decreased with interventions or was associated with recovery. Evidence regarding interpersonal construing was less consistent but there was a tendency for patients to show a more rigid cognitive structure than controls. To conclude, we found some evidence that self-discrepancies, fragmentation of self and interpersonal construing are affected in psychosis and potentially modifiable through psychotherapy.

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This article was published in the following journal.

Name: Clinical psychology & psychotherapy
ISSN: 1099-0879
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