Lysaker Paul H, Lancaster Rebecca S, Lysaker John T
Roudebush VA Medical Center and the Department of Psychiatry, Indiana University School of Medicine 46202, USA.
Psychol Psychother. 2003 Sep;76(Pt 3):285-99. doi: 10.1348/147608303322362505.
Assertions that changes or transformations in narratives contribute significantly to recovery from schizophrenia persist as a cornerstone of some psychotherapies. Yet when narrative transformation occurs in schizophrenia, what is there about the client's story that tangibly changes, and how might that be measured? To address this issue, we review literature on the importance of narrative transformation and identify narrative qualities that might theoretically change. We then report content and thematic analyses of the qualities of narratives that might potentially change over 14 months of psychotherapy. These analyses suggest that narratives in schizophrenia may gain complexity and dynamism, but the changes do not entail the creation of a new story or the 'awakening' of an 'old' self. From these analyses, the hypothesis that narrative transformation may occur in terms of growth in the richness of the internal dialogue that produces narrative is posed for future research.
叙事的变化或转变对精神分裂症康复有显著贡献这一观点，仍然是一些心理治疗方法的基石。然而，当精神分裂症患者出现叙事转变时，患者故事中究竟有哪些具体方面发生了变化，又该如何衡量这些变化呢？为了解决这个问题，我们回顾了关于叙事转变重要性的文献，并确定了理论上可能发生变化的叙事特质。然后，我们报告了对在14个月心理治疗过程中可能发生变化的叙事特质进行的内容和主题分析。这些分析表明，精神分裂症患者的叙事可能会变得更加复杂和具有动态性，但这些变化并不意味着创造一个新故事或“唤醒”一个“旧”的自我。基于这些分析，我们提出了一个假设，即叙事转变可能表现为产生叙事的内部对话丰富性的增长，以供未来研究。
