Saavedra Javier
Department of Experimental Psychology, University of Seville, Sevilla, Spain.
J Nerv Ment Dis. 2010 May;198(5):349-55. doi: 10.1097/NMD.0b013e3181da47f5.
Narrative coherence and complexity have been considered as key concepts for understanding therapeutic improvement and recovery of persons with severe mental disorders. The main aim of this article is to study coherence and complexity of 18 life narratives of persons with paranoid schizophrenia by thirty quantitative analysis criteria. Two groups of patients were evaluated: a group of 9 patients recently admitted to specific Care Homes for people with severe mental disorders (G1) and another group of 9 patients who had been at the same Care Homes for a longer period of time (G2). Differences in patients' life narratives between 2 groups are explored. The analysis is divided into 3 phases. The first is called "analysis of lack of cohesion and delusional content"; the second "thematic analysis"; and the third "structural analysis". Results show that life narratives of long stay patients are more coherent and structured.
叙事连贯性和复杂性被视为理解重度精神障碍患者治疗改善和康复的关键概念。本文的主要目的是通过30项定量分析标准研究18名偏执型精神分裂症患者的生活叙事的连贯性和复杂性。对两组患者进行了评估：一组是9名最近入住重度精神障碍患者特定护理院的患者（G1），另一组是9名在同一护理院居住时间较长的患者（G2）。探讨了两组患者生活叙事的差异。分析分为三个阶段。第一个阶段称为“缺乏连贯性和妄想内容分析”；第二个阶段是“主题分析”；第三个阶段是“结构分析”。结果表明，长期住院患者的生活叙事更具连贯性和结构性。
