Department of Psychology, University of California, Berkeley, Berkeley, California.
Department of Psychology, University of Miami, Coral Gables, Florida.
J Pers. 2020 Feb;88(1):45-58. doi: 10.1111/jopy.12461. Epub 2019 Feb 13.
This article considers self and self-concept in bipolar disorder. Bipolar disorder, defined on the basis of manic symptoms, is a highly debilitating psychopathology. It is heavily grounded in biology but symptom course is still very responsive to psychological and social forces in the lives of persons who have the disorder. This review assumes an overall view of the self that is typical of personality psychology: self as traits, self as goals and aspirations, and ongoing efforts to attain those goals. In this review, we will discuss two different facets of self and identity in bipolar disorder. First, we review a body of goal pursuit literature suggesting that persons with bipolar disorder endorse heightened ambitions for attaining goals and recognition from others. Second, we will review multiple findings which suggest that among persons with bipolar disorder, self-worth depends on measurable success in an extreme way. We will consider how the intersection of these two themes may lead to unique identity challenges for people with bipolar disorder, drawing from self-report, behavioral, and neuroscience findings to critically examine this viewpoint.
这篇文章探讨了双相情感障碍中的自我和自我概念。双相情感障碍是基于躁狂症状定义的,是一种高度衰弱的精神病理学。它在很大程度上基于生物学,但症状的发展仍然对患有该疾病的人的生活中的心理和社会力量非常敏感。本综述采用了人格心理学中典型的整体自我观:自我作为特质、自我作为目标和愿望,以及实现这些目标的持续努力。在这篇综述中,我们将讨论双相情感障碍中自我和身份的两个不同方面。首先,我们回顾了一系列目标追求文献,这些文献表明,双相情感障碍患者更倾向于追求目标和获得他人的认可。其次,我们将回顾多项发现,这些发现表明,在双相情感障碍患者中,自我价值感非常依赖于可衡量的成功。我们将考虑这两个主题的交集如何为双相情感障碍患者带来独特的身份挑战,从自我报告、行为和神经科学发现中批判性地审视这一观点。