[The concept of narrative insight in schizophrenia: A systematic review].
Identifieur interne : 000349 ( Main/Exploration ); précédent : 000348; suivant : 000350[The concept of narrative insight in schizophrenia: A systematic review].
Auteurs : C. Bouvet [France] ; C. Naudin [France] ; J. Zajac [France]Source :
- L'Encephale [ 0013-7006 ] ; 2019.
Descripteurs français
- KwdFr :
- MESH :
English descriptors
- KwdEn :
- MESH :
- therapy : Schizophrenia.
- Humans, Narration, Narrative Therapy, Schizophrenic Psychology, Self Concept.
Abstract
AIM
The aim of this systematic revue of literature is to examine articles dealing with the narrative insight (patient's explanatory models of his difficulties) in patients suffering from schizophrenia. In addition to the theoretical interest of this work, it would make it possible to better adjust the clinical practices concerning the stories of patients about their disorders.
METHOD
A study was conducted using the databases ScienceDirect, Medline, PsychInfo and PubPsych using the key words "narrative insight", "cultural insight", "subjective insight", "narrative awareness", "mental illness", and "psychiatric disorder". This search by keywords led to eighty-six results; abstracts of all the articles were consulted. Then the authors selected and studied all articles corresponding to inclusion criteria and compared their results and reached agreement by consensus in case of difference. The theme of the study was to focus on the concept of narrative insight or any other close concept mentioning an explanatory model of mental and/or psychiatric disorders, moving away from the biomedical model. Nine articles were selected based on the inclusion criteria (articles published in peer reviewed journals, where the both the resume and article are accessible; articles dealing with narrative insight of people suffering from schizophrenia).
RESULTS
The authors of these articles agree that awareness of mental illness, insight, is a narrative act in which people give a personal meaning to their disorder. The most popular biomedical model used has many limitations and is the subject of many controversies. Results of the conducted study suggest considering narrative insight as adaptive strategies to mental illnesses. Indeed the process of narrative insight essentially consists in the patient adapting his life story to his conceptions and his values. To tell the story of one's own troubles with one's own values and beliefs gives meaning that helps protect identity and give back hope. This concept is considered to be dynamic and multidimensional. In addition, studies highlight its positive effects including the simultaneous presence of several models, which would have a greater favorable impact on the prognosis than the medical explanation alone.
CONCLUSION
It seems necessary to take into account the concept of narrative insight in order to evaluate insight of patients suffering from mental illness. This implies that the evaluation methods of insight as well as the clinical practice must evolve to adapt to the culture and subculture of the patient. This could have beneficial effects on the well-being of patients, therapeutic relations, access to treatment as well as psychiatric research, as well as limit controversies around this topic. It would be interesting to confirm this new conception of insight and the therapeutic relations by carrying out new studies as well as by starting to take it into account in patient care.
DOI: 10.1016/j.encep.2018.12.004
PubMed: 31027846
Affiliations:
Links toward previous steps (curation, corpus...)
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Naudin</name><affiliation wicri:level="3"><nlm:affiliation>Hôpital Albert-Chenevier, Créteil, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hôpital Albert-Chenevier, Créteil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Créteil</settlement></placeName></affiliation></author><author><name sortKey="Zajac, J" sort="Zajac, J" uniqKey="Zajac J" first="J" last="Zajac">J. Zajac</name><affiliation wicri:level="3"><nlm:affiliation>Unité périnatalité et adultes jeunes (UPAJ), service de psychiatrie, hôpital Louis-Mourier, 92700 Colombes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité périnatalité et adultes jeunes (UPAJ), service de psychiatrie, hôpital Louis-Mourier, 92700 Colombes</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Colombes</settlement></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2019">2019</date><idno type="RBID">pubmed:31027846</idno><idno type="pmid">31027846</idno><idno type="doi">10.1016/j.encep.2018.12.004</idno><idno type="wicri:Area/Main/Corpus">000512</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000512</idno><idno type="wicri:Area/Main/Curation">000512</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000512</idno><idno type="wicri:Area/Main/Exploration">000512</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">[The concept of narrative insight in schizophrenia: A systematic review].</title><author><name sortKey="Bouvet, C" sort="Bouvet, C" uniqKey="Bouvet C" first="C" last="Bouvet">C. Bouvet</name><affiliation wicri:level="3"><nlm:affiliation>EA 4430, département psychologie, UFR SPSE, université Paris Nanterre, 200, avenue de la République, 92100 Nanterre, France. Electronic address: cbouvet@parisnanterre.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>EA 4430, département psychologie, UFR SPSE, université Paris Nanterre, 200, avenue de la République, 92100 Nanterre</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Nanterre</settlement></placeName></affiliation></author><author><name sortKey="Naudin, C" sort="Naudin, C" uniqKey="Naudin C" first="C" last="Naudin">C. Naudin</name><affiliation wicri:level="3"><nlm:affiliation>Hôpital Albert-Chenevier, Créteil, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Hôpital Albert-Chenevier, Créteil</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Créteil</settlement></placeName></affiliation></author><author><name sortKey="Zajac, J" sort="Zajac, J" uniqKey="Zajac J" first="J" last="Zajac">J. Zajac</name><affiliation wicri:level="3"><nlm:affiliation>Unité périnatalité et adultes jeunes (UPAJ), service de psychiatrie, hôpital Louis-Mourier, 92700 Colombes, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Unité périnatalité et adultes jeunes (UPAJ), service de psychiatrie, hôpital Louis-Mourier, 92700 Colombes</wicri:regionArea><placeName><region type="region" nuts="2">Île-de-France</region><settlement type="city">Colombes</settlement></placeName></affiliation></author></analytic><series><title level="j">L'Encephale</title><idno type="ISSN">0013-7006</idno><imprint><date when="2019" type="published">2019</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Humans (MeSH)</term><term>Narration (MeSH)</term><term>Narrative Therapy (MeSH)</term><term>Schizophrenia (therapy)</term><term>Schizophrenic Psychology (MeSH)</term><term>Self Concept (MeSH)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Concept du soi (MeSH)</term><term>Humains (MeSH)</term><term>Narration (MeSH)</term><term>Psychologie des schizophrènes (MeSH)</term><term>Schizophrénie (thérapie)</term><term>Thérapie par le récit (MeSH)</term></keywords><keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Schizophrenia</term></keywords><keywords scheme="MESH" qualifier="thérapie" xml:lang="fr"><term>Schizophrénie</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term><term>Narration</term><term>Narrative Therapy</term><term>Schizophrenic Psychology</term><term>Self Concept</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Concept du soi</term><term>Humains</term><term>Narration</term><term>Psychologie des schizophrènes</term><term>Thérapie par le récit</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p><b>AIM</b></p><p>The aim of this systematic revue of literature is to examine articles dealing with the narrative insight (patient's explanatory models of his difficulties) in patients suffering from schizophrenia. In addition to the theoretical interest of this work, it would make it possible to better adjust the clinical practices concerning the stories of patients about their disorders.</p></div><div type="abstract" xml:lang="en"><p><b>METHOD</b></p><p>A study was conducted using the databases ScienceDirect, Medline, PsychInfo and PubPsych using the key words "narrative insight", "cultural insight", "subjective insight", "narrative awareness", "mental illness", and "psychiatric disorder". This search by keywords led to eighty-six results; abstracts of all the articles were consulted. Then the authors selected and studied all articles corresponding to inclusion criteria and compared their results and reached agreement by consensus in case of difference. The theme of the study was to focus on the concept of narrative insight or any other close concept mentioning an explanatory model of mental and/or psychiatric disorders, moving away from the biomedical model. Nine articles were selected based on the inclusion criteria (articles published in peer reviewed journals, where the both the resume and article are accessible; articles dealing with narrative insight of people suffering from schizophrenia).</p></div><div type="abstract" xml:lang="en"><p><b>RESULTS</b></p><p>The authors of these articles agree that awareness of mental illness, insight, is a narrative act in which people give a personal meaning to their disorder. The most popular biomedical model used has many limitations and is the subject of many controversies. Results of the conducted study suggest considering narrative insight as adaptive strategies to mental illnesses. Indeed the process of narrative insight essentially consists in the patient adapting his life story to his conceptions and his values. To tell the story of one's own troubles with one's own values and beliefs gives meaning that helps protect identity and give back hope. This concept is considered to be dynamic and multidimensional. In addition, studies highlight its positive effects including the simultaneous presence of several models, which would have a greater favorable impact on the prognosis than the medical explanation alone.</p></div><div type="abstract" xml:lang="en"><p><b>CONCLUSION</b></p><p>It seems necessary to take into account the concept of narrative insight in order to evaluate insight of patients suffering from mental illness. This implies that the evaluation methods of insight as well as the clinical practice must evolve to adapt to the culture and subculture of the patient. This could have beneficial effects on the well-being of patients, therapeutic relations, access to treatment as well as psychiatric research, as well as limit controversies around this topic. It would be interesting to confirm this new conception of insight and the therapeutic relations by carrying out new studies as well as by starting to take it into account in patient care.</p></div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">31027846</PMID><DateCompleted><Year>2019</Year><Month>12</Month><Day>27</Day></DateCompleted><DateRevised><Year>2019</Year><Month>12</Month><Day>27</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Print">0013-7006</ISSN><JournalIssue CitedMedium="Internet"><Volume>45</Volume><Issue>3</Issue><PubDate><Year>2019</Year><Month>Jun</Month></PubDate></JournalIssue><Title>L'Encephale</Title><ISOAbbreviation>Encephale</ISOAbbreviation></Journal><ArticleTitle>[The concept of narrative insight in schizophrenia: A systematic review].</ArticleTitle><Pagination><MedlinePgn>256-262</MedlinePgn></Pagination><ELocationID EIdType="pii" ValidYN="Y">S0013-7006(19)30040-5</ELocationID><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.encep.2018.12.004</ELocationID><Abstract><AbstractText Label="AIM" NlmCategory="OBJECTIVE">The aim of this systematic revue of literature is to examine articles dealing with the narrative insight (patient's explanatory models of his difficulties) in patients suffering from schizophrenia. In addition to the theoretical interest of this work, it would make it possible to better adjust the clinical practices concerning the stories of patients about their disorders.</AbstractText><AbstractText Label="METHOD" NlmCategory="METHODS">A study was conducted using the databases ScienceDirect, Medline, PsychInfo and PubPsych using the key words "narrative insight", "cultural insight", "subjective insight", "narrative awareness", "mental illness", and "psychiatric disorder". This search by keywords led to eighty-six results; abstracts of all the articles were consulted. Then the authors selected and studied all articles corresponding to inclusion criteria and compared their results and reached agreement by consensus in case of difference. The theme of the study was to focus on the concept of narrative insight or any other close concept mentioning an explanatory model of mental and/or psychiatric disorders, moving away from the biomedical model. Nine articles were selected based on the inclusion criteria (articles published in peer reviewed journals, where the both the resume and article are accessible; articles dealing with narrative insight of people suffering from schizophrenia).</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">The authors of these articles agree that awareness of mental illness, insight, is a narrative act in which people give a personal meaning to their disorder. The most popular biomedical model used has many limitations and is the subject of many controversies. Results of the conducted study suggest considering narrative insight as adaptive strategies to mental illnesses. Indeed the process of narrative insight essentially consists in the patient adapting his life story to his conceptions and his values. To tell the story of one's own troubles with one's own values and beliefs gives meaning that helps protect identity and give back hope. This concept is considered to be dynamic and multidimensional. In addition, studies highlight its positive effects including the simultaneous presence of several models, which would have a greater favorable impact on the prognosis than the medical explanation alone.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">It seems necessary to take into account the concept of narrative insight in order to evaluate insight of patients suffering from mental illness. This implies that the evaluation methods of insight as well as the clinical practice must evolve to adapt to the culture and subculture of the patient. This could have beneficial effects on the well-being of patients, therapeutic relations, access to treatment as well as psychiatric research, as well as limit controversies around this topic. It would be interesting to confirm this new conception of insight and the therapeutic relations by carrying out new studies as well as by starting to take it into account in patient care.</AbstractText><CopyrightInformation>Copyright © 2019 L’Encéphale, Paris. Published by Elsevier Masson SAS. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Bouvet</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>EA 4430, département psychologie, UFR SPSE, université Paris Nanterre, 200, avenue de la République, 92100 Nanterre, France. Electronic address: cbouvet@parisnanterre.fr.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Naudin</LastName><ForeName>C</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Hôpital Albert-Chenevier, Créteil, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Zajac</LastName><ForeName>J</ForeName><Initials>J</Initials><AffiliationInfo><Affiliation>Unité périnatalité et adultes jeunes (UPAJ), service de psychiatrie, hôpital Louis-Mourier, 92700 Colombes, France.</Affiliation></AffiliationInfo></Author></AuthorList><Language>fre</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D000078182">Systematic Review</PublicationType></PublicationTypeList><VernacularTitle>Le concept d’insight narratif chez les personnes souffrant de schizophrénie : une revue systématique de la littérature.</VernacularTitle><ArticleDate DateType="Electronic"><Year>2019</Year><Month>04</Month><Day>23</Day></ArticleDate></Article><MedlineJournalInfo><Country>France</Country><MedlineTA>Encephale</MedlineTA><NlmUniqueID>7505643</NlmUniqueID><ISSNLinking>0013-7006</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D033262" MajorTopicYN="Y">Narration</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D062525" MajorTopicYN="Y">Narrative Therapy</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012559" MajorTopicYN="N">Schizophrenia</DescriptorName><QualifierName UI="Q000628" MajorTopicYN="N">therapy</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D012565" MajorTopicYN="Y">Schizophrenic Psychology</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D012649" MajorTopicYN="N">Self Concept</DescriptorName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Explanatory model</Keyword><Keyword MajorTopicYN="N">Insight</Keyword><Keyword MajorTopicYN="N">Insight narratif</Keyword><Keyword MajorTopicYN="N">Modèle explicatif</Keyword><Keyword MajorTopicYN="N">Narrative insight</Keyword><Keyword MajorTopicYN="N">Schizophrenia</Keyword><Keyword MajorTopicYN="N">Schizophrénie</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2018</Year><Month>03</Month><Day>26</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2018</Year><Month>11</Month><Day>23</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2018</Year><Month>12</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2019</Year><Month>4</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2019</Year><Month>12</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2019</Year><Month>4</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">31027846</ArticleId><ArticleId IdType="pii">S0013-7006(19)30040-5</ArticleId><ArticleId IdType="doi">10.1016/j.encep.2018.12.004</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>France</li></country><region><li>Île-de-France</li></region><settlement><li>Colombes</li><li>Créteil</li><li>Nanterre</li></settlement></list><tree><country name="France"><region name="Île-de-France"><name sortKey="Bouvet, C" sort="Bouvet, C" uniqKey="Bouvet C" first="C" last="Bouvet">C. Bouvet</name></region><name sortKey="Naudin, C" sort="Naudin, C" uniqKey="Naudin C" first="C" last="Naudin">C. Naudin</name><name sortKey="Zajac, J" sort="Zajac, J" uniqKey="Zajac J" first="J" last="Zajac">J. Zajac</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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