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First person account: a voice from another closet.

The article that follows is part of the Schizophrenia Bulletin's ongoing First Person Accounts series. We hope that mental health professionals--the Bulletin's primary audience--will take this opportunity to learn about the issues and difficulties confronted by consumers of mental health care. In addition, we hope that these accounts will give patients and families a better sense of not being alone in confronting the problems that can be anticipated by persons with serious emotional difficulties. We welcome other contributions from patients, ex-patients, or family members. Our major editorial requirement is that such contributions be clearly written and organized, and that a novel or unique aspect of schizophrenia be described, with special emphasis on points that will be important for professionals. Clinicians who see articulate patients, with experiences they believe should be shared, might encourage these patients to submit their article to First Person Accounts, Division of Clinical and Treatment Research, NIMH, 5600 Fishers Lane, Rm. 18C-06, Rockville, MD 20857.

Autobiographies as Topic↗

First person account: the Messiah quest.

The article that begins below is the fifth in a series of personal accounts to be published in the Schizophrenia Bulletin. In describing his account, the author commented: "The viewpoint is solely my consciousness. The substance of every statement and the specific words in many statements actually occurred to me. Third person narrative was chosen to convey a sense of my psychological distance from the experience. This distance was essential for accomplishing growth. I have described my emotions and thoughts as exactly as possible, and in sufficient detail for the reader to follow the sequence of change in thought from and content. In spite of certain passages in the text, I had never previously felt fervently about any religion, religious figure, or telepathy, and I had never felt harassed by the Central Intelligence Agency. The experience described followed many extreme stresses--death of a parent, end of a longtime romantic relationship, and a career change. Before these events, my emotional and social adjustment had been good...." Brief comments by two clinicans who saw the author during different phases of the experience described are appended to his account.

Autobiographies as Topic↗

After the storm.

Explore the source record for details and available documents.

Adolescent↗

The black autobiography as a teaching tool in psychiatry.

The author outlines a seminar which is aimed especially at improving the capacity of psychiatrists and medical students to understand the emotional conflicts of their black patients as well as the therapists' own race-related attitudes and behaviors. The course is based on the study of black autobiographical literature, which is illustrated here by use of The Autobiography of Malcolm X. The author shows how the black autobiography can be a powerful catalyst for the discussion of issues such as the symbolic value of black skin color and pervasive black-white distrust.

Black or African American↗

The altering of reported experiences.

OBJECTIVES: The unreliability of human memory is well documented in the literature, yet psychiatrists and other mental health care professionals rely on patient self-report in history-taking. This study provides new evidence from a longitudinal study of autobiographical memory and discusses implications for the development and implementation of appropriate treatment plans and goals. METHOD: Seventy-three mentally healthy 14-year-old males were studied in 1962. Sixty-seven of these subjects were reinterviewed face-to-face at age 48. Questions concerning areas of family relationships, home environment, dating, sexuality, religion, parental discipline, and general activities were asked in both interviews. RESULTS: Significant differences were found between adult memories of adolescence and what was actually reported during adolescence. Accurate memory was generally no better than expected by chance. CONCLUSIONS: If the accurate memory of one's past is not better than chance in the mentally healthy individual, even more care probably should be taken in obtaining accurate historical information in the medically, psychologically, or otherwise health-compromised individual. It would be more constructive to treat recollections as existential reconstructions.

Adolescent↗

The language of altered states.

To compare the subjective experience of different forms of altered states of consciousness, computerized content analysis was applied to 66 autobiographical accounts of schizophrenia, hallucinogenic drug states, or mystical ecstasy and to 28 autobiographical control accounts of important personal experiences. The patterns of lexical choice used by the four groups were significantly different in word frequencies from 49 of 83 lexical categories measured. When data from the 13 most statistically significant categories were used in discriminant and classification analyses, 84% of the samples were correctly identified by their word frequencies. These findings suggest that the subjective experiences of schizophrenia, hallucinogenic drug-induced states, and mystical ecstasy are more different from one another than alike.

Analysis of Variance↗

The process and outcome of life review psychotherapy with depressed homebound older adults.

The purpose of this study was to examine the process and outcomes of life review therapy provided by an advanced practice geropsychiatric nurse to older adults discharged from psychiatric hospitals to home health care. Eighty older adults over 65 years of age with a primary diagnosis of depression were treated at home for life review psychotherapy sessions (M = 13.24, SD = 8.65). Content analysis methods, both latent and manifest, were used to analyze the data and identify themes. Themes were classified as empowerment (connection, coping, efficacy, hope, and trust) or disempowerment (denial, despair, helpless, isolation, loneliness, and loss). Findings showed that, as a result of the life review therapy, there was a significant decrease (p < .0001) in total disempowerment themes (M1 = 13.07; M2 = 9.14).

Aged↗

Lifelines: a life history methodology.

BACKGROUND: Life histories are data collection strategies that detail an individual's life Lifelines are a visual depiction of a life history, displaying events in chronological order and noting the importance, or meaning, of events. APPROACH: A sample lifeline from a study of young women's developmental transitions used to demonstrate the application of this technique to nursing research. A review life histories as well as lifeline techniques, analysis, and applications is included. DISCUSSION: Life history has been used extensively as a data collection method research, theory development, and clinical practice. The lifeline facilitates recollection and sequencing of personal events. The lifeline activity can be triangulated with other data collection methods such as interviews and focus groups to confirm and complete a life history or to place a particular research construct or clinical problem in the con text of other events.

Adaptation, Psychological↗

Reminiscence and life review: therapeutic interventions for older people.

Gerontological literature in general, and gerontological nursing literature specifically, does not clearly differentiate two important therapeutic interventions for older people: reminiscence and life review. However, practitioners often implement both interventions in a variety of settings. Because of the confusion regarding the interventions, this paper explains the differences between reminiscence and life review, and offers protocols to improve the effectiveness of both interventions. The three protocols include one-to-one reminiscence therapy, group reminiscence, and one-to-one life review.

Aged↗