期刊
SCHIZOPHRENIA BULLETIN
卷 39, 期 2, 页码 287-294出版社
OXFORD UNIV PRESS
DOI: 10.1093/schbul/sbs154
关键词
Jaspers; person-centered psychopathology; schizophrenia; self-management; service user empowerment; value-based practice
类别
资金
- Wellcome Trust [086071] Funding Source: Medline
In this article, building on and extending Jaspers' concept of the patient's attitude toward his illness we draw attention to the active role that the person, as a self-interpreting agent engaged in a world shared with other persons, has in interacting with his/her basic disorder and in the shaping of psychopathological syndromes. This person-centered approach helps us to see patients as meaning-making entities rather than passive individuals and their attempt at self-understanding as not necessarily pathological and potentially adaptive. We describe 3 contemporary resources for a person-centered psychopathology: dialectical psychopathology, contemporary approaches to the meanings-causes debate, and value-based practice. Each of these provides a theoretical framework and practical resources for understanding the diversity of schizophrenic phenotypes, including symptom presentation, course, and outcome as a consequence of the different ways people with schizophrenia seek to make sense of the basic changes in self and world experiences. A person-centered approach, in building on patients' individual values and experiences as key aspects of their self-understanding of their psychosis, supports recovery and development of self-management skills.
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