Conceptualizing multiplicity spectrum experiences: A systematic review and thematic synthesis

IF 3.2 3区心理学 Q1 PSYCHOLOGY, CLINICAL

Clinical psychology & psychotherapy Pub Date : 2023-09-12 DOI:10.1002/cpp.2910

Zarah Eve, Kim Heyes, Sarah Parry

{"title":"Conceptualizing multiplicity spectrum experiences: A systematic review and thematic synthesis","authors":"Zarah Eve, Kim Heyes, Sarah Parry","doi":"10.1002/cpp.2910","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Background</h3>\n \n <p>Dissociative identity disorder and depersonalization–derealization have attracted research and clinical interest, facilitating greater understanding. However, little is known about the experience of multiplicity of self outside of traumagenic or illness constructs. Consequently, this systematic review explored how people identifying as having multiple selves conceptualize their experiences and identity.</p>\n </section>\n \n <section>\n \n <h3> Methods</h3>\n \n <p>A comprehensive search of qualitative studies reporting lived experiences of multiplicity was conducted through PsycINFO, PubMed and Scopus (PROSPERO ID: CRD42021258555). Thirteen relevant studies were retrieved (<i>N</i> = 98, 16–64 years, conducted in the United Kingdom, the United States, Hungary and Poland).</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>Using line-by-line thematic synthesis, four analytical themes were developed: multiplicity: disorder versus experience; impact of understanding multiplicity; importance of supporting multiplicity; and continuum of experiences.</p>\n </section>\n \n <section>\n \n <h3> Discussion</h3>\n \n <p>This review highlights heterogeneity within multiplicity-spectrum experiences, emphasizing the need for person-centred, individualized understanding, separate from mental health conceptualizations. Therefore, training in person-centred individualized care to promote self-concept clarity is needed across health, education and social care. This systematic review is the first to synthesize voices of people with lived experience across the multiplicity spectrum, demonstrating how qualitative research can contribute to advancing our understanding of this complex phenomena with the community, acknowledging reciprocal psychosocial impacts of multiplicity and providing valuable recommendations for services.</p>\n </section>\n </div>","PeriodicalId":10460,"journal":{"name":"Clinical psychology & psychotherapy","volume":"31 1","pages":""},"PeriodicalIF":3.2000,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/cpp.2910","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical psychology & psychotherapy","FirstCategoryId":"102","ListUrlMain":"https://onlinelibrary.wiley.com/doi/10.1002/cpp.2910","RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Background

Dissociative identity disorder and depersonalization–derealization have attracted research and clinical interest, facilitating greater understanding. However, little is known about the experience of multiplicity of self outside of traumagenic or illness constructs. Consequently, this systematic review explored how people identifying as having multiple selves conceptualize their experiences and identity.

Methods

A comprehensive search of qualitative studies reporting lived experiences of multiplicity was conducted through PsycINFO, PubMed and Scopus (PROSPERO ID: CRD42021258555). Thirteen relevant studies were retrieved (N = 98, 16–64 years, conducted in the United Kingdom, the United States, Hungary and Poland).

Results

Using line-by-line thematic synthesis, four analytical themes were developed: multiplicity: disorder versus experience; impact of understanding multiplicity; importance of supporting multiplicity; and continuum of experiences.

Discussion

This review highlights heterogeneity within multiplicity-spectrum experiences, emphasizing the need for person-centred, individualized understanding, separate from mental health conceptualizations. Therefore, training in person-centred individualized care to promote self-concept clarity is needed across health, education and social care. This systematic review is the first to synthesize voices of people with lived experience across the multiplicity spectrum, demonstrating how qualitative research can contribute to advancing our understanding of this complex phenomena with the community, acknowledging reciprocal psychosocial impacts of multiplicity and providing valuable recommendations for services.

Abstract Image

查看原文本刊更多论文

多重频谱经验的概念化：系统回顾和专题综合

背景解离性身份识别障碍和人格解体-去人格化引起了研究和临床的兴趣，并促进了人们对这两种疾病的进一步了解。然而，人们对创伤或疾病之外的多重自我体验知之甚少。因此，本系统性综述探讨了被认定为拥有多重自我的人是如何将其经历和身份概念化的。方法通过 PsycINFO、PubMed 和 Scopus（PROSPERO ID：CRD42021258555）对报告多重性生活体验的定性研究进行了全面检索。共检索到 13 项相关研究（N = 98，16-64 岁，在英国、美国、匈牙利和波兰进行）。结果通过逐行主题综合，形成了四个分析主题：多重性：失调与经验；理解多重性的影响；支持多重性的重要性；以及经验的连续性。讨论本综述强调了多重性体验中的异质性，强调了以人为本、个性化理解的必要性，并将其与心理健康概念区分开来。因此，需要在医疗、教育和社会护理领域开展以人为本的个性化护理培训，以促进自我概念的清晰。本系统性综述首次综合了具有多重性生活经历者的声音，展示了定性研究如何有助于我们与社区一起加深对这一复杂现象的理解，承认多重性对社会心理的相互影响，并为服务提供有价值的建议。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Clinical psychology & psychotherapy PSYCHOLOGY, CLINICAL-

CiteScore

6.30

自引率

5.60%

发文量

106

期刊介绍： Clinical Psychology & Psychotherapy aims to keep clinical psychologists and psychotherapists up to date with new developments in their fields. The Journal will provide an integrative impetus both between theory and practice and between different orientations within clinical psychology and psychotherapy. Clinical Psychology & Psychotherapy will be a forum in which practitioners can present their wealth of expertise and innovations in order to make these available to a wider audience. Equally, the Journal will contain reports from researchers who want to address a larger clinical audience with clinically relevant issues and clinically valid research.