Integrating Co-Constructive Life Narrative Interview Into Therapy: A Case Study of an Adolescent With Depressive Symptoms

IF 1.5 Q3 PSYCHOLOGY, CLINICAL

Counselling & Psychotherapy Research Pub Date : 2026-07-01 DOI:10.1002/capr.70169

M. Almeida, F. Salomé, M. R. Henriques

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Abstract

Case Presentation

This case study describes the therapeutic process with a 14 year-old adolescent girl (‘Mary’) in residential care who presented depressive symptoms, suicidal ideation and non-suicidal self-injury. Early sessions revealed rigid and problem-saturated narratives centred on abandonment, rejection and guilt.

Therapeutic Intervention

We illustrate how the Co-Construction Life Narrative Interview with Adolescent (CLNIA; created by the authors, MA and MRH), an innovative narrative tool, was articulated with the Cognitive Narrative Therapy (CNT) to integrate the adverse experiences and support identity construction. CNT encourages the creation of new meanings for the lived experiences and the construction of narratives that are coherent, complex and multifaceted.

Therapeutic Outcomes

Throughout therapy, Mary showed significant improvements, including a decrease in non-suicidal self-injury, re-engagement in leisure activities and strengthening of interpersonal relationships. She increasingly demonstrated authorship over her life story, empowering herself to deal with challenges and gaining renewed motivation towards life.

Discussion and Clinical Implications

We discuss how CLNIA informed the following intervention plan using CNT and gave support and guidance for the further narrative work. We also discuss the therapeutic utility of CNT for identity exploration in adolescence. Finally, we highlight the potential of combining CNT with CLNIA to support adolescents to move from adverse experiences and traumatic narratives, and foster more creative, flexible and adaptive life narratives.

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将共同建设性生活叙述访谈纳入治疗：一名青少年抑郁症状个案研究

本案例研究描述了一名14岁少女（“玛丽”）在寄宿护理中的治疗过程，她表现出抑郁症状、自杀意念和非自杀性自残。早期的治疗显示出僵化和问题饱和的叙述，集中在遗弃、拒绝和内疚上。治疗干预我们说明了由作者MA和MRH创建的创新叙事工具“青少年共同构建生活叙事访谈”（CLNIA）如何与认知叙事治疗（CNT）相结合，以整合不良经历并支持身份建构。CNT鼓励为生活经验创造新的意义，并构建连贯、复杂和多方面的叙事。在整个治疗过程中，玛丽表现出显著的改善，包括非自杀性自残的减少，重新参与休闲活动和加强人际关系。她越来越多地在自己的人生故事中展现出自己的原创性，让自己有能力应对挑战，并重新获得生活的动力。讨论和临床意义我们讨论CLNIA如何使用CNT告知接下来的干预计划，并为进一步的叙述工作提供支持和指导。我们还讨论了CNT对青少年身份探索的治疗效用。最后，我们强调了CNT与CLNIA相结合的潜力，以支持青少年从不良经历和创伤叙事中走出来，并培养更具创造性、灵活性和适应性的生活叙事。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Counselling & Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

4.40

自引率

12.50%

发文量

期刊介绍： Counselling and Psychotherapy Research is an innovative international peer-reviewed journal dedicated to linking research with practice. Pluralist in orientation, the journal recognises the value of qualitative, quantitative and mixed methods strategies of inquiry and aims to promote high-quality, ethical research that informs and develops counselling and psychotherapy practice. CPR is a journal of the British Association of Counselling and Psychotherapy, promoting reflexive research strongly linked to practice. The journal has its own website: www.cprjournal.com. The aim of this site is to further develop links between counselling and psychotherapy research and practice by offering accessible information about both the specific contents of each issue of CPR, as well as wider developments in counselling and psychotherapy research. The aims are to ensure that research remains relevant to practice, and for practice to continue to inform research development.