David Roe, Ilanit Hasson-Ohayon, Michal Mashiach-Eizenberg, Amit Yamin, Paul H Lysaker
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Different Roads Lead to Rome: Exploring Patterns of Change among Narrative Enhancement and Cognitive Therapy (NECT) Participants.
Background: Narrative enhancement and cognitive therapy (NECT) is aimed at decreasing self-stigma and promoting recovery. The current study used a mixed-methods approach to explore the process and mechanisms by which NECT affects self-stigma and recovery.
Method: Sixty-two participants with serious mental illness (SMI) and enrolled in NECT completed questionnaires assessing self-clarity, recovery, self-stigma, and hope before and after the intervention, and the two latter questionnaires also after completing two defined parts of the intervention. In addition, one group's transcriptions were qualitatively analyzed and compared with changes in quantitative measures.
Results: Quantitative analysis revealed a significant increase in self-clarity and a decrease in self-stigma, which occurred early in the intervention. Qualitative analysis identified factors contributing to such changes. Limitations include lack of a comparison group, bias selection in the qualitative analysis and case record diagnoses.
Conclusions: NECT was found to be effective in reducing self-stigma and improving self clarity and the mechanisms and process were identified.
期刊介绍：
THE ISRAEL JOURNAL OF PSYCHIATRY publishes original articles dealing with the all bio-psycho-social aspects of psychiatry. While traditionally the journal has published manuscripts relating to mobility, relocation, acculturation, ethnicity, stress situations in war and peace, victimology and mental health in developing countries, papers addressing all aspects of the psychiatry including neuroscience, biological psychiatry, psychopharmacology, psychotherapy and ethics are welcome. The Editor also welcomes pertinent book reviews and correspondence. Preference is given to research reports of no more than 5,000 words not including abstract, text, references, tables and figures. There should be no more than 40 references and 4 tables or figures. Brief reports (1,500 words, 5 references) are considered if they have heuristic value. Books to be considered for review should be sent to the editorial office. Selected book reviews are invited by the editor.
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