Psychotherapy and schizophrenia: an analysis of requirements of individual psychotherapy with persons who experience manifestly barren or empty selves.

Emerging views of schizophrenia emphasize that part of recovery involves persons reclaiming a sense of their own identity, agency and personal worth. While this intuitively seems a matter where psychotherapy might be uniquely useful, it raises the issue of how this should be facilitated particularly among persons who experience themselves as unable to engage in dialogue with others. In this article, we explore how integrative psychotherapy might address issues of self-narrative and recovery from schizophrenia among persons experiencing, in particular profound levels of emptiness or barrenness.

Associations of symptoms, psychosocial function and hope with qualities of self-experience in schizophrenia: comparisons of objective and subjective indicators of health.

While changes in self-experience have been suggested to be an important element of recovery from severe mental illness, little is known about how qualities of self-experience are linked with other indicators of health including objective measures such as symptoms profiles and subjective measures such as hope. To examine these issues the narratives of self and illness of 65 persons with schizophrenia spectrum disorder were obtained prior to entry into rehabilitation and rated using the Scale to Assess Narrative Development (STAND). STAND scores were then compared with concurrent assessments of hope assessed with the Beck Hopelessness Scale (BHS), psychosocial function using the Quality of Life Scale (QOLS) and symptom profile defined categorically using the Positive and Negative Syndrome Scale (PANSS).