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Some aspects of self-experiece in people with schizophrenia and those after spinal cord injury
Full text (pdf) | Views: 203 | Written in Slovene. | Published: February 4, 2014
https://doi.org/10.20419/2013.22.382 | Cited By: CrossRef (0)
Abstract: Self-experiencing is synonymous with the phrase "who am I". Each of us expresses his compliance with social norms and social environment through it. It takes place in different areas of a person's life and in conjunction with different social roles. The sense of continuity throughout the different periods of life is very important. Stressful events, also difficult injuries and diseases, upset and change the experience of oneself. Schizophrenia and spinal cord injuries can be classified in this category. The results of various studies suggest that in people with schizophrenia diffuse identity is present; in subjects after spinal-cord injury the physical disability is crucial and importantly affects the physical self-image. The main problem of our study was to compare the characteristics of self-experience in people with schizophrenia and those after spinal cord injury. We assumed significant differences in self-experience on different subscales (mainly in the field of social and physical self concept) between the two comparison groups. 90 participants were involved in the study, 30 in each group (people with schizophrenia, people after spinal cord injury and a control group of people without any present signs of pathology). We applied the Tennessee self-concept scale and the semantic differential assessment of Self. The results showed general low (or even negative) self evaluations in the group of people with schizophrenia, while in the group of people after spinal-cord injury idealization was present. This group of people is under a great influence of defensive mechanisms, which allow the validation of a positive self concept. Important derogations were also shown on some subscales. We believe that the results of the study are especially important in the psychological work with representatives of the two populations. People with schizophrenia should be introduced with the meaning of self-experiencing in different areas, while people after spinal cord injury should be taught how to replace defensive mechanisms with constructive coping strategies which help to experience ourselves objectively.
Keywords: self-experience, self concept, schizophrenia, spinal-cord injuries
Cite:
Horvat, B. (2013). Nekatere značilnosti doživljanja sebe pri osebah s shizofrenijo in pri tistih po nezgodni poškodbi hrbtenjače [Some aspects of self-experiece in people with schizophrenia and those after spinal cord injury]. Psihološka obzorja, 22, 122–133. https://doi.org/10.20419/2013.22.382
Reference list
Amiram, B. V., & Selzer, M. L. (1975). Desirable versus undesirable life events: Their relationship to stress and mental distress. Journal of Personality and Social Psychology, 32(2), 329–337. CrossRef
Anderson, K. D. (2004). Targeting Recovery: Priorities of the Spinal Cord-Injured Population. Journal of Neurotrauma, 21(10), 1371–1383. CrossRef
Benedik, E. (2000a). Doživljanje samega sebe in pomembnih drugih oseb psihiatričnih bolnikov [Experience of oneself and other persons relevant psychiatric patients] (Neobjavljena doktorska disertacija). Filozofska fakulteta, Univerza v Ljubljani, Slovenija.
Benedik, E. (2000b). Kako psihiatrični bolniki doživljajo samega sebe in bližnje osebe [How psychiatric patients experience the self and significant]. Anthropos, 11(3–4), 51–62.
Benedik, E. (2001). Vprašalnik doživljanja sebe in drugih ljudi [Sensing of self and other people questionnaire]. Psihološka obzorja, 10(1), 27–48.
Bentall, R. P., Kinderman, P., & Kaney, S. (1994). The self, attributional processes and abnormal beliefs: Towards a model of persecutory delusions. Behaviour Research and Therapy, 32, 331–341. CrossRef
Brejc, T. (2004). Prispevki k rehabilitacijski psihologiji [Contributions to rehabilitation psychology] . Ljubljana: Inštitut Republike Slovenije za rehabilitacijo.
Brejc, T., & Stante, M. (1983, november). Tennesseeska lestvica koncepta jaza.V J. Gregorač (ur.). Posvetovanje psihologov Slovenije. Predstavitev na Posvetovanju psihologov Slovenije, Portorož, Slovenija (str. 1–4). Ljubljana: Društvo psihologov SR Slovenije.
Chau, L., Hegedus, L., Praamsma, M., Smith, K., Tsukada, M., Yoshida, K., & Renwick, R. (2008). Women living with a spinal cord injury: Perceptions about their changed bodies. Qualitative Health Research, 18(2), 209–221. CrossRef
DeSanto-Madeya, S. A. (2006a). A secondary analysis of the meaning of living with spinal cord injury using Roy's Adaptation Model. Nursing Science Quarterly, 19(3), 240–246. CrossRef
DeSanto-Madeya, S. A. (2006b). The meaning of living with spinal cord injury 5 to 10 years after the injury. Western Journal of Nursing Research, 28(3), 265–289. CrossRef
Drench, M. E. (1994). Changes in body image secondary to disease and injury. Rehabilitation Nursing, 19, 31–36. CrossRef
Fitts, W. H., & Warren, W. L. (1996). Tennessee Self-Concept Scale (TSCS: 2): Second edition manual. Los Angeles: Western psychological services.
Frank, R. G., Rosenthal, M., & Caplan, B. (2009). Handbook of rehabilitation Psychology (2. izd.). Washington: American Psychological Association.
Geyh, S., Nick, E., Stirnimann, D., Ehrat, S., Michel, F., Peter, C., & Lude, P. (2012). Self-efficacy and self-esteem as predictors of participation in spinal cord injury – an ICF-based study. Spinal Cord, 50, 699–706. CrossRef
Groznik, M. (1999). Oviranosti in potrebe po rehabilitaciji ambulantnih bolnikov s shizofrenijo. Medicinski razgledi, 38, 485–486.
Haddock, G., & Spaulding, W. (2011). Psychological treatment of psychosis. V D. R. Weinberger in P. J. Harrison (ur.), Schizophrenia (3. izd.) (str. 666–686). New York: Willey Blackwell.
Horn, J. L. (1965). A rationale and test for the number of factors in factor analysis. Psychometrika, 30, 179–185. CrossRef
Horvat, B. (2012). How do people after spinal cord injury experience themselves? V N. Škof (ur.), Horizons of otherness (str. 93–104). Ljubljana: Bori.
Howe, M. L., Courage, M. L., & Edison, S. C. (2003). When autobiographical memory begins. Developmental Review, 23, 471–494. CrossRef
McConnell, A. R. (2011). The multiple self-aspects framework: Self-concept representation and its implications. Personality and Social Psychology Review, 15(1), 3–27. CrossRef
Miller Smedema, S., Bakken-Gillen, S. K., & Dalton, J. (2009). Psychosocial adaptation to chronic illness and disability: Models and measurement. V F. Chan, E. Da Silva Cardoso in J. A. Chronister (ur.), Understanding psychosocial adjustment to chronic illness and disability (str. 51–68). New York: Springer.
Murray, R. F., Asghari, A., Egorov, D. D., Rutkowski, S. B., Siddall, P. J., Soden, R. J., & Ruff, R. (2007). Impact of spinal cord injury on self-perceived pre- and postmorbid cognitive, emotional and physical functioning. Spinal Cord, 45, 429–436. CrossRef
Omolayo, B. (2009). Self-esteem and self-motivational needs of disabled and non-disabled: A comparative analysis. Journal of Alternative Perspectives in the Social Sciences, 1(2), 449–458.
Pollard, C., & Kennedy, P. (2007). A longitudinal analysis of emotional impact, coping strategies and post-traumatic psychological growth following spinal cord injury: A 10-year review. British Journal of Health Psychology, 12, 347–362. CrossRef
Raffard, S., DˈArgembeau, A., Lardi, C., Bayard, S., Boulenger, J. P., & Van Der Linden, M. (2009). Exploring self-defining memories in schizophrenia. Memory, 17(1), 26–38. CrossRef
Rakovec-Felser, Z. (2009). Psihologija telesnega bolnika in njegovega okolja. Maribor: Pivec.
Richards, J. S., Kewman, D. G., Richardson, E., & Kennedy, P. (2010). Spinal cord injury. V Frank, R. G., Rosenthal, M. and Caplan, B. (ur.), Handbook of rehabilitation psychology (str. 9–29). Washington: American Psychological Association.
Sass, L. A., & Parnas, J. (2003). Schizophrenia, consciousness and the self. Schizophrenia Bulletin, 29(3), 427–444. CrossRef
Sheldon, A. P., Renwick, R., & Yoshida, K. K. (2011). Exploring body image and self-concept of men with acquired spinal cord injuries. American Journal of Menˈs Health, 5(4), 306–317. CrossRef
Smrdu, M. (2013). Ocenjevanje psihotičnih motenj. V R. Masten in M. Smrdu (ur.), Klinična psihologija (str. 245–273). Ljubljana: Filozofska fakulteta.
Taleporos, G., & McCabe, M. P. (2002). Body image and physical disability: Personal perspectives. Social Science and Medicine, 54, 971–980. CrossRef
Yanos, P. T., Roe, D., & Lysaker, P. H. (2010). The impact of illness identity on recovery from severe mental illness. American Journal of Psychiatric Rehabilitation, 13, 73–93. CrossRef
Walker, E., & Tessner, K. (2008). Schizophrenia. Association of Psychological Science, 3(1), 30–37. CrossRef
Watkins, M. W. (2000). Monte Carlo PCA for parallel analysis [programska oprema]. State College, PA, ZDA: Ed & Psych Associates.
Westie, K. S. (1987). Psychological aspects of spinal cord injury. Clinical Prosthetic and Orthotics, 11(4), 225–229.
WHO. (1993). The ICD-10 Classification of Mental and Behavioural Disorders – Diagnostic criteria for research. Ženeva.
Wortman, C. B., & Silver, R. C. (1989). The myths of coping with loss. Journal of Consulting and Clinical Psychology, 57(3), 349–357. CrossRef
Zissi, A., Barry, M. M., & Cochrane, R. (1998). A mediational model of quality of life for individuals with severe mental health problems. Psychological Medicine, 28, 1221–1230. CrossRef
