University of Twente Student Theses
Narrative interventions to treat psychopathology in persons with personality pathology and other populations : a mixed-methods systematic literature review
Link, Victoria Michelle (2024) Narrative interventions to treat psychopathology in persons with personality pathology and other populations : a mixed-methods systematic literature review.
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| Abstract: | Introduction: Narrative identity is a promising conceptualisation of identity that can possibly help people with personality disorders or other forms of psychopathology. Narrative interventions have been on the rise in the last decade and show promising results in reducing psychopathological symptoms, but no comprehensive review has been done on them. This review explores the characteristics, effectiveness, and client as well as counsellor experiences of narrative interventions for differing populations with psycho- or personality pathology. Method A mixed-methods systematic review was conducted. Five bibliographic databases were searched without study design restrictions, and manual selection methods of expert sources, previous searches, and reference tracking were used. A thematic analysis was done on client and counsellor experiences, which was integrated with quantitative results of effects in a meta-synthesis. This study was registered with the PROSPERO systematic review database (CRD42024526703). Results: Thirty-six studies met the inclusion criteria. Most studies targeted people with depression, trauma, or anxiety in various countries. Interventions were categorised into four types: Narrative Exposure Therapy, Narrative Enhancement and Cognitive Therapy, reminiscence therapies, and other narrative interventions. Although characteristics varied across all four categories, three core elements could be identified: identity development, support/feedback from counsellor/peers, and agency enhancement. Various outcome measures were assessed by studies, and psychopathological symptoms were most consistently improved. Despite being positive, client and counsellor experiences of changes were not reflected by study measurements. Conclusion: While the field is still in its infancy, narrative interventions present an alternative treatment option to people with psychopathology and especially personality disorders with promising effectiveness and longevity, high feasibility and acceptability. Further research is needed to examine the effectiveness of separate elements employed within interventions, explore online opportunities, which processes are at play that improve psychological complaints/wellbeing, longevity of effects, which target groups benefit most from narrative interventions, and explore participant experiences more often. |
| Item Type: | Essay (Master) |
| Clients: | GGNet Scelta, Apeldoorn, Netherlands |
| Faculty: | BMS: Behavioural, Management and Social Sciences |
| Subject: | 77 psychology |
| Programme: | Psychology MSc (66604) |
| Link to this item: | https://purl.utwente.nl/essays/103712 |
| Export this item as: | BibTeX EndNote HTML Citation Reference Manager |
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