Article published In: Narrative Inquiry
Vol. 24:1 (2014) ► pp.132–152
Narrative assessment
Differences between anxious and depressed patients
Published online: 28 October 2014
https://doi.org/10.1075/ni.24.1.07val
https://doi.org/10.1075/ni.24.1.07val
Studies on clients’ language processes in psychotherapy have focused on specific non-narrative aspects rather than on narrative processes. This study’s goal was to test the commonalities and differences between a group of narratives from 15 depressed patients and 14 anxious patients. Patients’ narratives were obtained through self-characterizations written by the client and, were analyzed by means of the Narrative Assessment Grid — a combination of narrative analysis dimensions. Results indicated that both groups could be distinguished by six of the 22 dimensions assessed: (a) Variety of characters, (b) Objectifying, (c) Intelligibility/Clarity, (d) Cognitive Subjectifying, (e) Metaphorizing; and (f) Intelligibility/Stability. Clinical implications of our results are discussed.
Keywords: narrative, depression, anxiety, self-characterization
References (41)
Adler, J.M., Wagner, J.W., & McAdams, D. (2007). Personality and the coherence of psychotherapy narratives. Journal of Research in Personality, 41(6), 1179–1198.
Angus, L., Lewin, J., Bouffard, B., & Rotondi-Trevisan, D. (2004). “What’s the story?”: Working with narrative in experiential psychotherapy. In L. Angus & J. McLeod (Eds.), The handbook of narrative and psychotherapy: Practice, theory, and research (pp. 87–101). Thousand Oaks, CA, USA: Sage Publications, Inc.
Angus, L.E., & McLeod, J. (Eds.). (2004). The handbook of narrative and psychotherapy. Thousand Oaks, CA, USA: Sage Publications, Inc.
Angus, L. (2012). An integrative understanding of narrative and emotion processes in emotion-focused therapy of depression: Implications for theory, research and practice. Psychotherapy Research, 22(4), 367–380.
Botella, L., & Gámiz, M. (2011). Narrative assessment in psychotherapy: A constructivist approach. In P. Caputi, L.L. Viney, B.M. Walker & N. Crittenden (Eds.), Personal construct methodology (pp. 247–268). New York: Wiley.
Conway, M.A., & Pleydell-Pearce, C.W. (2000). The construction of autobiographical memories in the self-memory system. Psychological Review, 1071, 261–288.
Dimaggio, G., & Semerari, A. (2001). Psychopathological narrative forms. Journal of Constructivist Psychology, 14(1), 1–23.
Dimaggio, G., Nicolo, G., Fiore, D., Centenero, E., Semerari, A., Carcione, A., & Pedone, R. (2008). States of minds in narcissistic personality disorder: Three psychotherapies analyzed using the grid of problematic states. Psychotherapy Research, 18(4), 466–480.
Gergen, K.J. (1994). Realities and relationships: Soundings in social construction. Cambridge, Mass.: Harvard University Press.
Gonçalves, O., & Machado, P. (1999). Cognitive narrative psychotherapy: Research foundations. Journal of Clinical Psychology, 551, 1179–1191.
Gonçalves, O. (2000). Viver narrativamente: A psicoterapia como adjectivação da experiencia. Coimbra: Quarteto Editora.
Gonçalves, O., & Henriques, M. (2000a). Manual de avaliação da estrutura e coerência narrativa. Braga: Universidade do Minho.
. (2000c). Manual de avaliação do contéudo e multiplicidade narrativa. Braga: Universidade do Minho.
Gonçalves, O., Henriques, M., Alves, A., & Soares, L. (2002). Analyzing structure, process and content in narratives of patients diagnosed with agoraphobia. International Journal of Clinical and Health Psychology, 2(3), 389–406.
Habermas, T., Ott, L.-M., Schubert, M., Schneider, B., & Pate, A. (2008). Stuck in the past: Negative bias, explanatory style, temporal order, and evaluative perspectives in life narratives of clinically depressed individuals. Depression and Anxiety, 251, 121–132.
Hardtke, K.K., & Angus, L.E. (2004). The narrative assessment interview: Assessing self-change in psychotherapy. In L. Angus & J. McLeod (Eds.), The handbook of narrative and psychotherapy: Practice, theory, and research (pp. 247–262). Thousand Oaks, CA, USA: Sage Publications, Inc.
Leite, C., & Kuiper, N. (2008). Client uncertainty and the process of change in psychotherapy: The impact of individual differences in self-concept clarity and intolerance of uncertainty. Journal of Contemporary Psychotherapy, 38(2), 55–64.
Luborsky, L., Barber, J., & Diguer, L. (1993). The meanings of the narratives told during psychotherapy: The fruits of a new operational unit. Psychotherapy Research, 21, 277–290.
McAdams, D.P., & Adler, J.M. (2010). Autobiographical memory and the construction of a narrative identity: Theory, research, and clinical implications. In J.E. Maddux & J. Tangney (Eds.), Social psychological foundations of clinical psychology (pp. 36–50). New York: Guilford Press.
Moreira, P., Beutler, L.E., & Gonçalves, O.F. (2008). Narrative change in psychotherapy: Differences between good and bad outcome cases in cognitive, narrative, and prescriptive therapies. Journal of Clinical Psychology, 64(10), 1181–1194.
Morgan, J. (2010). Autobiographical memory biases in social anxiety. Clinical Psychology Review, 30(3), 288–97.
Neimeyer, R.A. (1995). Constructivist psychotherapies: Features, foundations, and future directions. In R.A. Neimeyer & M.J. Mahoney (Eds.), Constructivism in psychotherapy (pp. 11–38). Washington: American Psychological Association.
Neimeyer, R.A., & Mahoney, M.J. (1995). Constructivism in psychotherapy. Washington, D.C.: American Psychological Association.
Neimeyer, R.A. (2006). Narrating the dialogical self: Toward an expanded toolbox for the counselling psychologist. Counselling Psychology Quarterly, 19(1), 105–120.
Ntynen, P., Happonen, J., & Toskala, A. (2010). Social phobia: Control processes in anxiety-provoking situations. Journal of Constructivist Psychology, 13(3), 199–220.
Rotondi-Trevisan, D.L. (2002). Autobiographical memory analysis and micro-narrative coherence in brief experiential psychotherapy for depression: An exploratory analysis. Unpublished master’s thesis, York University, Toronto, Ontario, Canada.
Rubin, D.C., Feldman, M.E., & Beckham, J.C. (2004). Reliving, emotions, and fragmentation in the autobiographical memories of veterans diagnosed with PTSD. Applied Cognitive Psychology, 181, 17–35.
Rubin, D.C. (2011). The coherence of memories for trauma: Evidence from posttraumatic stress disorder. Consciousness and Cognition, 201, 857–865.
Sarbin, T.R. (1986). Prediction and clinical inference: Forty years later. Journal of Personality Assessment, 501, 362–369.
Segal, Z.V., Williams, J.M.G., & Teasdale, J.D. (2002). Mindfulness-based cognitive therapy for depression: A new approach to preventing relapse. New York: Guilford Press.
Semerari, A., Carcione, A., Dimaggio, G., Falcone, M., Nicolò, G., & Procacci, M. (2003). Assessing problematic states. Psychotherapy Research, 13(3), 337–353.
Semerari, A., Carcione, A., Dimaggio, G., Falcone, M., Nicolò, G., Procacci, M., & Alleva, G. (2003). How to evaluate metacognitive functioning in psychotherapy? The metacognition assessment scale and its application. Clinical Psychology and Psychotherapy, 101, 238–261
Stopa, L., Denton, R., & Wingfield, M. (2013). The fear of others: A qualitative analysis of interpersonal threat in social phobia and paranoia. Behavioral and Cognitive Psychotherapy, 411, 188–209.
Watkins, E.R. (2008). Constructive and unconstructive repetitive thought. Psychological Bulletin, 134(2), 163–206.
