Impaired ability to give a meaning to personally significant events in patients with schizophrenia

Schizophrenia is a severe mental illness affecting sense of identity. Autobiographical memory deficits observed in schizophrenia could contribute to this altered sense of identity. The ability to give a meaning to personally significant events (meaning making) is also critical for identity construction and self-coherence. Twenty-four patients with schizophrenia and 24 control participants were asked to recall five self-defining memories. We assessed meaning making in participants’ narratives (spontaneous meaning making) and afterwards asked them explicitly to give a meaning to their memories (cued meaning making). We found that both spontaneous and cued meaning making were impaired in patients with schizophrenia. This impairment was correlated with executive dysfunctions and level of negative symptoms. Our results suggest that patients’ difficulties in drawing lessons about past experiences could contribute to explain the lack of coherence observed in their life trajectories and their impaired social adjustment abilities. Implications for psychotherapy are also discussed.     

Autobiographical reasoning in life narratives buffers the effect of biographical disruptions on the sense of self-continuity

Personal identity depends on synchronic coherence and diachronic continuity of the self. Autobiographical remembering and autobiographical knowledge as well as the stability of bodily integrity, of social roles, of significant others and of physical and sociocultural environment have been suggested as supporting a pre-reflective sense of self-continuity. Stark biographical discontinuities or disruptions in these areas may destabilise the sense of self-continuity. To test the hypothesis that autobiographical reasoning in life narratives helps to compensate the effects of biographical discontinuities on the sense of self-continuity, life narratives of a lifespan sample with the ages of 16, 20, 24, 28, 44 and 69 (N = 150, 78 female) were investigated. Results confirm that if, and only if there have been biographical disruptions in the past four years, then autobiographical reasoning correlates positively with a sense of self-continuity. The findings contradict the thesis that mere remembering of past episodes is sufficient to maintain a sense of self-continuity under conditions of biographical change.     

Exploring self-defining memories in schizophrenia

Previous studies have shown that patients with schizophrenia are impaired in recalling specific events from their personal past. However, the relationship between autobiographical memory impairments and disturbance of the sense of identity in schizophrenia has not been investigated in detail. In this study the authors investigated schizophrenic patients’ ability to recall self-defining memories; that is, memories that play an important role in building and maintaining the self-concept. Results showed that patients recalled as many specific self-defining memories as healthy participants. However, patients with schizophrenia exhibited an abnormal reminiscence bump and reported different types of thematic content (i.e., they recalled less memories about past achievements and more memories regarding hospitalisation and stigmatisation of illness). Furthermore, the findings suggest that impairments in extracting meaning from personal memories could represent a core disturbance of autobiographical memory in patients with schizophrenia.     

A 3.5 year diary study: Remembering and life story importance are predicted by different event characteristics

Forty-five participants described and rated two events each week during their first term at university. After 3.5 years, we examined whether event characteristics rated in the diary predicted remembering, reliving, and life story importance at the follow-up. In addition, we examined whether ratings of life story importance were consistent across a three year interval. Approximately 60% of events were remembered, but only 20% of these were considered above medium importance to life stories. Higher unusualness, rehearsal, and planning predicted whether an event was remembered 3.5 years later. Higher goal-relevance, importance, emotional intensity, and planning predicted life story importance 3.5 years later. There was a moderate correlation between life story importance rated three months after the diary and rated at the 3.5 year follow-up. The results suggest that autobiographical memory and life stories are governed by different mechanisms and that life story memories are characterized by some degree of stability.     

What happened in kindergarten? Mother-child conversations about life story chapters

ABSTRACT

Research indicates that adults form life story chapters, representations of extended time periods that include people, places and activities. Life chapter memories are distinct from episodic memories and have implications for behaviour, self and mental health, yet little is known about their development during childhood. Two exploratory studies examined parent–child conversations about life chapters. In Study 1, mothers recorded naturalistic conversations with their 5–6 year old children about two chapters in the child’s life. In Study 2, mothers recorded conversations with their 6–7 year old children about a particular life chapter—the child’s kindergarten year—and also about a specific episode of their choice. The results indicated that young children are able to recall and discuss information about life chapters and that parents actively scaffold children’s discussion of general information in chapters as well as specific events. Mothers’ conversational style when discussing chapters (e.g., elaborativeness) predicted children’s memory contributions, and was also positively correlated with their style when discussing specific events. The results suggest new avenues for research on the ontogeny of life chapters, the factors that shape them, and their role in development.     

Life story research: A relevant methodology for counsellors and psychotherapists

Aims: This paper introduces, describes and proposes life story research as an important, relevant and appropriate contribution to counselling and psychotherapy research. It shows how narrative knowledge is created and constructed through the stories people tell about their lived experiences and explores the concept of ‘narrative knowing’ (Bruner, 1986). Methods: Drawing on life story research with people who linked their history of problematic drug use with experiences of historic trauma/abuse, the paper contributes to the ongoing discussion related to the similarities/differences between therapy and research and what we might learn from each that informs the other. Implications for practice: The paper offers narrative ideas and practices as ways of researching matters of social and psychological importance. It suggests that therapists (and counselling researchers) could learn from what participants tell us about the therapeutic value of using life story methods which one participant described as helping him to face ‘out into the world, without unduly or specifically delving into, or focusing on [my] emotional state’. This learning may be particularly relevant for therapists working with traumatised clients.     

Vicarious life stories: Examining relations to personal life stories and well-being

We examined relationships between vicarious life stories for mothers and distant others, personal life stories, and well-being. Participants described chapters in their mothers’ and personal life stories, self-rated chapters on emotional tone and meaning, and completed well-being measures. In Studies 3 and 4, participants described chapters for distant others. In Study 4, mothers’ personal life stories were collected. In Studies 2–4, chapters were coded for redemption, agency, and communion. Qualities of vicarious and personal life stories were positively related, except for ex-boy/girlfriends (Study 4). Vicarious life stories were less positive and were less consistently related to well-being than personal life stories. Vicarious life stories for mothers were positively related to both participants’ personal life stories and mothers’ personal life stories.     

Episodic memories as building blocks of identity processing styles and life domains satisfaction: Examining need satisfaction and need for cognitive closure in memories

The interconnection between identity and memory is widely accepted, but the processes underlying this association remain unclear. The present study examined how specific experiential components of self-defining memories relate to identity processing styles. We also investigated whether those relationships occurred in a domain-specific manner. Participants (n = 583) completed the Identity Style Inventory-3, which we adapted to measure identity in the school and friend domains, as well as scales assessing their friend and school satisfaction. They then described a memory related to each of these domains and rated the level of need satisfaction and need for cognitive closure characterising each memory. Results from structural equation modeling revealed that need satisfaction in the school-related memory was positively associated with an informational identity style at school and with satisfaction at school, whereas need satisfaction in the friend-related memory was positively associated with an informational identity style in both the school and friend domain, and with satisfaction with friends. In addition, need for cognitive closure in both the friend- and school-related memory was associated with normative friend and school identity processing styles. These findings reveal that specific experiential components of self-defining memories are associated with certain identity processing styles. Furthermore, this relationship appears to be mostly domain-specific.     

Abstracting and extracting: Causal coherence and the development of the life story

This study compared life story memories of emerging adults and early adolescents to other autobiographical memories. Participants described three scenes of their respective life stories, a high point, low point, and turning point narrative, and described the connections between them in a fourth narrative. Participants also related four autobiographical narratives from corresponding time periods for comparison. Narratives were analysed for two measures of causal coherence, narrative complexity and meaning making, and for thematic coherence. Life story narratives contained more self-related lessons and insights and greater recognition of complexity than non-life-story narratives, but these differences were confined to narratives of turning points and connections between events. Thematic connections between narratives were more abstract and self-related in life story narratives. Emerging adults' narratives, when compared to those of early adolescents, showed more evidence of self-related abstract thinking and recognition of multiple dimensions. Findings indicate consistent ways in which life story memories differ from other autobiographic memories, and show evidence of development in adolescence.     

One-year stability in life story chapters and memories among emerging,middle-aged,and older adults

We examined 1-year stability of life story chapters and memories. In addition, we examined age differences in stability. At baseline and 1 year later, 70 emerging, 60 middle-aged, and 59 older participants described up to 10 chapters and 10 memories (in counterbalanced order). Participants self-rated chapters/memories on emotional tone, self-change connections, and self-stability connections. Chapters/memories were content coded for stability between time 1 and 2 and for emotional tone. Chapters were significantly more stable than memories. However, there were no significant differences between chapters and memories regarding stability of associated emotional tone, self-change connections, and self-stability connections. We found few age differences in stability. The results suggest that chapters may play a central role in the stability of narrative identity.     

Narrative identity in female patients with remitted bipolar disorder: a negative past and a foreshortened future

The present study examined narrative identity and subjective well-being in outpatients with remitted bipolar disorder (BD) and a healthy control group. Fifteen female outpatients with remitted BD and 15 healthy control participants identified past and future chapters in their life stories, gave their age for the beginning and end of each chapter, rated emotional tone as well as positive and negative self-event connections associated with the chapters, and for future chapters rated the probability of the chapter. The BD patients reported less positive emotional tone and self-event connections for past chapters, but not for future chapters. However, the patients did describe fewer future chapters with shorter temporal projection into the future, and reported lower probability of future chapters. These characteristics of chapters were related to lower subjective well-being. The study suggests that a more negative narrative identity with a foreshortened future perspective may contribute to lower subjective well-being in patients with BD.     

Mean Level Differences in the Vividness,Meaning, and Coherence of Life Story High and Low Points: How Valenced Life Stories Do and Do Not Differ

The current paper examines systematic differences in life story high and low points. Narratives from a young adult sample (n = 145) and a late midlife adult sample (n = 154) were coded for vividness, meaning, and coherence. An automated linguistic coding technique was also used. Mean level comparisons found high and low points had similar levels of vividness and coherence. Among the young adults, but not the late midlife adults, there was greater total meaning making (positive and negative combined) in low points than in high points. Across high and low points, levels of positive meaning were greater than negative meaning, in both samples, suggesting a positivity bias in meaning making in valenced life stories. Moreover, the bias was large in both samples (68% in young adults, 450% in late midlife adults). Preliminary analyses suggested midlife adults, when compared to young adults, had a greater bias towards producing more positive than negative meaning. In both samples, automated linguistic analyses indicated that low points displayed greater word counts and usage of cognitive mechanism words, suggesting greater cognitive processing in low points at the level of word usage. Findings are framed within autobiographical memory and narrative research and socioemotional selectivity theory.     

On-line story representation in boys with attention deficit hyperactivity disorder

Children with attention deficit hyperactivity disorder (ADHD) face an increased risk of poor achievement in school. Thus, knowledge of the cognitive processing abilities of children with ADHD is critical to understanding and improving their academic performance. Although many studies have focused on the specific nature of the attention deficit experienced by children with ADHD, few have examined higher order cognitive processing such as comprehension of stories. The present study examined the processes of encoding story information, building a story representation, and modifying a story representation in boys with ADHD and nonreferred boys. Boys were asked to narrate a story from a picture book twice. Boys with ADHD showed deficits in representing goals and goal plans in their narrations, as compared to nonreferred boys. Boys with ADHD also committed more errors than nonreferred boys, but did correct certain types of errors on their second telling. Implications are discussed in terms of future research needed to identify the cognitive deficits that account for these narrative deficits.     

Visual-perceptual abilities in healthy controls, depressed patients, and schizophrenia patients

Previous studies have suggested a right hemineglect in schizophrenia, however few assessed possible visual-perceptual implication in this lateralized anomaly. A manual line bisection without (i.e., lines presented on their own) or with a local cueing paradigm (i.e., a number placed at one or both ends of the line) and the Motor-free Visual Perceptual Test-Vertical format (MVPT-V) were used to assess the visual-perceptual abilities of healthy controls, schizophrenia and depressed patients. Whereas healthy controls and depressed patients showed a non-significant leftward bias in manual line bisection, schizophrenia patients bisected significantly to the left of the true centre of the line. Interestingly, the pattern of performances in response to the local cueing paradigm was similar in depressed and schizophrenia patients such that both groups demonstrated a significant change in their bisection performance only in response to a cue placed at the right extremity of the line (control performance was modified by cues at either end of the line). Finally, in the MVPT-V, schizophrenia patients were impaired relative to the other two groups, especially in the spatial working memory and visual closure categories. These results suggest that: 1/a deficit towards the right hemifield, consistent with a mild form of right hemineglect, can be observed in schizophrenia; 2/lateralized anomalies could also be observed in depression using an appropriate tool such as manual line bisection; 3/performances in the MVPT-V suggested that a simple visual-perceptual deficit could not explain the lateralized anomaly observed in the manual line bisection, as it is the case in the hemineglect syndrome.     

Long-term effect of prefrontal lobotomy on verbal fluency in patients with schizophrenia

OBJECTIVE: This study investigated the long-term effects of bilateral prefrontal leukotomy on lexical abilities in schizophrenia subjects. METHOD: we compared performances of leukotomized (LSP), non-leukotomized schizophrenia patients (NLSP) and normal controls, using a test of verbal fluency. Multiple case and triple comparison design were implemented. i.e., the performance of each LSP was compared to that of NLSP and that of a normal control. The sample consisted of four LSP, four NLSP, and four normal subjects. Subjects were matched in sex, age, handedness, and schooling. In Addition, schizophrenia groups were matched in diagnosis and years of hospitalization. Quantitative and qualitative analyses of generated words and errors produced by subjects were carried out. RESULTS: A deficiency in both groups of schizophrenia was observed, although a better performance in LSP patients was detected. CONCLUSION: Intact Lexical ability in LSP indicates its poor relation to the frontal lobe.