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Understanding the paranoid psychosis of James:Use of the repertory grid technique for case conceptualization

Understanding the paranoid psychosis of James:Use of the repertory grid technique for case conceptualization
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摘要 In this paper we illustrate the potential of the repertory grid technique as an instrument for case formulation and understanding of the personal perception and meanings of people with a diagnosis of psychotic disorders.For this purpose,the case of James is presented:A young man diagnosed with schizophrenia and personality disorder,with severe persecutory delusions and other positive symptoms that have not responded to antipsychotic medication,as well with depressive symptomatology.His case was selected because of the way his symptoms are reflected in his personal perception of self and others,including his main persecutory figure,in the different measures that result from the analysis of his repertory grid.Some key clinical hypotheses and possible targets for therapy are discussed. In this paper we illustrate the potential of the repertory grid technique as an instrument for case formulation and understanding of the personal perception and meanings of people with a diagnosis of psychotic disorders.For this purpose,the case of James is presented:A young man diagnosed with schizophrenia and personality disorder,with severe persecutory delusions and other positive symptoms that have not responded to antipsychotic medication,as well with depressive symptomatology.His case was selected because of the way his symptoms are reflected in his personal perception of self and others,including his main persecutory figure,in the different measures that result from the analysis of his repertory grid.Some key clinical hypotheses and possible targets for therapy are discussed.
出处 《World Journal of Psychiatry》 SCIE 2016年第3期381-390,共10页 世界精神病学杂志
基金 Supported by The Departament d’ Educaciói Universitats de la Generalitat de Catalunya and the European Social Fund by means of a fellowship given to the first author the Instituto de Salud Carlos III(Spanish Ministry of Health),research grant number PI14/00044,from the Fondo Europeo de Desarrollo Regional(FEDER)
关键词 Persecutory DELUSIONS Personal CONSTRUCTS SCHIZOPHRENIA REPERTORY grid technique Case formulation Persecutory delusions Personal constructs Schizophrenia Repertory grid technique Case formulation
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