Illness and narrative identity: examining past and future life story chapters in individuals with bipolar disorder, diabetes mellitus or no chronic illness.

The purpose of this study was to investigate whether narrative identity challenges are specific to Bipolar Disorder (BD) as a mental illness or a reflection of living with chronic illness. Nineteen individuals diagnosed with BD, 29 individuals diagnosed with Type 1 Diabetes Mellitus (T1DM) and 25 controls without chronic mental or somatic illness identified past and future life story chapters which were self-rated on emotional tone and self-event connections and content-coded for agency and communion themes. Individuals with BD self-rated their past chapters as more negative and less positive, and their chapters were lower on content-coded agency and communion themes compared to T1DM and controls. There were fewer group differences for future chapters, but BD was associated with lower self-rated positive emotional tone and self-stability connections as well as lower content-coded agency and communion themes. The results indicate that narrative identity is affected in individuals with BD above and beyond the consequences of living with chronic illness. This may reflect distinct effects of mental versus somatic illness on narrative identity.

"My life disappeared in illness": bipolar disorder and themes in narrative identity.

Bipolar Disorder (BD) has substantial consequences for the course of life and the formation of self and identity. In the present study, we extended the existing literature by examining narrative identity. Fifteen female outpatients with remitted BD and fifteen non-clinical control participants described past and future chapters in their life stories. The chapters were coded for agency, communion, redemption and contamination. Patients diagnosed with BD described their past chapters with lower agency, lower communion and more contamination compared to the control group. Contrary to our expectations, the future chapters described by the BD patients did not differ significantly from the control group. A focus on narrative identity may contribute to understanding the disorder and inspire interventions targeting personal recovery.

Storying the Past and the Future: Agency and Communion Themes Among Individuals With Schizophrenia and Depression.

ABSTRACT: Research has linked disturbances in narrative identity with schizophrenia and other psychiatric disorders. One such disturbance is diminished agency and communion themes in past life stories. However, projecting oneself into the future is also central to identity and potentially impacts recovery. Hence, we examined themes of agency and communion in both past and future life stories and related themes to psychosocial functioning in 20 individuals with schizophrenia, 20 individuals with depressive disorder, and 19 nonpsychiatric controls. Participants were asked to describe up to 10 past and future chapters in their life stories and were assessed on psychosocial functioning and neurocognition. Chapters were coded for agency and communion themes. Both clinical groups displayed diminished agency and communion themes in past but not future life story chapters compared with the nonpsychiatric controls. Furthermore, agency themes in future chapters explained variance in psychosocial functioning after controlling for neurocognition. The results suggest that constructing a narrative identity to foster agency and communion in both past and future chapters may be an important part of recovering from schizophrenia and depression.

When does a wedding mark the beginning of a new chapter in one's life?

Life story chapters may be formed in relation to substantial and enduring changes in material circumstances, and we explored this idea by capitalizing on naturally occurring variations in the change of material circumstances associated with marriage. In two studies, we asked participants to report whether they cohabitated before marriage and whether they relocated in connection with marriage, using these as proxies for material change. Participants described their wedding and rated it on memory characteristics along with scales measuring material change, psychological change, and centrality to identity. Next, they identified chapters within the romantic domain of their lives. Finally, they placed the wedding memory in a chapter and marked the temporal location of the memory on a timeline representing the chapter. In study 2, not cohabitating before marriage was associated with greater likelihood of locating the wedding memory as a starting point for a chapter. The results provide some support for the role of material change in shaping the formation of chapters.

Narrative Identity, Metacognition, and Well-Being in Patients With Schizophrenia or HIV.

It has been proposed that schizophrenia reflects disturbances in personal identity, which include sense of personal agency, sense of belonging within a social group, and metacognition. Less is known about how these different processes are related to one another and to well-being outcomes. To study this, we measured themes of agency and communion in narrative identity in 29 individuals with schizophrenia and 29 individuals with HIV. All participants had previously been assessed on metacognitive abilities using the Indiana Psychiatric Illness Interview (IPII) and completed scales measuring hopelessness and self-esteem. For the present study, themes of agency and communion were coded from the IPII transcripts. Results indicated that participants with schizophrenia had lower levels of agency and communion compared with participants with HIV. More presence of agency and communion themes were related to better metacognitive abilities as well as less hopelessness and higher self-esteem across groups. Agency predicted variance in hopelessness after controlling for metacognitive abilities. The results suggest that although the construction of narrative identity may depend on metacognitive abilities, agency themes predict outcomes beyond metacognition.

Writing about life story chapters increases self-esteem: Three experimental studies.

OBJECTIVE: The purpose of the present three studies was to examine experimentally whether writing about life story chapters would increase self-esteem, self-concept clarity, and meaning. METHOD: In study 1, 179 participants rated state self-esteem and self-concept clarity before and after they described either four important life story chapters or four famous Americans. In study 2, 141 new participants completed a similar procedure to study 1 and then returned two days later to complete the procedure a second time. In study 3, 101 community dwelling adults completed a similar procedure to study 1, but responded to full scales measuring self-concept clarity, self-esteem, and mood. RESULTS: In all the studies, writing about four important life story chapters increased the ratings of self-esteem, whereas writing about four famous Americans did not. CONCLUSION: The studies show that writing about chapters in life stories can increase self-esteem and suggest that constructing positive self-worth may be an important function of life stories.

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

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.

Personal and parents' life stories in patients with borderline personality disorder.

Patients with borderline personality disorder (BPD) display disturbances in understanding self and others. We examined whether these disturbances extended to how patients described their personal and parents' life stories and to measures of identity, alexithymia, empathy, and emotional intelligence. Thirty BPD patients and 30 matched control participants described personal and parents' life stories and completed measures of identity disturbance, alexithymia, empathy, and emotional intelligence. Compared to the controls, patients with BPD described their personal and their parents' life stories more negatively and with fewer themes of agency and communion fulfillment. Patients and controls showed equally complex reasoning about their personal life stories, but patients displayed less complexity and more self-other confusion, when reasoning about their parents' stories. Patients also differed from controls on identity disturbance, alexithymia, and empathy. The results suggest that patients' storied understanding of themselves and others are disturbed and should be taken into account to better understand BPD.

Functions of personal and vicarious life stories: identity and empathy.

The present study investigates functions of personal and vicarious life stories focusing on identity and empathy. Two-hundred-and-forty Danish high school students completed two life story questionnaires: one for their personal life story and one for a close other's life story. In both questionnaires, they identified up to 10 chapters and self-rated the chapters on valence and valence of causal connections. In addition, they completed measures of identity disturbance and empathy. More positive personal life stories were related to lower identity disturbance and higher empathy. Vicarious life stories showed a similar pattern with respect to identity but surprisingly were unrelated to empathy. In addition, we found positive correlations between personal and vicarious life stories for number of chapters, chapter valence, and valence of causal connections. The study indicates that both personal and vicarious life stories may contribute to identity.

My partner's stories: relationships between personal and vicarious life stories within romantic couples.

In this paper, we examined relationships and differences between personal and vicarious life stories, i.e., the life stories one knows of others. Personal and vicarious life stories of both members of 51 young couples (102 participants), based on McAdams' Life Story Interview (2008), were collected. We found significant positive relationships between participants' personal and vicarious life stories on agency and communion themes and redemption sequences. We also found significant positive relationships between participants' vicarious life stories about their partners and those partners' personal life stories on agency and communion, but not redemption. Furthermore, these relationships were not explained by similarity between couples' two personal life stories, as no associations were found between couples' personal stories on agency, communion and redemption. These results suggest that the way we construct the vicarious life stories of close others may reflect how we construct our personal life stories.

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.

A decline in self-defining memories following a diagnosis of schizophrenia.

PURPOSE: Receiving a diagnosis of schizophrenia can be a profound life transition that often has a negative influence on the patient's sense of self. The present study is the first to examine how self-defining memories are temporally distributed around age at diagnosis of schizophrenia. METHOD: 25 patients and 25 matched control participants identified 3 self-defining memories from their lives. In addition, participants were assessed with standardized interviews and questionnaires on negative and positive symptoms as well as tests of cognitive function. RESULTS: Patients' self-defining memories increased in the years leading up to diagnosis and declined abruptly in the years immediately following diagnosis. The pre-diagnosis increase in self-defining memories was not attributable primarily to a rise in disease-related recollections. CONCLUSION: The sharp post-diagnosis memory decline suggests that patients find it difficult to establish new or evolve existing definitions of self. Implications for models of schizophrenia and for clinical practice are discussed.

I Know My Story and I Know Your Story: Developing a Conceptual Framework for Vicarious Life Stories.

Vicarious life stories are mental representations of other people's life stories. We propose a conceptual framework that situates the study of vicarious life stories at the crossroads between personality and social cognition, identifies their potential functions, and describes possible connections between vicarious and personal life stories. Two preliminary studies compared chapters and specific memories in personal and close others' life stories in two groups of student participants. Ages associated with chapters and specific memories in personal and vicarious life stories showed similar temporal distributions. Emotion ratings of both personal and vicarious life story chapters were related to personality traits and self-esteem, although relations were more consistent for personal chapters. In conclusion, personal and vicarious life stories share important similarities. Mental models of other people include vicarious life stories that serve to expand the self as well as facilitate understanding of others.

Life story chapters and narrative self-continuity in patients with schizophrenia.

The present study compared life story chapters and self-defining memories in 25 patients with schizophrenia and 25 matched controls. All participants were tested on neurocognition and rated on symptoms. Participants identified and rated life story chapters and self-defining memories on emotional valence, causal coherence, and self-continuity. Temporal coherence and temporal macrostructure were also assessed. Patients rated their life story chapters as more negative compared to controls, but there were few significant differences regarding temporal coherence, temporal macrostructure, and ratings of causal coherence and self-continuity. In patients, poorer neurocognitive function and higher degree of negative symptoms were related to less causal coherence and lower self-continuity in relation to chapters. In general, few differences were found between the patients and the controls. This may be due to the highly structured method used to assess life stories or to the fact that our patient group was cognitively well-functioning.

Vicarious memories.

People not only have vivid memories of their own personal experiences, but also vicarious memories of events that happened to other people. To compare the phenomenological and functional qualities of personal and vicarious memories, college students described a specific past event that they had recounted to a parent or friend, and also an event that a friend or parent had recounted to them. Although ratings of memory vividness, emotional intensity, visualization, and physical reactions were higher for personal than for vicarious memories, the overall pattern of ratings was similar. Participants' ratings also indicated that vicarious memories serve many of the same life functions as personal memories, although at lower levels of intensity. The findings suggest that current conceptions of autobiographical memory, which focus on past events that happened directly to the self, should be expanded to include detailed mental representations of specific past events that happened to other people.

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.

The reminiscence bump in older adults' life story transitions.

Older adults' memories of events that occurred in adolescence and early adulthood are over-represented compared to other lifetime periods. Prior research on this reminiscence bump has focused on qualities of individual memories. The present study used a novel interview method to examine the potential role played by mental representations of extended lifetime periods. Older adults provided oral life stories, and they divided their transcribed narratives into "chapters". Participants' ages at chapter beginnings and endings showed pronounced reminiscence bumps. The results are consistent with the idea that personal episodes occurring near the boundaries of extended lifetime periods receive preferential processing that enhances long-term memory.

The emotional content of life stories: positivity bias and relation to personality.

We examined whether past and future negative life story events, compared to past and future positive events, were less likely to be related to life story chapters and situated at a greater temporal distance from the present. We also examined relations between life stories and personality traits. Three hundred ten students and 160 middle-aged adults completed a measure of personality traits and identified chapters as well as past and future events in their life story. All life story components were rated on emotion and age. Negative future events were less likely to be a continuation of chapters and were more temporally distant than positive future events. Extraversion and Conscientiousness were related to more positive life stories, and Neuroticism was related to more negative life stories. This suggests that the life story is positively biased by minimising the negative future, and that the construction of life stories is related to personality traits.

Narrative identity in context: How adults in Japan, Denmark, Israel, and the United States narrate difficult life events.

Integrating the selective reconstruction of the past with an imagined future, narrative identity is a person's internalized and evolving story of the self, functioning to provide life with some degree of meaning and purpose (McAdams & McLean, 2013). While narrative identity has been found to be associated with a range of psychological and social phenomena (e.g., Adler et al., 2015; McAdams & Guo, 2015), cross-national variation in narrative identity has been only minimally examined. For the purposes of the current inquiry, 438 adults from the United States (N = 102), Japan (N = 122), Israel (N = 103), and Denmark (N = 111) wrote narratives on adversity (low point and life challenge) and completed self-report measures on psychological well-being. Part 1 examined the narrative topics discussed, the frequency of narrative indices (redemption, contamination, agency, communion, meaning-making), and their relationship to well-being across the four countries, finding the most cultural difference in levels of redemption and meaning-making and the kinds of events narrated. Part 2 involved a qualitative, thematic analysis of the Japanese, Danish, and Israeli narratives to derive a set of narrative indices characterizing each country. Several emerged in the Japanese narratives (acceptance, attribution of blame, unresolved), the Danish narratives (balanced affect, communal growth, normality), and Israeli narratives (collective responsibility). Taken together, our findings regarding narratives of adversity support the idea that narrative identity cannot be fully captured without an understanding of culture but needs to instead be studied in tandem with the cultural context in which stories reside. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Feeling good and bad about the past and future self.

Prior research has shown that memories of feeling good about the self often focus on achievement themes, whereas memories of feeling bad about the self often focus on interpersonal themes. This study examined whether a similar relationship would be evident for imagined future events. Young adults in the United States and Denmark provided memories and imagined future events that are associated with positive or negative self-regard. Across cultures, achievement themes were prominently represented in memories of positive self-regard and interpersonal themes were prominently represented in memories of negative self-regard. In contrast, relationships between the emotional valence and thematic content of imagined future events were weak and inconsistent. Our results raise new questions for the theory that imagined future episodes are constructed primarily from recombinations of past episodes.