scholarly journals Religious or Spiritual Experiences and Bipolar Disorder: A Case Study from the Perspective of Dialogical Self Theory

Religions ◽  
2020 ◽  
Vol 11 (10) ◽  
pp. 527
Author(s):  
Eva Ouwehand ◽  
Hetty Zock ◽  
Hanneke Muthert
Keyword(s):  
Bipolar Disorder ◽  
Health Care Professionals ◽  
Explanatory Models ◽  
Spiritual Experiences ◽  
Religious Experiences ◽  
Dialogical Self ◽  
Psychological Dimension ◽  
Interpretation Process ◽  
Dialogical Self Theory

In this article, a case study will be presented of a person with bipolar I disorder, who struggles to interpret his religious experiences and how they are related to the disorder. The analysis builds on a larger study into religious experiences within the context of bipolar disorder (BD). In this previous study, medical and religious explanatory models for religious experiences related to BD often appeared to go hand in hand in patients who have had such experiences. In this case study, the various ‘voices’ in the interpretation process over time will be examined from the perspective of the dialogical self theory of Hubert Hermans, in order to explore the psychological dimension of this process. The case study demonstrates that a ‘both religious and pathological’ explanatory model for religious experiences consists of a rich and changing variety of I-positions that fluctuate depending on mood episode. Structured reflection from a spiritual and from a medical perspective over the course of several years helped this person to allow space for different dialoguing ‘voices’, which—in this case—led to a more balanced attitude towards such experiences and less pathological derailment. The systematic reflection on religious experiences by the person in the case study was mainly conducted without help of mental health care professionals and was not derived from a DST perspective. It could be argued, however, that DST could be used as a helpful instrument for the exploration of both medical and spiritual ‘voices’ in the interpretation of religious experiences in both clinical practice by hospital chaplains and by other professionals.

scholarly journals Making dialogue with an existential voice in transition from military to civilian life

2017 ◽  
Vol 27 (6) ◽  
pp. 832-850 ◽  
Author(s):  
Jan Grimell
Keyword(s):  
Military Personnel ◽  
Military Service ◽  
Longitudinal Research ◽  
Meaning Making ◽  
Identity Work ◽  
Civilian Life ◽  
Self Identity ◽  
Dialogical Self ◽  
Dialogical Self Theory

Dialogical Self Theory has contributed to the endeavors to map and grid self-identity work in transition from military to civilian life throughout an empirical and longitudinal research project which focuses on existential dimensions. This article is based on a case study from this project and centers upon Sergeant Jonas, who, upon his return from deployment in Afghanistan, struggled with his transition as a new existential position was vocalized throughout the following annual interviews. This voice narrated feelings of meaninglessness, emptiness, and of having been deceived. In turn, this existential voice required an answer to a question which apparently had no answer. The meaning-making eventually evolved into an acceptance which enabled Jonas to proceed with his life. Dialogical processes between positions are important in order to go on with life amid existential concerns in the aftermath of military service since dialogicality of the self opens up a complex of dynamics of meaning-making processes, negotiations, and transformations. Based on the findings, it is suggested that the Personal Position Repertoire could potentially be strengthened by the addition of an internal existential position to its standard repertoire, at least when working with military personnel and/or veterans.

scholarly journals Postpartum Psychosis after Traumatic Cesarean Delivery

Healthcare ◽  
2021 ◽  
Vol 9 (5) ◽  
pp. 588
Author(s):  
Evangelia Antoniou ◽  
Eirini Orovou ◽  
Kassiani Politou ◽  
Alexandros Papatrechas ◽  
Ermioni Palaska ◽  
...  
Keyword(s):  
Bipolar Disorder ◽  
Cesarean Delivery ◽  
Health Care Professionals ◽  
Psychotic Episode ◽  
Postpartum Psychosis ◽  
Childbirth Experience ◽  
Emergency Cesarean ◽  
History Of ◽  
Psychiatric Complications

An emergency cesarean delivery can be a traumatic childbirth experience for a woman and a risk factor for postpartum psychosis, especially in a patient with a history of bipolar disorder. This article describes the case of a pregnant woman with an unknown history of bipolar disorder who developed an acute psychotic reaction during the procedure of an emergency caesarian section and switched to mania. The purpose of this case study is for perinatal health care professionals to identify suspicious symptoms and promptly refer to psychiatric services so as to ensure the mother’s and the newborn’s safety. This case study highlights the importance of assessing women with bipolar disorder or a previous psychotic episode for the risk of psychiatric complications in pregnancy and after childbirth. Midwifery education on perinatal mental health is crucial for the detection of suspicious symptoms and early referral to a specialist.

Early narcissistic transference patterns: An exploratory single case study from the perspective of dialogical self theory

2006 ◽  
Vol 79 (4) ◽  
pp. 495-516 ◽  
Author(s):  
Giancarlo Dimaggio ◽  
Donatella Fiore ◽  
Paul Henry Lysaker ◽  
Daniela Petrilli ◽  
Giampaolo Salvatore ◽  
...  
Keyword(s):  
Single Case ◽  
Single Case Study ◽  
Dialogical Self ◽  
Dialogical Self Theory ◽  
Narcissistic Transference

scholarly journals Understanding Veterans Through the Lens of Dialogical Psychology and Theology

2018 ◽  
Vol 3 (2) ◽  
pp. 139-160
Author(s):  
Jan Grimell
Keyword(s):  
Military Service ◽  
Longitudinal Research ◽  
The Self ◽  
Service Members ◽  
Civilian Life ◽  
Self Identity ◽  
Dialogical Self ◽  
Dialogical Self Theory ◽  
Theory Framework

A dialogical self theory framework has shown to be a promising methodology in the pursuit of mapping and gridding the psychological topography among military personnel during transition from military to civilian life and thereby advance the understandings of self-identity work in the process. This article demonstrates this methodology through a case study example drawn from a longitudinal research project that followed nineteen Swedish service members with annual interviews over a three-year period as they transitioned to civilian life. This case study example evolves into a discussion about a potential vulnerability that may be inherit among service members with distinct religious/spiritual/ethical positions in the self when or if those I-positions perceive themselves to be violated as a result of military service. The implication of such violations or transgressions may result in a type of spiritual injury that disconnects the spiritual capacity of the self to varying degrees. It is proposed that such spiritual injury is typically followed by monologue instead of dialogue. Theological concepts of forgiveness and acceptance may gradually restore the dialogical capacity between a violated position(s) and a traumatized military position within the self. Acceptance and dialogical evolution may then begin to heal the spiritual damage.

scholarly journals Holy Apparition or Hyper-Religiosity: Prevalence of Explanatory Models for Religious and Spiritual Experiences in Patients with Bipolar Disorder and Their Associations with Religiousness

2019 ◽  
Vol 69 (1) ◽  
pp. 29-45 ◽  
Author(s):  
Eva Ouwehand ◽  
Arjan W. Braam ◽  
Joannes W. Renes ◽  
Hanneke J. K. Muthert ◽  
Hetty T. Zock
Keyword(s):  
Bipolar Disorder ◽  
Clinical Practice ◽  
Spiritual Development ◽  
Religious Involvement ◽  
Explanatory Models ◽  
Religious Experiences ◽  
Illness Experiences ◽  
Outpatient Center ◽  
The Subject ◽  
Careful Exploration

AbstractOne point that emerges from qualitative research on religion and bipolar disorder (BD) is the problem patients with BD experience in distinguishing between genuine religious experiences and hyper-religiosity. However, clinical practice does not obviously address communication about differences in explanatory models for illness experiences. The aim of the current study is first to estimate the frequencies of different types of explanations (medical versus religious) for experiences perceived as religious and related to BD, second to explore how these types relate to diagnosis and religiousness, and third to explore the frequency of expectation of treatment for religiosity. In total, 196 adult patients at a specialist outpatient center for BD in the Netherlands completed a questionnaire consisting of seven types of explanations for religious experiences and several items on religiousness. Of the participants who had had religious experiences (66%), 46% viewed the experiences as ‘part of spiritual development’ and 42% as ‘both spiritual and pathological,’ 31% reported ‘keeping distance from such experiences,’ and 15% viewed them as ‘only pathological.’ Measures of religiousness were positively associated with ‘part of spiritual development’ and negatively associated with ‘keeping distance from the experiences’ and ‘only pathological.’ Half of the sample viewed religiosity as an important topic in treatment. It can be hypothesized that strength of religiousness may help people to integrate destabilizing experiences related to BD into their spiritual development. However, the ambiguity of strong religious involvement in BD necessitates careful exploration of the subject in clinical practice.

Medical Comorbidity and Recovery in Individuals with Bipolar Disorder

CNS Spectrums ◽  
2009 ◽  
Vol 14 (S15) ◽  
pp. 16-19
Author(s):  
Martha Sajatovic
Keyword(s):  
Bipolar Disorder ◽  
Functional Recovery ◽  
Medical Comorbidity ◽  
Treatment Approaches ◽  
Medical Burden

This discussion will focus on medical comorbidity and recovery in individuals with bipolar disorder. The complexity of care will be discussed in the context of a case study, with particular focus on the medical burden of mania, aging and bipolar disorder, and treatment approaches that promote functional recovery.

scholarly journals Psychotic Experiences and Alternate Dimensions: A Thematic Analysis Exploring Frameworks of Psychotic Symptoms Among Saudis

SAGE Open ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 215824402110302
Author(s):  
Sanaa Hyder ◽  
Nouf Almutlaq ◽  
Mohammad Talal Naseem ◽  
Lisa Bilal ◽  
Abdullah Al-Subaie ◽  
...  
Keyword(s):  
Mental Health ◽  
Thematic Analysis ◽  
Health Care Professionals ◽  
Explanatory Models ◽  
Psychotic Symptoms ◽  
Religious Leaders ◽  
Social Mechanisms ◽  
Psychotic Experiences ◽  
Specific Language ◽  
Mental Health Survey

Psychotic expression is influenced by unique contexts, including the individual’s culture. The majority of research on psychotic experiences is quantitative and from Western, democratic societies. This article explores the explanatory models used by Saudis to describe psychotic experiences (i.e., hallucinations and delusions). Using open-ended responses to a structured psychosis screener embedded within a comprehensive mental health survey instrument, we conducted thematic analysis on data representing the psychotic experiences of 59 individuals. We found that Saudis report religious (e.g., Jinns) and cultural (e.g., modest clothing) frameworks alongside biological, psychological, and social mechanisms which potentially trigger an alternative reality for the affected individual. Our findings suggest it may be helpful for health care professionals to consider individual differences and work with religious leaders (e.g., Shaykhs) to prevent misdiagnosis and mistreatment. In-depth qualitative studies are needed to examine trajectories of psychotic symptomatology among Saudis and the specific language used to describe such occurrences.

Beneficial effect of lithium in female patient with bipolar affective illness and psoriasis

2021 ◽  
Vol 37 (2) ◽  
Author(s):  
Przemysław Filipiak ◽  
Anna Jaskóła ◽  
Karolina Gattner
Keyword(s):  
Bipolar Disorder ◽  
Case Report ◽  
Beneficial Effect ◽  
Female Patient ◽  
Lithium Treatment ◽  
The Other ◽  
Patient Needs ◽  
Affective Illness ◽  
First Time

Objectives. Psoriasis makes a relative contraindication for lithium treatment which can exacerbate its symptoms or induce it itself. On the other hand, lithium exerts immuno-modulatory activity. Case study. In this paper, a case of a female patient is presented. The patient has been treated since 2012 for bipolar affective illness (bipolar disorder – BD) and psori­asis, which occurred for the first time during a depress­ive episode. Despite intensive pharmacological treatment, both as inpatient and outpatient, a satisfactory improvement of affective illness has not been obtained. After the introduction of lithium, a remission of BD was achieved as well as a reduction of psoriatic changes, which have been maintained until now (2021). Conclusion. The remission of Bipolar Disorder (BD) on lithium can suggest that the patient belongs to the group of the so-called excellent lithium responders. In the presen­ted case remission of psoriasis was observed during lithium treatment. This case report must be treated with caution because remission could be spontaneous and the patient needs further observation.

scholarly journals The psychological imagination

2016 ◽  
Vol 27 (2) ◽  
pp. 229-233 ◽  
Author(s):  
Luca Tateo
Keyword(s):  
Human Activity ◽  
Special Issue ◽  
Research Directions ◽  
Dialogical Self ◽  
Dialogical Self Theory ◽  
Higher Psychological Functions ◽  
New Research ◽  
The Relationship ◽  
Theoretical Issues ◽  
Symbolic Products

Abstract: The commentary presents an epistemological reflection about Dialogical Self theory. First, the theoretical issues of DS about the relationship between individuality, alterity and society are discussed, elaborating on the articles of this special issue. Then, it is presented the argument of psychologist's ontological fallacy, that is the attitude to moving from the study of processes to the study of psychological entities. Finally a development toward new research directions is proposed, focusing on the study of higher psychological functions and processes, taking into account complex symbolic products of human activity and developing psychological imagination.

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