Application of Life Tree Narrative Therapy in Alleviating Stigma among Long-term Hospitalized Patients with Chronic Stable Schizophrenia / 中国医学伦理学

ABSTRACT

To study the effect and influencing factors of life tree narrative therapy on alleviating stigma in long-term hospitalized patients with chronic stable schizophrenia, and focus on its intervention targets for long-term hospitalization patients with chronic stable schizophrenia. The group therapy plan was set up with life tree narrative therapy, 12 patients were selected to receive the therapy. Semi-structured in-depth interviews were conducted before and after the therapy of life tree narrative therapy, and grounded theory was used to analyze the interview data. There were 5 therapeutic effects of life tree narrative therapy, including improvement of support system, reduction of stigma, improvement of interpersonal relationship, self-confidence, and the enthusiasm for participating in group therapy. And four core categories of influencing factors of life tree group therapy were summarized, which were group process, patients, leaders and other influencing factors. The biggest gain of life tree group therapy for patients is the improvement of the support system, which can promote patients to adjust their inpatient mentality and change their negative emotions. During the process of therapy, patient’s expectations of participating in the group have changed, and serious living and living in the moment have become the main goal at present, which is an additional benefit of group therapy.