Process of Change in Subjective Experiences tied to Values by Participation in Acceptance and Commitment Therapy (ACT) in a Female Patient in Her 50s with Chronic Schizophrenia

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  • 統合失調症の慢性期にある50代女性患者のアクセプタンス＆コミットメント・セラピー（ACT）参加による価値に結びついた主観的体験の変化のプロセス
  • トウゴウ シッチョウショウ ノ マンセイキ ニ アル 50ダイ ジョセイ カンジャ ノ アクセプタンス&コミットメント ・ セラピー(ACT)サンカ ニ ヨル カチ ニ ムスビツイタ シュカンテキ タイケン ノ ヘンカ ノ プロセス

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Abstract

<p>Objective: To clarify the process of change in subjective experiences tied to values by a female patient in her 50s in the chronic phase of schizophrenia who participated in Acceptance and Commitment Therapy (ACT) and to obtain suggestions for personal recovery support.</p><p>Methods: A semi-structured interview was conducted with the female, and her subjective experiences, in which she had tied to values, and her personal recovery had been promoted, were qualitatively and descriptively analyzed. As another source of evidence for this case study, her value-directed behavior records created by herself were used.</p><p>Results: She experienced [a mental conflict due to hating to do housework while knowing that she has to do it] not to become dependent with aging. Her experiences after the initiation of ACT were represented by [repeating trials and errors and coping with anxiety to manage household chores with her respectful mother as a model] and [desiring to live well with other family members, modeling herself after her mother, and increasingly doing housework], which promoted her household behavior.</p><p>Conclusion: The results suggest the importance of sharing personal recovery as a process of change and focusing on subjective and individual experiences when supporting people with schizophrenia.</p>

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