The aim of the article is explore the meaning of self-esteem for individuals with psychotic disorders. To understand how individuals with psychosis experience self-esteem, eight participants (four females and four males) were interviewed using a semistructured open-ended format with scripted questions. Individuals with psychotic disorders maintained a sense of self by pursuing social and interpersonal activities that sustained and enhanced their self-esteem. Neither the positive symptoms nor the negative symptoms commonly associated with psychotic disorders appeared to diminish self-esteem. Also, participants did not describe their sense of self-esteem as being contingent on, or as a direct function of, having a psychotic disorder. For the individuals in this pilot study, self-esteem did not appear to be affected by having a psychotic disorder or by the stigma associated with having been given such a diagnosis. Individuals were able to engage in and maintain social and interpersonal relationships that contributed to their having a positive sense of self-worth. Further study is required to confirm and elaborate on this surprising set of findings.
American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed., text revision). Washington, DC: Author.
2.
BarrowcloughC.TarrierN.HumphreysL.WardJ.GreggL.AndrewsB. (2003). Self-esteem and schizophrenia: Relationships between self-evaluation, family attitudes and symptomatology. Journal of Abnormal Psychology, 121, 92-99.
3.
The Belmont Report. (1979). Ethical principles and guidelines for the protection of human subjects of research. Department of Health, Education and Welfare. Retrieved from http://govinfo.library.unt.edu/nbac/human/oversumm.html
4.
CooleyC. H. (1902). Human nature and social order. New York, NY: Scribner.
5.
DavidsonL.StaynerD. (1997). Loss, loneliness, and the desire for love: Perspectives on the social lives of people with schizophrenia. Psychiatric Rehabilitation Journal, 20, 3-12.
6.
DownieM.MageauG. A.KoestnerR.LioddenT. (2006). On the risk of being a cultural chameleon: Variations in collective self-esteem across social interactions. Cultural Diversity & Ethnic Minority Psychology, 12, 527-540.
7.
GailliotM. T.BaumeisterR. F. (2007). Self-esteem, belongingness and worldview validation: Does belongingness exert a unique influence upon self-esteem?Journal of Research in Personality, 41, 327-345.
8.
GilmartinR. M. (1997). Personal narrative and the social reconstruction of the lives of former psychiatric patients. Journal of Sociology and Social Welfare, 25, 77-103.
9.
GiorgiA. (1970). Psychology as a human science: A phenomenologically based approach. New York, NY: Harper & Row.
10.
GiorgiA. (1997). The theory, practice and evaluation of phenomenological methods as a qualitative research procedure. Journal of Phenomenological Psychology, 28, 235-281.
11.
GiorgiA.GiorgiB. (2008). Phenomenology. In SmithJ. A. (Ed.), Qualitative psychology: A practical guide to research methods (2nd ed., pp. 6-52).Thousand Oaks, CA: Sage.
12.
GumleyA.KaratziasA.PowerK.ReillyJ.McNayL.O’GradyM. (2006). Early intervention for relapse in schizophrenia: Impact of cognitive behavioural therapy on negative beliefs about psychosis and self-esteem. British Journal of Clinical Psychology, 45, 247-260.
13.
GumleyA.O’GradyM.PowerK.SchwannauerM. (2004). Negative beliefs about self and illness: A comparison of individuals with psychosis with or without comorbid social anxiety disorder. Australian and New Zealand Journal of Psychiatry, 38, 960-964.
14.
JamesW. (1985). Psychology: The briefer course. Notre Dame, IN: University of Notre Dame Press.
15.
KoivistoK.JanhonenS.VaisanenL. (2002). Applying a phenomenological method of analysis derived from Giorgi to a psychiatric nursing study. Journal of Advanced Nursing, 39, 258-265.
16.
KoivistoK.JanhonenS.VaisanenL. (2003). Patient’s experiences of psychosis in an inpatient setting. Journal of Psychiatric and Mental Health Nursing, 10, 221-229.
17.
KoivistoK.JanhonenS.VaisanenL. (2004). Patient’s experiences of being helped in an inpatient setting. Journal of Psychiatric and Mental Health Nursing, 11, 268-275.
18.
LecomteT.CorbiereM.LaisneF. (2006). Investigating self-esteem in individuals with schizophrenia: Relevance of the Self-Esteem Rating Scale–Short Form. Psychiatry Research, 143, 99-108.
19.
LundinR. K. (1998). Living with mental illness. A personal experience. Cognitive and Behavioural Practice, 38, 177-190.
20.
MacDonaldE.SauerK.HowieL.AlbistonD. (2005). What happens to social relationships in early psychosis? A phenomenological study of young people’s experiences. Journal of Mental Health, 14, 129-143.
21.
McCannT. V.ClarkE. (2004). Embodiment of severe and enduring mental illness: Finding meaning in schizophrenia. Issues in Mental Health Nursing, 25, 783-798.
22.
MeadG. H. (1934). Mind, self, and society. Chicago, IL: University of Chicago Press.
23.
MithinS. (1996). The prehistory of the mind. New York, NY: Thames & Hudson.
24.
MrukC. J. (2006). Self-esteem research, theory, and practice. Toward a positive psychology of self-esteem (3rd.ed.). New York, NY: Springer.
25.
RoeD. (2003). A prospective study on the relationship between self-esteem and functioning during the first year after being hospitalized for psychosis. Journal of Nervous and Mental Disease, 191, 45-49.
26.
SilverstoneP. H. (1991). Low self-esteem in different psychiatric conditions. British Journal of Clinical Psychology, 30, 185-188.
27.
SilverstoneP. H.LemayT.ElloittJ.HsuV.StarkoR. (1996). The prevalence of major depressive disorder and low self-esteem in medical inpatients. Canadian Journal of Psychiatry, 41, 67-74.
28.
SilverstoneP. H.SalsaliM. (2003). Low self-esteem and psychiatric patients: Part I: The relationship between low self-esteem and psychiatric diagnosis. Annals of General Hospital Psychiatry, 2, 2.
29.
SrivastavaS.BeerJ. S. (2005). How self-evaluations relate to being liked by others: Integrating sociometer and attachment perspectives. Journal of Personality and Social Psychology, 89, 966-977.
30.
Van DongenC. J. (1998). Self-esteem among persons with severe mental illness. Issues in Mental Health Nursing, 19, 29-40.
31.
WahlO. F. (1999). Mental health consumers experience of stigma. Schizophrenia Bulletin, 25, 467-478.
