Narrative enhancement and cognitive therapy: A new group-based treatment for internalized stigma among persons with severe mental illness
Open accessAbstract
Internalized stigma has been suggested to play a major role in negative changes in identity in severe mental illness. Evidence suggests that roughly one-third of people with severe mental illness show elevated internalized stigma and that it is linked to compromised outcomes in both subjective and objective aspects of recovery. Despite substantial evidence for the impact of internalized stigma, few efforts have been made to develop professionally led treatment to address this issue. In this article, we discuss our development of a new group-based approach to the treatment of internalized stigma which we have termed "narrative enhancement and cognitive therapy (NECT)". We describe the treatment approach and offer an illustration of it by way of a case vignette.
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Narrative enhancement and cognitive therapy has been shown to improve self-esteem and reduce self-stigma, potential indicators of a reduced focus on suffering.
“A related treatment, narrative enhancement and cognitive therapy (NECT; Yanos et al., 2011), has also been shown to improve self-esteem and reduce self-stigma, potential indicators of a reduced focus on suffering.”
From Narrative identity in the psychosis spectrum: A systematic review and developmental model (2021) · cites this paper as Yanos et al., 2011
The Pilot Implementation section reports that some NECT participants appeared to make important changes, and the Case Vignette describes improved self-esteem in a composite participant. But the paper does not demonstrate a reduction in self-stigma: the Discussion and Future Plans section says effectiveness was still to be tested in a randomized trial. The proposed link to a reduced focus on suffering is the citing authors’ interpretation, not a finding attributed to this source. (LLM, conf=0.87)
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- Authors
- Yanos, P. T., Roe, D., & Lysaker, P. H.
- Affiliations
- City University of New York (US)
- University of Haifa (IL)
- Richard L. Roudebush VA Medical Center (US)
- Corresponding author
- Yanos, Philip T.
- Venue
- International Journal of Group Psychotherapy
- Publisher
- Informa UK Limited
- Published
- 2011-10
- Volume
- 61
- Issue
- 4
- Pages
- 576-595
- ISSN
- 0020-7284 (ISSN-L)
- 1943-2836
- PMC
- PMC3191919
- OpenAlex
- W2068863206
- Cited by
- 239
- References
- 32
- Citations by year
- 2026: 13 · 2025: 19 · 2024: 5 · 2023: 14 · 2022: 14 · 2021: 27 · 2020: 12 · 2019: 19 · 2018: 16 · 2017: 17 · 2016: 27 · 2015: 7 · 2014: 23 · 2013: 11 · 2012: 9
- FWCI
- 20.52
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- International Journal of Group Psychotherapy (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- IUScholarWorks (Indiana University) (submittedVersion)
- Funders
- National Institute of Mental Health (R34MH082161)
- Topics
- Social Sciences › Psychology › Social Psychology › Mental Health Treatment and Access
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Social Sciences › Psychology › Clinical Psychology › Psychological Treatments and Assessments
- Keywords
- self-stigma, severe mental illness, group therapy, treatment development, identity, recovery
- MeSH terms
- Mental Disorders, Humans, Psychotherapy, Group, Self Concept, Stereotyping, Cognitive Behavioral Therapy, Treatment Outcome
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