Abstract
The experiences now known as bipolar disorder have a long history as a focus of attention for psychiatry; from la folie circulaire (circular disorder) to manic depressive insanity to present day bipolar disorder (Goodwin & Jamison, 2007) psychiatry has worked hard to know, define, and claim expertise in the treatment of the disorder. As with many other health conditions which are understood to be incurable and relapsing, in contemporary mental healthcare there is an expectation that people can learn to live a life that is conducive to limiting relapse and, when a relapse does happen, an expectation that the person can learn to see the early signs of impending illness and take appropriate action (Colom & Vieta, 2006; Suto, Murray, Hale, Amari, & Michalak, 2010). As part of this movement towards greater self-management by individuals with long-term health conditions, mental health clinicians have led the development of psycho-education as an intervention. Psycho-education seeks to integrate a psychotherapeutic and educational approach to the way information is shared with people living with long-term conditions so that they learn more about the condition they are understood to have and how best to live with it (Ryglewicz, 1991). It is an intervention that is now recognised as an essential part of mental healthcare for people with bipolar disorder (Poole, Simpson, & Smith, 2012; Stern & Sin, 2012) to the point where it seems ‘common sense’ to expect that a person can learn to manage their own condition and to do so offers the possibility of a greater sense of control over one’s own life. Who would not want this?
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References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders. DSM-5 (5th edition). Washington, DC: American Psychiatric Association.
Bauml, J., Frobose, T., Kraemer, S., Rentrop, M., & Pitschel-Walz, G. (2006). Psychoeducation: A basic psychotherapeutic intervention for patients with Schizophrenia and their families. Schizophrenia Bulletin, 32(S1), 1–9.
Chien, W.-T., & Leung, S.-F. (2013). A controlled trial of a needs-based, nurse-led psychoeducation programme for Chinese patients with first-onset mental disorders: 6 month follow up. International Journal of Nursing Practice, 19, 3–13.
Colom, F., & Lam, D. (2005). Psychoeducation: Improving outcomes in bipolar disorder. European Psychiatry, 20, 359–364.
Colom, F., & Vieta, E. (2006). Psychoeducation manual for bipolar disorder. Cambridge: Cambridge University Press.
Colom, F., Vieta, E., Martinez-Aran, A., Reinares, M., Goikolea, J. M., Benabarre, A., et al. (2003a). A randomized trial on the efficacy of group psychoeducation in the prophylaxis of recurrences in bipolar patients whose disease is in remission. Archives of General Psychiatry, 60(4), 402–407.
Colom, F., Vieta, E., Reinares, M., Martinez-Aran, A., Torrent, C., Goikolea, J. M., et al. (2003b). Psychoeducation efficacy in bipolar disorders: Beyond complianceenhancement. The Journal of Clinical Psychiatry, 64(9), 1101–1105.
Colom, F., Vieta, E., Sanchez-Moreno, J., Goikolea, J. M., Popova, E., Bonnin, C. M., et al. (2009). Psychoeducation for bipolar II disorder: An exploratory, 5-year outcome subanalysis. Journal of Affective Disorders, 112(1–3), 30–35.
Crowe, M. (2004). Never good enough – Part 2: Clinical implications. Journal of Psychiatric and Mental Health Nursing, 11, 335–340.
—. (2005). Discourse analysis: Towards an understanding of its place in nursing. Journal of Advanced Nursing, 51(1), 55–63.
Estroff, S. E. (1989). Self, identity, and subjective experiences of schizophrenia: In search of the subject. Schizophrenia Bulletin, 15(2), 189–196.
Foucault, M. (2003a). The subject and power. In P. Rabinow & N. Rose (Eds.), The essential Foucault. Selection from essential works of Foucault, 1954–1984 (pp. 126–144). New York:The New Press.
—. (2003b). Security, Territory and Population. In P. Rabinow & N. Rose (Eds.), The Essential Foucault. Selection from Essential Work of Foucault, 1954–1984 (pp. 259–262). New York: The New Press.
Giddens, A. (1991). Modernity and self-identity. Self and society in the late modern ge. Cambridge: Polity Press.
Goodwin, F. K., & Jamison, K. R. (2007). Manic-depressive illness. Bipolar disorders and recurrent depression (2nd edition). Oxford: Oxford University Press.
Hook, D. (2003). Analogues of power: Reading psychotherapy through the sovereignty–discipline–government complex. Theory & Psychology, 13(5), 605–628.
Kaye, J. (1999). Toward a non-regulative praxis. In I. Parker (Ed.), Deconstructing psychotherapy. London: Sage.
Lucksted, A., McFarlane, W., Downing, D., & Dixon, L. (2012). Recent developments in family psychoeducation as an evidence-based practice. Journal of Marital and Family Therapy, 38(1), 101–121.
Parker, I. (1992). Discourse dynamics: Critical analysis for social and individual psychology. London: Routledge.
—. (2004). Discursive practice: Analysis, context and action in critical research. International Journal of Critical Psychology, 10, 150–173.
Poole, R., Simpson, S., & Smith, D. (2012). Internet-based psychoeducation for bipolar disorder: A qualitative analysis of feasibility, acceptability and impact. BMC Psychiatry,12(1), 139.
Rose, N. (1998). Inventing ourselves. Psychology, power and personhood. Cambridge: Cambridge University Press.
—. (1999). Governing the soul. The shaping of the private self (2nd edition). London: Free Association Books.
Ryglewicz, H. (1991). Psychoeducation for clients and families: A way in, out and through in working with people with dual disorders. Psychosocial Rehabilitation Journal, 15(2), 79–89.
Smith, D., Jones, I., & Simpson, S. (2010). Psychoeducation for bipolar disorder. Advances In Psychiatric Treatment, 16(2), 147–154.
Stafford, N., & Colom, F. (2013). Purpose and effectiveness of psychoeducation in patients with bipolar disorder in a bipolar clinic setting. Acta Psychiatrica Scandinavica, 127(s442), 11–18.
Stern, T., & Sin, J. (2012). Implementing a structured psychosocial interventions group programme for people with bipolar disorder. Journal of Psychiatric and Mental Health Nursing, 19(2), 180–189.
Suto, M., Murray, G., Hale, S., Amari, E., & Michalak, E. E. (2010). What works for people with bipolar disorder? Tips from the experts. Journal of Affective Disorders, 124(1–2), 76–84.
Terkselsen, T. (2009). Transforming subjectivities in psychiatric care. Subjectivity, 27(1), 195–216.
Toll, C, & Crumpler, T. (2004). Everything is dangerous: Pastoral power and university researchers conducting interviews. In B. Baker & K. Heyning (Eds.), Dangerous coagulations? The use of Foucault in the study of education (pp. 385–404). New York: Peter Lang.
Vieta, E. (2005). Improving treatment adherence in bipolar disorder through psychoeducation. Journal of Clinical Psychiatry, 66(Suppl 1), 24–29.
Willig, C. (2001). Introducing qualitative research in psychology. Adventures in theory and method. Buckingham: Open University Press.
Recommended reading
• Inder, M. L., Crowe, M. T., Joyce, P. R., Moor, S., Carter, J. D., & Luty, S. E. (2010). ‘I really don’t know whether it is still there’: Ambivalent acceptance of a diagnosis of bipolar disorder. Psychiatric Quarterly, 81(2), 157–165.
• Inder, M. L., Crowe, M. T., Moor, S., Luty, S. E., Carter, J. D., & Joyce, P. R. (2008). ‘I actually don’t know who I am’: The impact of bipolar disorder on the development of self. Psychiatry, 71(2), 123–133.
• Parker, I. (2015). Psychology after discourse analysis: Concepts, methods, critique. London: Routledge.
• Wilson, L., & Crowe, M. (2009). Parenting with a diagnosis bipolar disorder. Journal of Advanced Nursing, 65(4), 877–884.
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© 2016 Lynere Wilson and Marie Crowe
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Wilson, L., Crowe, M. (2016). Using Discourse Analysis to Investigate How Bipolar Disorder Is Constructed as an Object. In: O’Reilly, M., Lester, J.N. (eds) The Palgrave Handbook of Adult Mental Health. Palgrave Macmillan, London. https://doi.org/10.1057/9781137496850_8
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