This study was undertaken with the help of a research grant provided by Health Research Council New Zealand. We would like to thank those who participated in this research, without whom this work would not have been possible.
‘It wouldn’t be me if I didn’t have bipolar disorder’: managing the shift in self-identity with bipolar disorder
Article first published online: 14 NOV 2011
© 2011 Blackwell Publishing Ltd
Journal of Nursing and Healthcare of Chronic Illness
Volume 3, Issue 4, pages 427–435, December 2011
How to Cite
Inder, M., Crowe, M., Moor, S., Carter, J., Luty, S. and Joyce, P. (2011), ‘It wouldn’t be me if I didn’t have bipolar disorder’: managing the shift in self-identity with bipolar disorder. Journal of Nursing and Healthcare of Chronic Illness, 3: 427–435. doi: 10.1111/j.1752-9824.2011.01117.x
- Issue published online: 14 NOV 2011
- Article first published online: 14 NOV 2011
- Submitted for publication: 28 September 2010 Accepted for publication: 24 April 2011
- bipolar disorder;
- chronic illness;
inder m, crowe m, moor s, carter j, luty s & joyce p (2011) Journal of Nursing and Healthcare of Chronic Illness 3, 427–435 ‘It wouldn’t be me if I didn’t have bipolar disorder’: managing the shift in self-identity with bipolar disorder
Aims and objectives. To explore how bipolar disorder is integrated into one’s sense of self and identity.
Method. Two case studies are drawn from a larger randomised controlled trial of two psychotherapies for bipolar disorder. Data were collected during 18 months of psychotherapy from 2006 to 2009. The study used a purposive sampling process by selecting two cases from different developmental stages and age of onset of mood disorder. The case studies address the questions: How does bipolar disorder impact on one’s sense of self? and how do two people from different age groups integrate bipolar disorder into their identity? The material was drawn from therapy sessions that were taped, transcribed and analysed.
Results. Bipolar disorder created confusing contradictory experiences of self, compounded by the external consequences on relationships, how others viewed them, and disruptions in areas such as education and work. Self-acceptance encompassed a process reflecting ambivalence, experiencing grief and loss and acknowledging limitations. Shift in self-identity was reflected in seeing illness as a part of self, having a self grounded in reality and actively reengaging in life. Different emphasises in the cases reflected different developmental perspectives and age of onset of illness.
Conclusions. Attention to the impact of chronic illness such as bipolar on self and identity is important to help people make sense of and integrate their experiences of the illness, facilitate increased acceptance and enabling a shift in self-identity that incorporates the illness as outlined in the facilitating shift in identity framework.
Relevance to clinical practice. Managing the shift in identity is an important component of successful self-management of chronic illness. Finding ways to help facilitate a positive shift in identity that incorporates the illness is necessary. The facilitating shift in identity framework may be useful in clinical practice to guide this process.