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      Positive Narrative Group Psychotherapy: the use of traditional fairy tales to enhance psychological well-being and growth

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          Abstract

          Background

          Oral narrative strategies have rarely been applied in the positive psychology domain. Traditional folk and fairy tales are concerned with several concepts that are now scientifically investigated by research on positive psychology, such as resilience, self-realization, personal growth and meaning in life. The aim of this pilot study was to apply a new narrative approach based on fairy tales (Märchen, tales of magic, rise tales) told, discussed, and written in a group context for the purpose of promoting psychological well-being and growth.

          Methods

          A group intervention consisting of 7 sessions was delivered to 21 women who reported adjustment disorder. The group was conducted by a folklorist and a clinical psychologist. Each session consisted of an introduction to a number of themes recurring in fairy tales as well as references to the social uses of narratives, followed by a discussion with the participants. In two concluding workshops, participants were asked to work as a group to write their own original fairy tale. Assessment pre- and post-intervention was performed with the Ryff Psychological Well-being Scale, the Kellner Symptom Questionnaire and 2 subscales of the Posttraumatic Growth Inventory (Appreciation of Life and personal strengths).

          Results

          Participants reported increased personal growth, self-acceptance, and an enhanced sense of appreciation of life and personal strengths, together with decreased levels of anxiety.

          Conclusions

          This pilot investigation suggests the feasibility and positive effect of a group intervention based on narrative strategies for promoting well-being and growth in stressed women. Considering its promising results, clinical implications and possible further applications are discussed.

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          Most cited references55

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          Authentic happiness: Using the new positive psychology to realize your potential for lasting fulfillment.

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            Living into the story: agency and coherence in a longitudinal study of narrative identity development and mental health over the course of psychotherapy.

            Narrative identity is the internalized, evolving story of the self that each person crafts to provide his or her life with a sense of purpose and unity. A proliferation of empirical research studies focused on narrative identity have explored its relationship with psychological well-being. The present study is the first prospective, multiwave longitudinal investigation to examine short-term personality change via an emphasis on narrative identity as it relates to mental health. Forty-seven adults wrote rich personal narratives prior to beginning psychotherapy and after every session over 12 assessment points while concurrently completing a measure of mental health. Narratives were coded for the themes of agency and coherence, which capture the dual aims of narrative identity: purpose and unity. By applying in-depth thematic coding to the stories of participants, the present study produced 47 case studies of intraindividual personality development and mental health. By employing multilevel modeling with the entire set of nearly 600 narratives, the present study also identified robust trends of individual differences in narrative changes as they related to improvements in mental health. Results indicated that, across participants, the theme of agency, but not coherence, increased over the course of time. In addition, increases in agency were related to improvements in participants' mental health. Finally, lagged growth curve models revealed that changes in the theme of agency occurred prior to the associated improvements in mental health. This finding remained consistent across a variety of individual-difference variables including demographics, personality traits, and ego development.
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              Narrative medicine:honoring the stories of illness

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                Author and article information

                Contributors
                chiara.ruini@unibo.it
                liciotto@libero.it
                fedraottolini@libero.it
                silvia.ferrari@unimore.it
                Journal
                Psychol Well Being
                Psychol Well Being
                Psychology of Well-Being
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                2211-1522
                5 April 2014
                5 April 2014
                2014
                : 4
                : 1
                : 13
                Affiliations
                [ ]Department of Psychology, University of Bologna, Viale Berti Pichat 5, 40127 Bologna, Italy
                [ ]Department of Education Sciences, University of Bologna, Bologna, Italy
                [ ]Department of Diagnostic-Clinical Medicine and Public Health, Section of Psychiatry, University of Modena and Reggio Emilia, Modena, Italy
                Article
                13
                10.1186/s13612-013-0013-0
                4637362
                26568907
                1d275347-7ff7-4270-ae04-4cdcd291dc23
                © Ruini et al.; licensee Springer 2014

                This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 30 May 2013
                : 14 November 2013
                Categories
                Research
                Custom metadata
                © The Author(s) 2014

                narrative,psychotherapy,personal growth,psychological well-being,traditional fairy tales

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