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Title: Towards a psychological conceptualisation ofbipolar disorder : Exploring current approaches,and elucidating the experience of self-conscious emotions in individuals with such a diagnosis
Author: Highfield, Julie Anne
ISNI:       0000 0004 2672 2570
Awarding Body: The University of Warwick
Current Institution: University of Warwick
Date of Award: 2008
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The first chapter briefly describes the phenomenology of bipolar disorder, and from this suggests a framework for evaluating psychological approaches to it. Then a broad based review of different psychological models and psychotherapeutic approaches for working with individuals with bipolar disorder are outlined and evaluated using the framework as a guide. The review then briefly explores the wider psychological theory of mood change, focusing specifically upon the example of the cognitive analytical mUltiple self states model as a model of affective instability. This is then related to the current understanding of bipolar disorder, and suggestions are made for how psychologists may work with individuals with such a diagnosis. It concludes with the finding that no single model fully accounts for the phenomenology of bipolar disorder, yet suggests how psychologists may use the current understanding to aid formulation and intervention. There has been little research into the association of shame aOnd other self-conscious emotions in bipolar disorder, although evidence exists linking shame to various psychopathologies, including depression. Chapter two reports on the empirical investigation into the levels of shame in individuals with bipolar disorder in comparison to individuals with unipolar depression and matched non-psychiatric controls. A crosssectional design was used to compare 24 individuals with a diagnosis of bipolar disorder to a clinical control group of 18 individuals with unipolar depression, and 23 age-matched non-psychiatric controls on measures of mood (Beck Depression Inventory and Self Report Manic Inventory) and of self-conscious emotions (Internalized Shame Scale and Test of SelfConscious Affect). In addition a small focus group was carried out investigating the impact of bipolar disorder upon the view of the self across the lifespan. Higher levels of trait (internalised) shame and lower guilt-proneness were found in the bipolar group compared to the unipolar and control groups, and higher levels of shame-proneness in the unipolar group in comparison to the bipolar and control groups.
Supervisor: Not available Sponsor: Not available
Qualification Name: D.Clin.Psych. Qualification Level: Doctoral
EThOS ID:  DOI: Not available