The Process of Identity Adaptation （ Oriai ） in Community-Dwelling People with Schizophrenia ï¼ Results from Content Analyses and Text Mining ï¼

Abstract

This study aimed to further elucidate the process of identity adaptation in people with schizophrenia by talking to them about their illness. Semi-structured interviews were conducted with nine community-dwelling people with schizophrenia. Analysis was performed using Krippendorf’s approach, and Text Mining. Eleven content categories were derived: “illness acceptanceâ€, “self-controlâ€, “help from familyâ€, “help from friendsâ€, “help from doctors or nursesâ€, “modifying thinkingâ€, “social roles and activitiesâ€, “worthwhile workâ€, “enjoyment of lifeâ€, “being happyâ€, and “being freeâ€. Participants with schizophrenia were found to attain “illness acceptance†based on “help from familyâ€, “help from friendsâ€, and “help from doctors and nursesâ€. Text mining results is 400 keywords were identified. The top 5 in order of importance and frequency were: “omou†(feel/think), “naru†(become), “iu†(say), “suru†(do), and “kusuri†(medication).As a result of an interactive process surrounding the concepts of “illness acceptanceâ€, “self-control†and “modifying thinking†the participants sought out “social roles and activities†and “worthwhile work†to acquire a social identity. Thus, it was found that the participants felt they “enjoyed life and were happy†and “they were freeâ€, because they were productive members of society.