How does psychiatric diagnosis affect young people's self-concept and social identity? A systematic review and synthesis of the qualitative literature

Social Science & Medicine
Cliodhna O'ConnorFiona McNicholas

Abstract

Receiving a psychiatric diagnosis in childhood or adolescence can have numerous social, emotional and practical repercussions. Among the most important of these are the implications for a young person's self-concept and social identity. To ensure diagnoses are communicated and managed in a way that optimally benefits mental health trajectories, understanding young people's first-hand experience of living with a diagnosis is paramount. This systematic review collates, evaluates and synthesises the qualitative research that has explored how psychiatric diagnosis interacts with young people's self-concept and social identity. A search of 10 electronic databases identified 3892 citations, 38 of which met inclusion criteria. The 38 studies were generally evaluated as moderate-to-high quality research. Thematic synthesis of their findings highlighted the multifaceted ways diagnosis affects young people's self-concept and social identity. Diagnosis can sometimes threaten and devalue young people's self-concept, but can also facilitate self-understanding, self-legitimation and self-enhancement. A diagnosis can lead to social alienation, invalidation and stigmatisation, yet can also promote social identification and acceptance. Further ...Continue Reading

Citations

Nov 28, 2019·Autism : the International Journal of Research and Practice·Rhianna WhiteGinny Russell
Sep 22, 2020·Journal of Child Psychology and Psychiatry, and Allied Disciplines·Margaret J Snowling, Charles Hulme
Mar 3, 2020·Frontiers in Psychiatry·Lisa CosgroveJustin M Karter
Sep 16, 2020·Autism : the International Journal of Research and Practice·Karen Fowler, Cliodhna O'Connor
Jun 3, 2021·International Journal of Environmental Research and Public Health·Cliodhna O'Connor

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