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

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  • O'Connor, Cliodhna
  • Kadianaki, Irini
  • Maunder, Kristen
  • McNicholas, Fiona

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 research is needed to clarify which self and identity outcomes can be expected in a given set of circumstances, and to establish how self and identity effects interact with diagnoses' other clinical, practical, social and emotional consequences.

Suggested Citation

  • O'Connor, Cliodhna & Kadianaki, Irini & Maunder, Kristen & McNicholas, Fiona, 2018. "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, Elsevier, vol. 212(C), pages 94-119.
  • Handle: RePEc:eee:socmed:v:212:y:2018:i:c:p:94-119
    DOI: 10.1016/j.socscimed.2018.07.011
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    References listed on IDEAS

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    Cited by:

    1. Cliodhna O’Connor, 2021. "Has the COVID-19 Pandemic Affected Lay Beliefs about the Cause and Course of Mental Illness?," IJERPH, MDPI, vol. 18(9), pages 1-11, May.
    2. Andy Corry Wardhani & Yasser Wahyuddin & Rafista Deviyanti & Ryzal Perdana & RT Dwi Septya Trisnawati, 2022. "Communication Experience and Self-Concept of Metrosexual Men in Indonesia," Academic Journal of Interdisciplinary Studies, Richtmann Publishing Ltd, vol. 11, May.
    3. Galetsi, P. & Katsaliaki, K. & Kumar, S., 2019. "Values, challenges and future directions of big data analytics in healthcare: A systematic review," Social Science & Medicine, Elsevier, vol. 241(C).
    4. O'Connor, Cliodhna & Downs, Johnny & McNicholas, Fiona & Cross, Lauren & Shetty, Hitesh, 2020. "Documenting diagnosis in child and adolescent mental healthcare: A content analysis of diagnostic statements in a psychiatric case register," Children and Youth Services Review, Elsevier, vol. 113(C).
    5. Klik, Kathleen A. & Williams, Stacey L. & Reynolds, Katherine J., 2019. "Toward understanding mental illness stigma and help-seeking: A social identity perspective," Social Science & Medicine, Elsevier, vol. 222(C), pages 35-43.

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