This article presents an ecologically valid transdiagnostic framework regarding narrative identity disturbances in psychopathology. Problems with self and identity are distressing, disruptive to everyday functioning, and central to theoretical models of recovery. Yet these problems are sorely understudied, in part due to differences in concepts, theories, and measurement models across disorder-specific literatures. Disorder-specific theories are useful for understanding the etiology of disturbances to self and identity. However, while root causes may vary across disorders, their effects on explicit, conscious, reflective experience share important transdiagnostic parallels. These problems affect the extended sense of self as an individual with memories, a present identity, and future expectancies. By extension, these problems are developmental, reflecting an ever-evolving conception of oneself across the life course. Finally, these problems are contextual and intersubjective, constructed over time through interactions with others in the family, community, and society. A unified transdiagnostic model for reflective self-disturbances should therefore be idiographic and grounded in developmental and personality theory, with a strong emphasis on ecological validity. Narrative identity is emerging as a coherent, cross-cutting framework for understanding problems with self and identity across diagnostic boundaries. Important current research directions include transdiagnostic samples and clinical control groups; more diverse samples; expanding on the latent structure of narrative identity in clinical populations, and developing new assessment techniques to supplement trained raters. These directions will further enhance narrative identity's utility for idiographic, developmental, and ecologically valid clinical research. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

中文翻译：

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精神病理学中的叙事身份障碍：一个生态学上有效的跨诊断框架。


本文提出了一个关于精神病理学中叙事身份障碍的生态学有效的跨诊断框架。自我和身份的问题令人痛苦，破坏了日常运作，并且是康复理论模型的核心。然而，这些问题的研究严重不足，部分原因是疾病特异性文献中概念、理论和测量模型的差异。疾病特异性理论有助于理解自我和身份障碍的病因。然而，虽然根本原因可能因疾病而异，但它们对外显、有意识、反思体验的影响具有重要的跨诊断相似之处。这些问题影响了作为具有记忆、当前身份和未来期望的个体的扩展自我意识。推而广之，这些问题是发展性的，反映了一个人在整个生命历程中不断演变的自我观念。最后，这些问题是语境和主体间性的，通过与家庭、社区和社会中其他人的互动随着时间的推移而构建。因此，反射性自我障碍的统一跨诊断模型应该是独特的，并以发展和人格理论为基础，并特别强调生态效度。叙事身份正在成为一个连贯的、跨领域的框架，用于理解跨越诊断界限的自我和身份问题。目前重要的研究方向包括跨诊断样本和临床对照组;更多样化的样本;扩展临床人群中叙述身份的潜在结构，并开发新的评估技术来补充训练有素的评估者。 这些方向将进一步增强叙事身份在独特性、发展性和生态学有效临床研究中的效用。（PsycInfo 数据库记录 （c） 2024 APA，保留所有权利）。