Schizophrenia, narrative and change: Andalusian care homes as novel sociocultural context.

This study explores qualitative changes in the life narratives of persons diagnosed with paranoid schizophrenia who were receiving recovery treatment in special care homes in Andalusia, Spain. These narratives are related to patients' construction of social identity and the recovery process. Initially, 10 narrative interviews were performed. The first five patients (Group 1) had lived at the homes for only 3 months, while the other five (Group 2) had been there for 61.4 months. Two years after the initial interviews, three patients from Group 1 were interviewed once more. The qualitative analysis focuses on two topics: experience of illness and personal relationships. Long-stay patients create their identities by using more categories related to relationships and make fewer references to illness than Group 1 subjects. They also make fewer delusive or hallucinatory utterances, and their narratives have more elements that can be shared in the community than Group 1 narratives. Moreover, long-stay patients show significant language resources and greater capacity for agency. Results suggest that special care homes provide important emotional support and a rich, new network. These results are related to the sociocultural characteristics of special care homes and suggest that the analysis of life narratives could be a very useful instrument for assessing the recovery process.