On being and having: a qualitative study of self-perceptions in bipolar disorder

BackgroundBipolar disorder (BD) is a chronic and often severe mental illness. Yet despite the well-documented complexities in its diagnosis and treatment, little research has been dedicated to understanding the complex inner landscape experienced by those living with BD. Even as qualitative research...

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Main Authors: Matthew N. Ponticiello, Alexis L. Chang, Rebecca J. Chang, Salahudeen Mirza, Andrés Martin
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1509979/full
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author Matthew N. Ponticiello
Alexis L. Chang
Rebecca J. Chang
Salahudeen Mirza
Andrés Martin
author_facet Matthew N. Ponticiello
Alexis L. Chang
Rebecca J. Chang
Salahudeen Mirza
Andrés Martin
author_sort Matthew N. Ponticiello
collection DOAJ
description BackgroundBipolar disorder (BD) is a chronic and often severe mental illness. Yet despite the well-documented complexities in its diagnosis and treatment, little research has been dedicated to understanding the complex inner landscape experienced by those living with BD. Even as qualitative research has explored the lived experience of BD across a variety of perspectives, i.e., what BD looks like, there is a lack of research exploring what BD means to those living with the condition. We conducted individual, semi-structured interviews with 20 adults with clinically stable BD to explore their perceptions of the condition, their construction of meaning of their illness, and their view of BD in relation to their sense of self. We coded the transcripts according to the principles of thematic analysis and analyzed the data using an interpretative phenomenological analysis approach.ResultsWe identified three overarching domains: (1) Benefit or burden: a dialectic through which participants weighed the valence of their illness over time; (2) Self or other: the internal or external locus through which they experienced BD; and (3) From ineffability to meaning making: the process of naming, understanding, and incorporating BD into their life’s whole. Within each domain, themes and subthemes outline nuanced and often conflicting perspectives of participants’ illness experiences.ConclusionsAcross the varied and nuanced perspectives uncovered, our work provides a framework of three domains central to the inner reality of lived bipolar experience. Thoughtful understanding of patients’ experiences, perspectives, and desires within these three domains may aid clinicians and loved ones alike in more sensitively and effectively addressing the unique individual needs of those living with BD. It may also be informative for individuals living with BD themselves. By exploring patients’ perspectives in each of the three domains we identified, those with or at risk for BD as well as those caring for people with BD may be better positioned to help identify the inner work and practical interventions (such as finding bipolar community, or pathways to occupational thriving) needed to achieve a rich, meaningful life with BD.
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spelling doaj-art-642f6213c6234d05b325e29456277f042025-01-21T08:36:36ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-01-011510.3389/fpsyt.2024.15099791509979On being and having: a qualitative study of self-perceptions in bipolar disorderMatthew N. PonticielloAlexis L. ChangRebecca J. ChangSalahudeen MirzaAndrés MartinBackgroundBipolar disorder (BD) is a chronic and often severe mental illness. Yet despite the well-documented complexities in its diagnosis and treatment, little research has been dedicated to understanding the complex inner landscape experienced by those living with BD. Even as qualitative research has explored the lived experience of BD across a variety of perspectives, i.e., what BD looks like, there is a lack of research exploring what BD means to those living with the condition. We conducted individual, semi-structured interviews with 20 adults with clinically stable BD to explore their perceptions of the condition, their construction of meaning of their illness, and their view of BD in relation to their sense of self. We coded the transcripts according to the principles of thematic analysis and analyzed the data using an interpretative phenomenological analysis approach.ResultsWe identified three overarching domains: (1) Benefit or burden: a dialectic through which participants weighed the valence of their illness over time; (2) Self or other: the internal or external locus through which they experienced BD; and (3) From ineffability to meaning making: the process of naming, understanding, and incorporating BD into their life’s whole. Within each domain, themes and subthemes outline nuanced and often conflicting perspectives of participants’ illness experiences.ConclusionsAcross the varied and nuanced perspectives uncovered, our work provides a framework of three domains central to the inner reality of lived bipolar experience. Thoughtful understanding of patients’ experiences, perspectives, and desires within these three domains may aid clinicians and loved ones alike in more sensitively and effectively addressing the unique individual needs of those living with BD. It may also be informative for individuals living with BD themselves. By exploring patients’ perspectives in each of the three domains we identified, those with or at risk for BD as well as those caring for people with BD may be better positioned to help identify the inner work and practical interventions (such as finding bipolar community, or pathways to occupational thriving) needed to achieve a rich, meaningful life with BD.https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1509979/fullqualitativebipolarmeaning-makingmental illnessself-perceptions
spellingShingle Matthew N. Ponticiello
Alexis L. Chang
Rebecca J. Chang
Salahudeen Mirza
Andrés Martin
On being and having: a qualitative study of self-perceptions in bipolar disorder
Frontiers in Psychiatry
qualitative
bipolar
meaning-making
mental illness
self-perceptions
title On being and having: a qualitative study of self-perceptions in bipolar disorder
title_full On being and having: a qualitative study of self-perceptions in bipolar disorder
title_fullStr On being and having: a qualitative study of self-perceptions in bipolar disorder
title_full_unstemmed On being and having: a qualitative study of self-perceptions in bipolar disorder
title_short On being and having: a qualitative study of self-perceptions in bipolar disorder
title_sort on being and having a qualitative study of self perceptions in bipolar disorder
topic qualitative
bipolar
meaning-making
mental illness
self-perceptions
url https://www.frontiersin.org/articles/10.3389/fpsyt.2024.1509979/full
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