The use of narrative therapy in paediatric settings

Young people accessing paediatric settings are at increased risk of psychological distress, and vulnerable to dominant “problem-saturated” narratives of illness taking centre stage in their lives. Given the potential power of stories over our sense of self, this review seeks to explore the use of narrative methodologies, and specifically narrative therapy within paediatric settings.

Method: A systematic search of electronic databases was carried out to identify papers outlining the use of narrative methodologies within paediatric settings.

Result: Twenty studies were identified which outlined narrative methodologies within paediatric settings. A focus on narrative therapy identified 10 papers in line with narrative therapy principles; six papers either reported purely qualitative findings or a mix of quantitative and qualitative findings, two reported case-studies, and two were purely descriptive accounts.

The review suggests an early stage of development for narrative therapy within paediatrics and although papers suggest promise for narrative therapy within paediatrics, they are far from providing an evidence base for use.
Research Implications: Several key areas are highlighted for further consideration to support development of an evidence base including consistency across: definitions, applications, intended outcomes, and measurement. A balance which allows ‘evidence’ progression within a framework congruent with narrative therapy is key.