Explaining the Subjective Meaning of Self-Reconstruction in Women with a History of Psychiatric Hospitalization

Abstract

This study aimed to explain the subjective meaning of self-reconstruction in women with a history of psychiatric hospitalization through an in-depth analysis of their lived experiences. This qualitative study employed a phenomenological approach. Data were collected through semi-structured interviews with 19 women who had previously been hospitalized in psychiatric settings in Tehran. Participants were selected purposefully, and interviews continued until theoretical saturation was achieved. All interviews were audio-recorded, transcribed verbatim, and analyzed using NVivo software. Thematic analysis was conducted through open, axial, and selective coding. Three main themes emerged from the data: “Redefining Personal Identity,” “Reclaiming Social Relationships,” and “Psychological and Spiritual Rehabilitation.” These encompassed subthemes such as rediscovering the self, acceptance of the past, repairing family ties, redefining social roles, experiencing mental recovery, relying on spiritual resources, and engaging in self-care strategies. Participants described self-reconstruction as a process shaped by inner reflection, meaning-making, and relational experiences. Self-reconstruction in women with a history of psychiatric hospitalization is a complex, multidimensional, and dynamic process involving identity transformation, social reintegration, and psychological empowerment. These findings can inform the development of more effective, gender-sensitive, and culturally responsive therapeutic interventions.