{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,31]],"date-time":"2026-08-31T11:18:29Z","timestamp":1788175109813,"version":"build-2803163510"},"reference-count":41,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T00:00:00Z","timestamp":1779753600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Inquiry"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>People with long\u2010term psychiatric disorders often display complex behaviours that cannot be fully explained by existing categories in diagnostic classification systems. As a result, translating such symptom profiles into truly person\u2010centred and recovery\u2010oriented care remains a challenge. This article explores how symptom\u2010focused observation through transdiagnostic dimensions can be integrated within person\u2010centred psychiatric nursing, and oriented toward meaning\u2010making and recovery. A narrative literature approach was used, based on an analysis of theoretical frameworks such as the Research Domain Criteria and practical insights from psychiatric nursing. Structuring behaviour along symptom dimensions such as affect regulation or social cognition provides tools for understanding so\u2010called \u2018challenging behaviour\u2019. Nurses play a key role in this process, as they interpret symptoms based on individual context, values and needs. Symptom\u2010based approaches only become meaningful when linked to idiographic interpretation. This enhances a recovery\u2010oriented and relational model of person\u2010centred care. Observation instruments such as the Neuropsychiatric Inventory Questionnaire may support nurses in interpreting symptoms, provided they are embedded within relational attunement. Nurses should be recognised as key actors in translating symptom profiles into person\u2010centred interventions within multidisciplinary teams. The analysis is theoretical in nature; practical application requires further empirical validation.<\/jats:p>","DOI":"10.1111\/nin.70114","type":"journal-article","created":{"date-parts":[[2026,5,26]],"date-time":"2026-05-26T17:50:12Z","timestamp":1779817812000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A Person\u2010Centred Approach to Severe Mental Illness: The Individual Symptom Complex as Guiding Principle"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-8517-1963","authenticated-orcid":false,"given":"Saskia","family":"Bollen","sequence":"first","affiliation":[{"name":"Clinical Centre of Excellence for Personality Disorders in Older Adults Mondriaan Mental Health Centre Heerlen and Maastricht the Netherlands"},{"name":"Department of Psychology (PE), Psychology Research (PSYR \u2010 Personality and Psychopathology Unit) Vrije Universiteit Brussel (VUB) Brussels Belgium"},{"name":"Mondriaan Mental Health Centre Heerlen and Maastricht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7420-0898","authenticated-orcid":false,"given":"Philippe","family":"Delespaul","sequence":"additional","affiliation":[{"name":"Mondriaan Mental Health Centre Heerlen and Maastricht the Netherlands"},{"name":"Department of Psychiatry and Neuropsychology, School for Mental Health and Neuroscience (MHeNs) Maastricht University Maastricht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6803-9820","authenticated-orcid":false,"given":"Gina","family":"Rossi","sequence":"additional","affiliation":[{"name":"Department of Psychology (PE), Psychology Research (PSYR \u2010 Personality and Psychopathology Unit) Vrije Universiteit Brussel (VUB) Brussels Belgium"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7085-3349","authenticated-orcid":false,"given":"Sebastiaan Van","family":"Alphen","sequence":"additional","affiliation":[{"name":"Clinical Centre of Excellence for Personality Disorders in Older Adults Mondriaan Mental Health Centre Heerlen and Maastricht the Netherlands"},{"name":"Mondriaan Mental Health Centre Heerlen and Maastricht the Netherlands"},{"name":"Department of Clinical Psychological Science, Faculty of Psychology and Neuroscience Maastricht University Maastricht the Netherlands"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,5,26]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2850.2001.00391.x"},{"key":"e_1_2_13_4_1","doi-asserted-by":"publisher","DOI":"10.3109\/01612840903276696"},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/jpm.12985"},{"key":"e_1_2_13_6_1","doi-asserted-by":"publisher","DOI":"10.1111\/inm.12241"},{"key":"e_1_2_13_7_1","doi-asserted-by":"publisher","DOI":"10.1177\/1529100617727266"},{"key":"e_1_2_13_8_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1447-0349.2011.00810.x"},{"key":"e_1_2_13_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-023-01663-5"},{"key":"e_1_2_13_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2850.2010.01567.x"},{"key":"e_1_2_13_11_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.44.12.2308"},{"key":"e_1_2_13_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20087"},{"key":"e_1_2_13_13_1","doi-asserted-by":"publisher","DOI":"10.1037\/ccp0000482"},{"key":"e_1_2_13_14_1","doi-asserted-by":"publisher","DOI":"10.1007\/978-90-368-2586-3_1"},{"key":"e_1_2_13_15_1","first-page":"427","article-title":"Consensus Regarding the Definition of Persons With Severe Mental Illness and the Number of Such Persons in the Netherlands","volume":"55","author":"Delespaul P. 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