Recovery in Mental Health (eBook)
280 Seiten
Wiley (Verlag)
978-0-470-74316-4 (ISBN)
Recovery is widely endorsed as a guiding principle of mental health policy. Recovery brings new rules for services, e.g. user involvement and person-centred care, as well as new tools for clinical collaborations, e.g. shared decision making and psychiatric advance directives. These developments are complemented by new proposals regarding more ethically consistent anti-discrimination and involuntary treatment legislation, as well as participatory approaches to evidence-based medicine and policy.
Recovery is more than a bottom up movement turned into top down mental health policy in English-speaking countries. Recovery integrates concepts that have evolved internationally over a long time. It brings together major stakeholders and different professional groups in mental health, who share the aspiration to overcome current conceptual reductionism and prognostic negativism in psychiatry.
Recovery is the consequence of the achievements of the user movement. Most conceptual considerations and decisions have evolved from collaborations between people with and without a lived experience of mental health problems and the psychiatric service system. Many of the most influential publications have been written by users and ex-users of services and work-groups that have brought together individuals with and without personal experiences as psychiatric patients.
In a fresh and comprehensive look, this book covers definitions, concepts and developments as well as consequences for scientific and clinical responsibilities. Information on relevant history, state of the art and transformational efforts in mental health care is complemented by exemplary stories of people who created through their lives and work an evidence base and direction for Recovery.
This book was originally published in German. The translation has been fully revised, references have been amended to include the English-language literature and new material has been added to reflect recent developments. It features a Foreword by Helen Glover who relates how there is more to recovery than the absence or presence of symptoms and how health care professionals should embrace the growing evidence that people can reclaim their lives and often thrive beyond the experience of a mental illness.
Comments on German edition:
'It is fully packed with useful information for practitioners, is written in jargon free language and has a good reading pace.'
Theodor Itten, St. Gallen, Switzerland and Hamburg, Germany
'This book is amazingly positive. It not only talks about hope, it creates hope. Its therapeutic effects reach professional mental health workers, service users, and carers alike. Fleet-footed and easily understandable, at times it reads like a suspense novel.'
Andreas Knuf, pro mente sana, Switzerland
''This is the future of psychiatry'' cheered a usually service-oriented manager after reading the book. We might not live to see it.'
Ilse Eichenbrenner, Soziale Psychiatrie, Germany
Michaela Amering is well-known for her work on quality of life and recovery in severe mental disorders.
Margit Schmolke is a psychological psychotherapist inprivate practice and a lecturer, training analyst and supervisor at the German Academy for Psycho analysis in Munich, Germany. Herspecial fields are the protective factors and resilience in persons with severe psychiatric disorders and psychotherapy of psychosis. Currently she is member the board of directors of the German Society of Group Dynamics and Group Psychotherapy and member of the WPA Section on Preventive Psychiatry.
Michaela Amering is well-known for her work on quality of life and recovery in severe mental disorders. Margit Schmolke is a psychological psychotherapist inprivate practice and a lecturer, training analyst and supervisor at the German Academy for Psycho analysis in Munich, Germany. Herspecial fields are the protective factors and resilience in persons with severe psychiatric disorders and psychotherapy of psychosis. Currently she is member the board of directors of the German Society of Group Dynamics and Group Psychotherapy and member of the WPA Section on Preventive Psychiatry.
Recovery in Mental Health 3
Contents 9
Foreword 13
1 Introduction 17
2 Recovery – Developments and Significance 21
3 Recovery – Basics and Concepts 25
Definition 25
Political Strategies 31
Collaboration with Users of Psychiatric Services 37
Resilience–a Dynamic Recovery-Factor 41
Recovery, Prevention and Health Promotion 56
Recovery and Quality of Life 68
Recovery and Empowerment 70
Recovery and Evidence-Based Medicine 72
Recovery and Remission 73
4 Personal Experience as Evidence and as a Basis for Model Development 77
‘Recovery – an Alien Concept’ - Ron Coleman/UK 77
‘Empowerment Model of Recovery’ – Dan Fisher and Laurie Ahern/USA 81
‘Conspiracy of Hope’ – Pat Deegan/USA 87
‘Holders of Hope’ – Helen Glover/Australia 94
‘Wellness Recovery Action Plan (WRAP)’ – Mary Ellen Copeland/USA 99
‘Two Sides of Recovery’ – Wilma Boevink/The Netherlands 105
‘No Empowerment Without Recovery’ – Christian Horvath/Austria 111
5 Recovery – Why Not? 115
The Slow Demise of Incurability 115
Incurability 115
Chronicity 116
Other misunderstandings 118
Is the glass half-full or half-empty? 119
A Diagnosis or a Verdict – the Example of Schizophrenia 119
Heterogeneity of Course Over Time 120
Prognosis – ‘from demoralizing pessimism to rational optimism’ 124
Diagnosis – ‘a century is enough’ 127
Scientific and clinical responsibility 128
Classic Dimensions of Madness 133
Insight 133
Compliance 136
Capacity 138
Coercion 138
Psychiatric Treatment and Services 142
State of the art 142
Shortcomings 145
Recent developments 147
Stigma and Discrimination 150
Attitude research 152
Iatrogenic stigma 154
Stigma – experiences and expectations 156
Internalized stigma and stigma resistance 157
Social inclusion 161
The hearing voices movement 164
6 Recovery – Implications for Scientific Responsibilities 169
New Directions 169
The Increasingly Active Role of UK Users in Clinical Research 172
Assessing Recovery 179
Ruth Ralph and the Recovery Advisory Group 179
Examples of published recovery instruments 181
Recovery as a Process 184
Turning points – living with contradictions 184
Findings from four countries 191
Identity and recovery in personal accounts of mental illness 195
Recovery as lived in everyday practice 198
Qualitative research as one royal road 203
7 Recovery – Implications for Clinical Responsibilities 205
Sharing 206
Alternatives 209
Recovery-Factors in Therapeutic Relationships and Psychiatric Services 211
Recovery-oriented professionals 211
Recovery Self Assessment (RSA) 217
Measuring recovery-orientation in a hospital setting 218
Recovery Knowledge Inventory (RKI) 220
Developing Recovery Enhancing Environments Measure (DREEM) 222
Initiatives of the World Psychiatric Association 222
Psychiatry for the Person 222
A Person-centred Integrative Diagnosis 224
Recovery and Psychopharmacology 225
New goals and new roles for psychopharmacologists 225
Pat Deegan’s concept of ‘Personal Medicine’ 229
A programme to support shared decision-making 235
System Transformation 236
Recovery-oriented services 237
Recovery-oriented mental health programmes 238
A Recovery-Process Model 241
Practice guidelines for recovery-oriented behavioral health care 244
Peer support and consumer-driven transformation 246
8 The Significance of Discovering Recovery for the Authors 251
References 255
Index 277
"Recovery is probably the most important new direction for mental health. It represents the convergence of a number of ideas - empowerment, self-management, disability rights, social inclusion and rehabilitation - under a single heading that signals a new direction in services. ... For those with an interest and some knowledge of recovery, the book provides a treasure trove of bite-size chunks of knowledge and theory." (The British Journal of Psychiatry, 2010)
| Erscheint lt. Verlag | 17.2.2009 |
|---|---|
| Reihe/Serie | World Psychiatric Association |
| Sprache | englisch |
| Themenwelt | Medizin / Pharmazie ► Gesundheitsfachberufe |
| Medizin / Pharmazie ► Medizinische Fachgebiete ► Psychiatrie / Psychotherapie | |
| Schlagworte | Clinical psychology • Klinische Psychologie • Medical Science • Medizin • Persönlichkeit u. individuelle Unterschiede • Personality & Individual Differences • Persönlichkeit u. individuelle Unterschiede • Psychiatrie • Psychologie • Psychology • Social Psychiatry • Sozialpsychiatrie |
| ISBN-10 | 0-470-74316-6 / 0470743166 |
| ISBN-13 | 978-0-470-74316-4 / 9780470743164 |
| Haben Sie eine Frage zum Produkt? |
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