Del i serien World Psychiatric Association

Recovery in Mental Health

Reshaping scientific and clinical responsibilities

Inbunden, Engelska, 2009

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Winner of Medical Journalists’ Association Specialist Readership Award 2010 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

Produktinformation

Utgivningsdatum2009-04-17
Mått173 x 252 x 20 mm
Vikt617 g
FormatInbunden
SpråkEngelska
SerieWorld Psychiatric Association
Antal sidor280
FörlagJohn Wiley & Sons Inc
ISBN9780470997963

Tillhör följande kategorier

Psykiatri inom Medicin

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.

Foreword xi1 Introduction 12 Recovery – Developments and Significance 53 Recovery – Basics and Concepts 9Definition 9Political Strategies 15Collaboration with Users of Psychiatric Services 21Resilience–a Dynamic Recovery-Factor 25Recovery, Prevention and Health Promotion 40Recovery and Quality of Life 52Recovery and Empowerment 54Recovery and Evidence-Based Medicine 56Recovery and Remission 574 Personal Experience as Evidence and as a Basis for Model Development 61‘Recovery – an Alien Concept’ - Ron Coleman/UK 61‘Empowerment Model of Recovery’ – Dan Fisher and Laurie Ahern/USA 65‘Conspiracy of Hope’ – Pat Deegan/USA 71‘Holders of Hope’ – Helen Glover/Australia 78‘Wellness Recovery Action Plan (WRAP)’ – Mary Ellen Copeland/USA 83‘Two Sides of Recovery’ – Wilma Boevink/The Netherlands 89‘No Empowerment Without Recovery’ – Christian Horvath/Austria 955 Recovery – Why Not? 99The Slow Demise of Incurability 99Incurability 99Chronicity 100Other misunderstandings 102Is the glass half-full or half-empty? 103A Diagnosis or a Verdict – The Example of Schizophrenia 103Heterogeneity of Course Over Time 104Prognosis – ‘From demoralizing pessimism to rational optimism’ 108Diagnosis – ‘A century is enough’ 111Scientific and Clinical responsibility 112Classic Dimensions of Madness 117Insight 117Compliance 120Capacity 122Coercion 122Psychiatric Treatment and Services 126State of the Art 126Shortcomings 129Recent Developments 131Stigma and Discrimination 134Attitude Research 136Iatrogenic Stigma 138Stigma – Experiences and Expectations 140Internalized Stigma and Stigma Resistance 141Social Inclusion 145The Hearing Voices Movement 1486 Recovery – Implications for Scientific Responsibilities 153New Directions 153The Increasingly Active Role of UK Users in Clinical Research 156Assessing Recovery 163Ruth Ralph and the Recovery Advisory Group 163Examples of Published Recovery Instruments 165Recovery as a Process 168Turning points – Living with Contradictions 168Findings from four Countries 175Identity and Recovery in PersonalAaccounts of Mental Illness 179Recovery as lived in Everyday Practice 182Qualitative Research as one Royal Road 1877 Recovery – Implications for Clinical Responsibilities 189Sharing 190Alternatives 193Recovery-Factors in Therapeutic Relationships and Psychiatric Services 195Recovery-oriented Professionals 195Recovery Self Assessment (RSA) 201Measuring Recovery-Orientation in a Hospital Setting 202Recovery Knowledge Inventory (RKI) 204Developing Recovery Enhancing Environments Measure (DREEM) 206Initiatives of the World Psychiatric Association 206Psychiatry for the Person 206A Person-centred Integrative Diagnosis 208Recovery and Psychopharmacology 209New goals and New Roles for Psychopharmacologists 209Pat Deegan’s concept of ‘Personal Medicine’ 213A Programme to support Shared Decision-Making 219System Transformation 220Recovery-Oriented Services 221Recovery-Oriented Mental Health Programmes 222A Recovery-Process Model 225Practice guidelines for Recovery-Oriented Behavioral Health Care 228Peer support and Consumer-Driven Transformation 2308 The Significance of Discovering Recovery for the Authors 235References 239Index 260

“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)