Recovery in mental health : reshaping scientific and clinical responsibilities

목차 (Table of Contents)

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• Foreword. 1 Introduction. 2 Recovery – Developments and Significance. 3 Recovery – Basics and Concepts. Definition. Political Strategies. Collaboration with Users of Psychiatric Services. Resilience–a Dynamic Recovery-Factor. Recovery, Prevention and Health Promotion. Recovery and Quality of Life. Recovery and Empowerment. Recovery and Evidence-Based Medicine. Recovery and Remission. 4 Personal Experience as Evidence and as a Basis for Model Development. ‘Recovery – an Alien Concept’ - Ron Coleman/UK. ‘Empowerment Model of Recovery’ – Dan Fisher and Laurie Ahern/USA. ‘Conspiracy of Hope’ – Pat Deegan/USA. ‘Holders of Hope’ – Helen Glover/Australia. ‘Wellness Recovery Action Plan (WRAP)’ – Mary Ellen Copeland/USA. ‘Two Sides of Recovery’ – Wilma Boevink/The Netherlands. ‘No Empowerment Without Recovery’ – Christian Horvath/Austria. 5 Recovery – Why Not? The Slow Demise of Incurability. Incurability. Chronicity. Other misunderstandings. Is the glass half-full or half-empty? A Diagnosis or a Verdict – the Example of Schizophrenia. Heterogeneity of Course Over Time. Prognosis – ‘from demoralizing pessimism to rational optimism’. Diagnosis – ‘a century is enough’. Scientific and clinical responsibility. Classic Dimensions of Madness. Insight. Compliance. Capacity. Coercion Psychiatric Treatment and Services. State of the art. Shortcomings. Recent developments. Stigma and Discrimination. Attitude research. Iatrogenic stigma. Stigma – experiences and expectations. Internalized stigma and stigma resistance. Social inclusion. The hearing voices movement. 6 Recovery – Implications for Scientific Responsibilities. New Directions. The Increasingly Active Role of UK Users in Clinical Research. Assessing Recovery. Ruth Ralph and the Recovery Advisory Group. Examples of published recovery instruments. Recovery as a Process. Turning points – living with contradictions. Findings from four countries. Identity and recovery in personal accounts of mental illness. Recovery as lived in everyday practice. Qualitative research as one royal road. 7 Recovery – Implications for Clinical Responsibilities. Sharing. Alternatives. Recovery-Factors in Therapeutic Relationships and Psychiatric Services. Recovery-oriented professionals. Recovery Self Assessment (RSA). Measuring recovery-orientation in a hospital setting. Recovery Knowledge Inventory (RKI). Developing Recovery Enhancing Environments Measure (DREEM). Initiatives of the World Psychiatric Association. Psychiatry for the Person. A Person-centred Integrative Diagnosis. Recovery and Psychopharmacology. New goals and new roles for psychopharmacologists. Pat Deegan’s concept of ‘Personal Medicine’. A programme to support shared decision-making. System Transformation. Recovery-oriented services. Recovery-oriented mental health programmes. A Recovery-Process Model. Practice guidelines for recovery-oriented behavioral health care. Peer support and consumer-driven transformation. 8 The Significance of Discovering Recovery for the Authors. References. Index.