Amering / Schmolke Recovery in Mental Health

Reshaping scientific and clinical responsibilities
1. Auflage 2009
ISBN: 978-0-470-74316-4
Verlag: John Wiley & Sons
Format: PDF
Kopierschutz: Adobe DRM (»Systemvoraussetzungen)

E-Book, Englisch, 280 Seiten, E-Book

Reihe: World Psychiatric Association

Winner of Medical Journalists' Association SpecialistReadership Award 2010
Recovery is widely endorsed as a guiding principle of mentalhealth policy. Recovery brings new rules for services, e.g. userinvolvement and person-centred care, as well as new tools forclinical collaborations, e.g. shared decision making andpsychiatric advance directives. These developments are complementedby new proposals regarding more ethically consistentanti-discrimination and involuntary treatment legislation, as wellas participatory approaches to evidence-based medicine andpolicy.
Recovery is more than a bottom up movement turned into top downmental health policy in English-speaking countries. Recoveryintegrates concepts that have evolved internationally over a longtime. It brings together major stakeholders and differentprofessional groups in mental health, who share the aspiration toovercome current conceptual reductionism and prognostic negativismin psychiatry.
Recovery is the consequence of the achievements of the usermovement. Most conceptual considerations and decisions have evolvedfrom collaborations between people with and without a livedexperience of mental health problems and the psychiatric servicesystem. Many of the most influential publications have beenwritten by users and ex-users of services and work-groups that havebrought together individuals with and without personal experiencesas psychiatric patients.
In a fresh and comprehensive look, this book covers definitions,concepts and developments as well as consequences for scientificand clinical responsibilities. Information on relevant history,state of the art and transformational efforts in mental health careis complemented by exemplary stories of people who created throughtheir lives and work an evidence base and direction forRecovery.
This book was originally published in German. Thetranslation has been fully revised, references have been amended toinclude the English-language literature and new material has beenadded to reflect recent developments. It features a Foreword byHelen Glover who relates how there is more to recovery than theabsence or presence of symptoms and how health care professionalsshould embrace the growing evidence that people can reclaim theirlives and often thrive beyond the experience of a mentalillness.
Comments on German edition:
"It is fully packed with useful information for practitioners,is written in jargon free language and has a good readingpace."
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 mentalhealth workers, service users, and carers alike. Fleet-footed andeasily understandable, at times it reads like a suspensenovel."
Andreas Knuf, pro mente sana, Switzerland
'"This is the future of psychiatry"' cheered a usuallyservice-oriented manager after reading the book. We might not liveto see it.'
Ilse Eichenbrenner, Soziale Psychiatrie, Germany

Autoren/Hrsg.

Amering, Michaela

Schmolke, Margit

Inhaltsverzeichnis

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 ModelDevelopment.
'Recovery - an Alien Concept' - RonColeman/UK.
'Empowerment Model of Recovery' - Dan Fisherand Laurie Ahern/USA.
'Conspiracy of Hope' - Pat Deegan/USA.
'Holders of Hope' - HelenGlover/Australia.
'Wellness Recovery Action Plan (WRAP)' - MaryEllen Copeland/USA.
'Two Sides of Recovery' - Wilma Boevink/TheNetherlands.
'No Empowerment Without Recovery' - ChristianHorvath/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 ofSchizophrenia.
Heterogeneity of Course Over Time.
Prognosis - 'from demoralizing pessimism to rationaloptimism'.
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 ScientificResponsibilities.
New Directions.
The Increasingly Active Role of UK Users in ClinicalResearch.
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 mentalillness.
Recovery as lived in everyday practice.
Qualitative research as one royal road.
7 Recovery - Implications for ClinicalResponsibilities.
Sharing.
Alternatives.
Recovery-Factors in Therapeutic Relationships and PsychiatricServices.
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 'PersonalMedicine'.
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 healthcare.
Peer support and consumer-driven transformation.
8 The Significance of Discovering Recovery for theAuthors.
References.
Index.

Über Autor(innen)

Michaela Amering is well-known for her work on quality oflife and recovery in severe mental disorders.
Margit Schmolke is a psychological psychotherapist inprivate practice and a lecturer, training analyst and supervisor atthe German Academy for Psychoanalysis in Munich, Germany. Herspecial fields are the protective factors and resilience in personswith severe psychiatric disorders and psychotherapy ofpsychosis.
Currently she is member the board of directors of the GermanSociety of Group Dynamics and Group Psychotherapy and member of theWPA Section on Preventive Psychiatry.