Reshaping Scientific and Clinical Responsibilities
Buch, Englisch, 280 Seiten, Format (B × H): 173 mm x 249 mm, Gewicht: 612 g
ISBN: 978-0-470-99796-3
Verlag: Wiley
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
Autoren/Hrsg.
Fachgebiete
Weitere Infos & Material
Foreword xi
1 Introduction 1
2 Recovery – Developments and Significance 5
3 Recovery – Basics and Concepts 9
Definition 9
Political Strategies 15
Collaboration with Users of Psychiatric Services 21
Resilience–a Dynamic Recovery-Factor 25
Recovery, Prevention and Health Promotion 40
Recovery and Quality of Life 52
Recovery and Empowerment 54
Recovery and Evidence-Based Medicine 56
Recovery and Remission 57
4 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 95
5 Recovery – Why Not? 99
The Slow Demise of Incurability 99
Incurability 99
Chronicity 100
Other misunderstandings 102
Is the glass half-full or half-empty? 103
A Diagnosis or a Verdict – The Example of Schizophrenia 103
Heterogeneity of Course Over Time 104
Prognosis – ‘From demoralizing pessimism to rational optimism’ 108
Diagnosis – ‘A century is enough’ 111
Scientific and Clinical responsibility 112
Classic Dimensions of Madness 117
Insight 117
Compliance 120
Capacity 122
Coercion 122
Psychiatric Treatment and Services 126
State of the Art 126
Shortcomings 129
Recent Developments 131
Stigma and Discrimination 134
Attitude Research 136
Iatrogenic Stigma 138
Stigma – Experiences and Expectations 140
Internalized Stigma and Stigma Resistance 141
Social Inclusion 145
The Hearing Voices Movement 148
6 Recovery – Implications for Scientific Responsibilities 153
New Directions 153
The Increasingly Active Role of UK Users in Clinical Research 156
Assessing Recovery 163
Ruth Ralph and the Recovery Advisory Group 163
Examples of Published Recovery Instruments 165
Recovery as a Process 168
Turning points – Living with Contradictions 168
Findings from four Countries 175
Identity and Recovery in PersonalAaccounts of Mental Illness 179
Recovery as lived in Everyday Practice 182
Qualitative Research as one Royal Road 187
7 Recovery – Implications for Clinical Responsibilities 189
Sharing 190
Alternatives 193
Recovery-Factors in Therapeutic Relationships and Psychiatric Services 195
Recovery-oriented Professionals 195
Recovery Self Assessment (RSA) 201
Measuring Recovery-Orientation in a Hospital Setting 202
Recovery Knowledge Inventory (RKI) 204
Developing Recovery Enhancing Environments Measure (DREEM) 206
Initiatives of the World Psychiatric Association 206
Psychiatry for the Person 206
A Person-centred Integrative Diagnosis 208
Recovery and Psychopharmacology 209
New goals and New Roles for Psychopharmacologists 209
Pat Deegan’s concept of ‘Personal Medicine’ 213
A Programme to support Shared Decision-Making 219
System Transformation 220
Recovery-Oriented Services 221
Recovery-Oriented Mental Health Programmes 222
A Recovery-Process Model 225
Practice guidelines for Recovery-Oriented Behavioral Health Care 228
Peer support and Consumer-Driven Transformation 230
8 The Significance of Discovering Recovery for the Authors 235
References 239
Index 260
