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Concept and Model of Recovery

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Schizophrenia Treatment Outcomes

Abstract

This chapter first distinguishes between two concepts of recovery currently at play in psychiatry, one based on a medical/clinical perspective of complete remission of symptoms and impairments and one based on a personal/experiential perspective of living a meaningful life in the face of an ongoing disability. The findings of a recent meta-analysis on the nature of this second, personal, model of recovery are then described, outlining five key processes of social connection, hope and optimism about the future, reconstructing a positive sense of personal and social identity, finding meaning in life, and becoming empowered in one’s care and in one’s life. Finally, the implications of each component of this model for transforming clinical practice are considered. The chapter concludes that while substantial progress has been made in shifting mental health policy toward a recovery orientation, and in developing and expanding self-help/mutual support and peer support interventions, a broader and deeper transformation of routine clinical practice remains largely a task for the future.

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References

  1. Davidson L, Roe D. Recovery from versus recovery in serious mental illness: one strategy for lessening confusion plaguing recovery. J Ment Health. 2007;16(4):459–70.

    Article  Google Scholar 

  2. Slade M. Personal recovery and mental illness: a guide for mental health professionals. Cambridge: Cambridge University Press; 2009.

    Book  Google Scholar 

  3. Andreasen NC, Carpenter WT, Kane JM, Lasser RA, Marder SR, Weinberger DR. Remission in schizophrenia: proposed criteria and rationale for consensus. Am J Psychiatry. 2005;162:441–9.

    Article  PubMed  Google Scholar 

  4. Weiner DB. Pinel’s “Memoir on Madness” of December 11, 1794: a fundamental text of modern psychiatry. Am J Psychiatry. 1992;149:725–32.

    Article  PubMed  Google Scholar 

  5. Kraepelin E. Clinical psychiatry: a textbook for students and physicians. Diefendorf AR, translator. New York: The MacMillan Company; 1907. p. 219.

    Google Scholar 

  6. Kraepelin E. In: Johnstone T, editor. Lectures on clinical psychiatry. New York: William Wood & Company; 1904. p. 28–9.

    Chapter  Google Scholar 

  7. Carpenter WT Jr, Kirkpatrick B. The heterogeneity of the long-term course of schizophrenia. Schizophr Bull. 1988;14(4):645–52.

    Article  PubMed  Google Scholar 

  8. Strauss JS, Carpenter WT. The prediction of outcome in schizophrenia, I: characteristics of outcome. Arch Gen Psychiatry. 1972;27(6):739–46.

    Article  PubMed  Google Scholar 

  9. Strauss JS, Carpenter WT. The prediction of outcome in schizophrenia, II: relationships between predictor and outcome variables. Arch Gen Psychiatry. 1974;31(1):37–42.

    Article  PubMed  Google Scholar 

  10. Harding CM, Brooks GW, Ashikaga T, Strauss JS, Breier A. The Vermont longitudinal study of persons with severe mental illness, II: long-term outcome of subjects who retrospectively met DSM-III criteria for schizophrenia. Am J Psychiatry. 1987;144(6):727–35.

    Article  PubMed  Google Scholar 

  11. Ciompi L. The natural history of schizophrenia in the long term. Br J Psychiatry. 1980;136(5):413–20.

    Article  PubMed  Google Scholar 

  12. Lin KM, Kleinman AM. Psychopathology and clinical course of schizophrenia: a cross-cultural perspective. Schizophr Bull. 1988;14(4):555–67.

    Article  PubMed  Google Scholar 

  13. Strauss JS, Carpenter WT. Prediction of outcome in schizophrenia, III: five-year outcome and its predictors. Arch Gen Psychiatry. 1977;34(2):158–63.

    Article  Google Scholar 

  14. Davidson L, McGlashan TH. The varied outcomes of schizophrenia. Can J Psychiatr. 1997;42(1):34–43.

    Article  Google Scholar 

  15. Harding CM, Zubin J, Strauss JS. Chronicity in schizophrenia: fact, partial fact, or artifact? Hosp Community Psychiatry. 1987;38(5):477–86.

    PubMed  Google Scholar 

  16. Chamberlin J. The ex-patients’ movement: where we’ve been and where we’re going. J Mind Behav. 1990;11:323–36.

    Google Scholar 

  17. Chamberlin J. On our own: patient controlled alternatives to the mental health system. New York: Haworth Press; 1978.

    Google Scholar 

  18. Deegan P. Recovery: the lived experience of rehabilitation. Psychosocial Rehab J. 1988;11(4):11–9.

    Article  Google Scholar 

  19. Wallcraft J, Amering M, Schrank B, editors. Handbook of service user involvement in mental health research. London: Wiley; 2009.

    Google Scholar 

  20. Caron-Flinterman JF, Broerse JE, Bunders JF. The experiential knowledge of patients: a new resource for biomedical research? Soc Sci Med. 2005;60(11):2575–84.

    Article  PubMed  Google Scholar 

  21. Goodare H, Lockwood S. Involving patients in clinical research: improves the quality of research. British Med J. 1999;319(7212):724.

    Article  Google Scholar 

  22. Thornton H. Patient and public involvement in clinical trials. British Med J. 2008;336(7650):903.

    Article  Google Scholar 

  23. Davidson L. What happened to civil rights? Psych Rehab J. 2006;30(1):11–4.

    Article  Google Scholar 

  24. Deegan P. The independent living movement and people with psychiatric disabilities: taking back control over our own lives. Psychosocial Rehab J. 1992;15:3–19.

    Article  Google Scholar 

  25. Davidson L. The recovery movement: implications for mental health care and enabling people to participate fully in life. Health Aff. 2016;35(6):1091–7.

    Article  Google Scholar 

  26. Davidson L, González-Ibáñez À. La recuperación centrada en la persona y sus implicaciones en salud mental. Revista de la Asociación Española de Neuropsiquiatría. 2017;37(131):189–205.

    Google Scholar 

  27. Bellack AS. Scientific and consumer models of recovery in schizophrenia: concordance, contrasts, and implications. Schizophr Bull. 2006;32(3):432–42.

    Article  PubMed  PubMed Central  Google Scholar 

  28. Davidson L, O’Connell MJ, Tondora J, Styron T, Kangas K. The top ten concerns about recovery encountered in mental health system transformation. Psych Serv. 2006;57(5):640–5.

    Article  Google Scholar 

  29. Slade M, Amering M, Farkas M, Hamilton B, O’Hagan M, Panther G, et al. Uses and abuses of recovery: implementing recovery-oriented practices in mental health systems. World Psychiatry. 2014;13(1):12–20.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Deegan PE. Recovery as a journey of the heart. Psychiatric Rehab J. 1996;19(3):91–7.

    Article  Google Scholar 

  31. Davidson L, Tondora J, Miller R, O’Connell MJ. Person-centered care. In: Corrigan PW, editor. Person-centered care for mental illness: the evolution of adherence and self-determination. Washington, DC: American Psychological Association; 2015. p. 81–102.

    Chapter  Google Scholar 

  32. Department of Health and Human Services. Achieving the promise: transforming mental health care in America. Rockville: U.S. Substance Abuse and Mental Health Services Administration; 2003.

    Google Scholar 

  33. Topor A, Borg M, Di Girolamo S, Davidson L. Not just an individual journey: social aspects of recovery. Int J Social Psychiatry. 2009;57(1):90–9.

    Article  Google Scholar 

  34. Rowe M, Davidson L. Recovering citizenship. Isr J Psychiatry Relat Sci. 2016;53(1):14–21.

    PubMed  Google Scholar 

  35. Silverstein SM, Bellack AS. A scientific agenda for the concept of recovery as it applies to schizophrenia. Clin Psychology Rev. 2008;28(7):1108–24.

    Article  Google Scholar 

  36. Leamy M, Bird V, Le Boutillier C, Williams J, Slade M. Conceptual framework for personal recovery in mental health: systematic review and narrative synthesis. Br J Psychiatry. 2011;199(6):445–52.

    Article  PubMed  Google Scholar 

  37. Andresen R, Oades LG, Caputi P. Psychological recovery: beyond mental illness. Oxford: Wiley-Blackwell; 2011.

    Book  Google Scholar 

  38. Liberman RP. Phase-specific recovery from schizophrenia. Psychiatric Ann. 2012;42(6):211–7.

    Article  Google Scholar 

  39. Prochaska JO, DiClemente CC. The transtheoretical approach. In: Norcross JC, DiClemente CC, editors. Handbook of psychotherapy integration. New York: Oxford University Press; 1992. p. 300–34.

    Google Scholar 

  40. Davidson L, Roe D, Andres-Hyman R, Ridgway P. Applying stages of change models to recovery in serious mental illness: contributions and limitations. Isr J Psychiatry Relat Sci. 2010;47(3):213–21.

    PubMed  Google Scholar 

  41. Coulter A, Entwistle VA, Eccles A, Ryan S, Shepperd S, Perera R. Personalised care planning for adults with chronic or long-term health conditions. Cochrane Database Syst Rev. 2015;(3):CD010523.

    Google Scholar 

  42. Tondora J, Miller R, Slade M, Davidson L. Partnering for recovery in mental health: a practical guide to person-centered planning. Oxford: Wiley-Blackwell; 2014.

    Book  Google Scholar 

  43. Dillon J, Longden E. Hearing voices groups: creating safe spaces to share taboo experiences. In: Romme M, Escher S, editors. Psychosis as a personal crisis: an experience-based approach. London: Routledge; 2012. p. 129–39.

    Google Scholar 

  44. Davidson L, Ridgway P, O’Connell MJ, Kirk TA. Transforming mental health care through the participation of the recovery community. In: Nelson G, Kloos B, Ornelas J, editors. Community psychology and community mental health: towards transformative change. New York: Oxford University Press; 2012. p. 90–107.

    Google Scholar 

  45. Copeland ME. The WRAP story: first person accounts of personal and system recovery and transformation. West Dummerton, VT: Peach Press; 2008.

    Google Scholar 

  46. Davidson L, Chan B, Rowe M. Core elements of mental health transformation in an Asian context. Asia Health Care J. 2013;3:11–5.

    Google Scholar 

  47. Davidson L, Tse S. What will it take for recovery to flourish in Hong Kong? East Asian Arch Psychiatry. 2014;24:110–6.

    PubMed  Google Scholar 

  48. Bayetti C, Jadhav S, Jain S. The re-covering self: a critique of the recovery-based approach in India’s mental health care. Disability Global South. 2016;3(1):889–909.

    Google Scholar 

  49. Tondora J, O’Connell M, Dinzeo T, Miller R, Bellamy C, Andres-Hyman R, et al. A clinical trial of peer-based culturally responsive person-centered care for psychosis for African Americans and Latinos. Clin Trials. 2010;7:368–79.

    Article  PubMed  PubMed Central  Google Scholar 

  50. Davidson L, Carr E, Bellamy C, Tondora J, Fossey E, Styron T, et al. Principles for recovery-oriented inpatient care. In: Singh N, Barber JW, van Sant S, editors. Handbook of recovery in inpatient psychiatry. Switzerland: Springer; 2016. p. 39–58.

    Chapter  Google Scholar 

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Author information

Authors and Affiliations

  1. Yale University, Department of Psychiatry, Program for Recovery and Community Health, New Haven, CT, USA

    Larry Davidson, David Roe & Janis Tondora

Authors
  1. Larry Davidson
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  2. David Roe
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  3. Janis Tondora
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Corresponding author

Correspondence to Larry Davidson .

Editor information

Editors and Affiliations

  1. Lawson Health Research Institute, Western University Lawson Health Research Institute, London, ON, Canada

    Amresh Shrivastava

  2. Lokmanya Tilak Municipal Medical College, De Sousa Foundation, Mumbai, India

    Avinash De Sousa

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Davidson, L., Roe, D., Tondora, J. (2020). Concept and Model of Recovery. In: Shrivastava, A., De Sousa, A. (eds) Schizophrenia Treatment Outcomes. Springer, Cham. https://doi.org/10.1007/978-3-030-19847-3_7

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