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Personal Recovery in Schizophrenia: A Narrative Review

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Recovery and Major Mental Disorders

Part of the book series: Comprehensive Approach to Psychiatry ((CAP,volume 2))

Abstract

The issues of remission and recovery in schizophrenia have received increasing attention in the last decades. This chapter will discuss the contemporary perspective of a ‘new psychiatry’ that aims not merely to achieve symptoms reduction and social functioning improvements but also recovery. In this context, parallel to the development and acceptance of the ‘remission’ construct in schizophrenia, the concept of ‘personal recovery’, a deeply personal, unique process of changing one’s attitudes, values, feelings, goals, skills, and roles, has become increasingly central in mental health. Recovery-oriented interventions support people with severe mental illness to pursue their goals, achieve subjective well-being, promote resilience, personal skills, and hope, facilitate self-determination, and enhance individual strengths, preferences, and aspirations. Although scientific literature does not support ‘recovery either symptomatic or personal’ for everyone (i.e. recovery from schizophrenia), the process in which people can live a fulfilling and productive life despite disability should be a goal for all patient/user and services (i.e. recovery in schizophrenia). Within an ‘evidence-based optimism’ perspective, the integration of subjective and clinical models could lead to a better understanding of recovery in schizophrenia and contribute to design individualized and integrated treatment programmes aimed to help individuals living a satisfying life despite mental disability.

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Rossi, R., Socci, V., Rossi, A. (2022). Personal Recovery in Schizophrenia: A Narrative Review. In: Carpiniello, B., Vita, A., Mencacci, C. (eds) Recovery and Major Mental Disorders. Comprehensive Approach to Psychiatry, vol 2. Springer, Cham. https://doi.org/10.1007/978-3-030-98301-7_3

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