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Lebensqualität und Empowerment in der psychiatrischen Versorgung

  • Reinhold Kilian

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Im Rahmen der Entwicklung von Kriterien zur Beurteilung der Qualität psychiatrischer Behandlung gewann in den letzten 20 Jahren die subjektive Perspektive der Betroffenen eine immer stärkere Bedeutung (Kilian/Angermeyer 1999; Kilian/Becker 2006, 2007; Lehman/Possidente/Hawker 1986). Mit dem Konzept der subjektiven Lebensqualität wurde dabei der Versuch unternommen, sowohl die psychischen und körperlichen als auch die materiellen und sozialen Aspekte psychischer Erkrankung zu berücksichtigen (Kilian 2006; Kilian/Angermeyer 1999). Gleichzeitig setzt sich bei Experten und Betroffenen die Überzeugung durch, dass eine Abkehr von einer primär defizit- und die Hinwendung zu einer stärker ressourcenorientierten Betrachtung psychischer Erkrankung notwendig ist (Deutsche Gesellschaft für Psychiatrie 2006; Hamann/Leucht/Kissling 2003; Prins 2007). Begriffe wie Empowerment oder Befähigung stehen dabei für ein Versorgungskonzept, welches nicht allein darauf abzielt, krankheitsbedingte Beeinträchtigungen zu kompensieren, sondern versucht, vorhandene Kompetenzen zur Bewältigung krankheitsbedingter Beeinträchtigungen und zu einer eigenständigen Lebensführung zu stärken (Bellamy/Mowbray 1998; Byrne et al. 1999; Chamberlin 1997; Corrigan et al. 1999; Corrigan 2002; Finfgeld 2004; Fisher 1994; McLean 1995; McLean 2000; Stromwell/Hurdle 2003).

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Copyright information

© VS Verlag für Sozialwissenschaften | GWV Fachverlage GmbH, Wiesbaden 2008

Authors and Affiliations

  • Reinhold Kilian
    • 1
  1. 1.Arbeitsgruppe Psychiatrische Versorgungsforschung an der Klinik für Psychiatrie und Psychotherapie IIUniversität Ulm am Bezirkskrankenhaus GünzburgUlm

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