Tuesday, May 27, 2008

Psychological Recovery: Beyond Mental Illness [Hardcover]

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Author: Retta Andresen
ISBN : 9780470711439
Buy New from $32.03
This book offers a succinct model of recovery from serious mental illness, synthesizing stories of lived experience to provide a framework for clinical work and research in the field of recovery.
• Places the process of recovery within the context of normal human growth and development
• Compares and contrasts concepts of recovery from mental illness with the literature on grief, loss and trauma
• Situates recovery within the growing field of positive psychology – focusing on the active, hopeful process
• Describes a consumer-oriented, stage-based model of psychological recovery which is unique in its focus on intrapersonal processes
  • Hardcover: 210 pages
  • Publisher: Wiley-Blackwell; 1 edition (September 13, 2011)
  • Language: English
  • ISBN-10: 0470711434
  • ISBN-13: 978-0470711439
  • Product Dimensions: 0.6 x 6.6 x 9.4 inches
  • Shipping Weight: 1 pounds (View shipping rates and policies)

Psychological Recovery: Beyond Mental Illness

About the authors xi


Foreword by Jon Strang xiii


Preface xvii


Acknowledgements xix

Part I Recovery in Historical Context


1 Introduction: Recovery from schizophrenia 3


Overview 3


Early conceptualizations of schizophrenia 4


Diagnostic systems and prognostic pessimism 6


Empirical evidence for recovery 7


The persistence of a pessimistic prognosis 13


The real possibility of recovery 17


The emergence of the ‘recovery’ movement 18


What do we mean by ‘recovery’? 20


Conclusion 22


Summary 22


2 Conceptualizing recovery: A consumer-oriented approach 23


Overview 23


Developing a consumer-oriented model of recovery 24


The search for common ground 25


Meanings of recovery in the literature 25


Consumer descriptions – psychological recovery 28


Diverse opinions on some aspects of recovery 31


Four component processes of recovery 34


A definition of psychological recovery 40


Steps along the journey of recovery 41


Five stages of psychological recovery 45


Conclusion 45


Summary 48


Appendices 48

Part II Elaboration of the Model: From Hopelessness to Flourishing


3 Moratorium: The first stage of psychological recovery 53


Overview 53


Negative symptoms or psychological sequelae? 53


Hope in the Moratorium stage: Hopelessness 54


Responsibility in the Moratorium stage: Powerlessness 57


Identity in the Moratorium stage: Loss of sense of self 59


Meaning in the Moratorium stage: Loss of purpose in life 63


Conclusion 65


Summary 66


4 Awareness: The second stage of psychological recovery 67


Overview 67


Hope in the Awareness stage: The dawn of hope 67


Responsibility in the Awareness stage: The need to take control 70


Identity in the Awareness stage: I am not the illness 72


Meaning in the Awareness stage: Need for a purpose in life 74


Conclusion 76


Summary 76


5 Preparation: The third stage of psychological recovery 77


Overview 77


Hope in the Preparation stage: Mobilizing resources 77


Responsibility in the Preparation stage: Taking autonomous steps 79


Identity in the Preparation stage: Taking an internal inventory 81


Meaning in the Preparation stage: Reassessing goals 83


Conclusion 85


Summary 85


6 Rebuilding: The fourth stage of psychological recovery 87


Overview 87


Hard work and hopefulness 87


Hope in the Rebuilding stage: Active pursuit of personal goals 88


Responsibility in the Rebuilding stage: Taking control 90


Identity in the Rebuilding stage: Self-redefinition 93


Meaning in the Rebuilding stage: Valued goals 96


Risk-taking, perseverance and resilience 99


Conclusion 100


Summary 101


7 Growth: The fifth stage of psychological recovery 103


Overview 103


Hope in the Growth stage: Optimism about the future 103


Responsibility in the Growth stage: In control of life and wellbeing 105


Identity in the Growth stage: An authentic self 107


Meaning in the Growth stage: Living a meaningful life 109


Resilience, personal growth and wisdom 111


Conclusion 113


Retrospective overview 114


Summary 114


8 Common questions regarding the stage model of psychological recovery 115


Overview 115


Ten questions that have been raised about the model 115


Conclusion 120


Summary 120

Part III Measuring Recovery


9 Recovery-oriented outcome measurement 123


Overview 123


Why the need for measures of recovery? 123


Approaches to operationalizing recovery in research 125


Assessing outcomes in routine clinical practice 126


Outcome measurement from the consumer perspective 127


Measuring consumer-defined recovery 128


Measures based on the stage model of psychological recovery 129


Concluding comment 135


Summary 135

Part IV Towards a Positive Future


10 Psychological recovery and positive psychology 139


Overview 139


A scientific approach to recovery 139


Hope 140


Meaning and purpose 140


Responsibility 141


Identity 142


Resilience 142


Strengths 143


Values 143


Autonomous goals 144


Growth 144


Wellbeing 145


Living with illness and flourishing 145


Summary 146


11 Reflections and future directions 147


From wellness to wellbeing 147


Applications of the model 148


Recovery measures in clinical work, evaluation and research 151


Current and future research directions 152


A word about words 153


Afterword 155


References 157


Index 179

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