Fostering Recovery from Life-Transforming Mental Health Disorders: A Synthesis and Model.
Fostering Recovery from Life-Transforming Mental Health Disorders: A Synthesis and Model.
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DOI：
10.1057/palgrave.sth.8700036
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发表时间：
2004-11-01
期刊：
影响因子：
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通讯作者：
Green, Carla A
中科院分区：
文献类型：
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作者：
Green, Carla A
过去，从严重的精神健康问题中“康复”的定义各不相同，通常被认为是罕见的。目前的证据表明，某种形式的康复既是可能的，也是普遍的，但我们对区分康复者和未康复者的过程知之甚少。本文讨论了定义康复的方法，提出了一个促进、理解和研究康复的模型，并为临床医生、研究人员和政策制定者提出了问题。所提出的模型综合了心理健康领域以及其他学科的工作。环境、资源和压力为复苏提供了背景；核心的恢复过程包括发育、学习、愈合和它们的主要行为表现——适应。促进恢复的要素包括动机来源（希望、乐观和意义）、行动的先决条件（能动性、控制力和自主性）和能力（能力和功能障碍）。关注康复过程的这些方面可以帮助塑造临床实践，以及以促进康复的方式提供和资助精神卫生保健的系统。
In the past, "recovery" from serious mental health problems has been variously defined and generally considered rare. Current evidence suggests that some form of recovery is both possible and common, yet we know little about the processes that differentiate those who recover from those who do not. This paper discusses approaches to defining recovery, proposes a model for fostering, understanding, and studying recovery, and suggests questions for clinicians, researchers, and policy makers. The proposed model is a synthesis of work from the field of mental health as well as from other disciplines. Environment, resources, and strains, provide the backdrop for recovery; core recovery processes include development, learning, healing, and their primary behavioral manifestation, adaptation. Components facilitating recovery include sources of motivation (hope, optimism, and meaning), prerequisites for action (agency, control, and autonomy), and capacity (competence and dysfunction). Attending to these aspects of the recovery process could help shape clinical practice, and systems that provide and finance mental health care, in ways that promote recovery.