Scientific and consumer models of recovery in schizophrenia: Concordance, contrasts, and implications
Scientific and consumer models of recovery in schizophrenia: Concordance, contrasts, and implications
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DOI：
10.1093/schbul/sbj044
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发表时间：
2006-07-01
影响因子：
6.6
通讯作者：
Bellack, Alan S.
中科院分区：
文献类型：
--
作者：
Bellack, Alan S.
精神分裂症传统上被视为一种慢性病，前景非常悲观，但这种假设可能并不成立。精神分裂症患者中的消费运动越来越多，这既挑战了对病程的传统观点，也挑战了与此相关的假设，即患者是否有可能过上富有成效和令人满意的生活。这一疾病的新概念得到了长期研究的支持，这些研究表明，多达50%的患者预后良好。这种疾病的政治和公共卫生观点也发生了变化，这在一定程度上受到总统新成立的精神健康自由委员会的推动。这篇文章的目的是提供一个关于精神分裂症康复概念的一些关键主题的概述。本文将回答三个问题：(1)什么是复苏？(2)复苏可能吗？以及(3)康复模式对于科学的治疗方法(即，使用循证实践)有什么影响？描述了科学的和消费者的复苏模式，并讨论了共同点和不同点。对未来研究的重点提出了建议。
Schizophrenia has traditionally been viewed as a chronic condition with a very pessimistic outlook, but that assumption may not be valid. There has been a growing consumer movement among people with schizophrenia that has challenged both the traditional perspective on the course of illness and the associated assumptions about the possibility of people with the illness living a productive and satisfying life. This new conception of the illness is supported by long-term studies that suggest that as much as 50% of people with the illness have good outcomes. There has also been a change in political and public health perspectives of the illness, stimulated in part by the President's New Freedom Commission on Mental Health. The purpose of this article is to provide an overview of some key themes about the recovery concept, as applied to schizophrenia. The article will address 3 questions: (1) What is recovery? (2) Is recovery possible? and (3) What are the implications of a recovery model for a scientific approach to treatment (ie, the use of evidence-based practices)? Scientific and consumer models of recovery are described, and commonalities and differences are discussed. Priorities for future research are suggested.