The Manufacture of Recovery
The Manufacture of Recovery
复制标题
DOI：
10.1146/annurev-clinpsy-050212-185642
复制
发表时间：
2013-01-01
期刊：
影响因子：
--
通讯作者：
Braslow, Joel Tupper
中科院分区：
文献类型：
--
作者：
Braslow, Joel Tupper
恢复(也称为“恢复导向”、“恢复愿景”或“恢复哲学”)在过去十年中一直是塑造当前精神卫生政策的主导范式。据称，这是一次与过去的革命性背离，也是一份将改变严重精神疾病后果的政策指南。这篇综述批判性地回顾了复苏的历史，并考察了这段历史如何塑造了当前基于复苏的政策的价值观、信念和实践。康复是一种从去制度化和精神药物革命的废墟中涌现出来的治疗哲学。然而，矛盾的是，复苏反映了许多相同的想法，正是这些想法使去制度化和精神药理学时代成为可能。此外，历史揭示了复苏运动是如何深深地受惠于新自由主义的社会文化价值观，并深深植根于这些价值观，自1980年罗纳德·里根当选总统以来，这些价值观塑造了公共政策。
Recovery (also known as the "recovery orientation," "recovery vision," or "recovery philosophy") has been the dominant paradigm shaping current mental health policy for the past decade. It is claimed to be a revolutionary departure from the past and a guide to policy that will transform outcomes of severe mental illness. This review looks critically at the history of recovery and examines the ways in which this history has shaped the values, beliefs, and practices of current recovery-based policies. Recovery is a treatment philosophy that emerged from the ruins of deinstitutionalization and the psychopharmaceutical revolution. Yet paradoxically, recovery reflects many of the same ideas that made deinstitutionalization and the era of psychopharmacology possible. Further, history reveals how the recovery movement is deeply indebted to and embedded within the sociocultural values of neoliberalism that have shaped public policy since the presidential election of Ronald Reagan in 1980.