Recovery psychology/Lesson3: Difference between revisions

From Wikiversity
Jump to navigation Jump to search
Content deleted Content added
Line 64: Line 64:
"...it is safe to say that as many as eighty percent may be expected to recover"--Thomas S. Kirkbride M.D.
"...it is safe to say that as many as eighty percent may be expected to recover"--Thomas S. Kirkbride M.D.
</blockquote>
</blockquote>
SEE[http://www.recoveryisreal.com/ Recovery is Real]


== Inside Out ==
== Inside Out ==

Revision as of 21:51, 11 May 2008

Behavior: anything that a living organism does-Journal of behavioristic psychology

People do recover from mental illness-Journal of humanistic psychology

People are living organisms--recovery psychologist

What is mental health recovery?

Various people will define recovery as something different, although most agree on certain principles which are the same. Recovery is living a meaningful quality life, despite a psychiatric condition. To many it is about a reduction in prescribed psychiatric medication.

"Recovery is the rule, permenent disease the exception."--Dorothea Dix 1854

Daniel Fisher Videos and Articles

Recovery is a fact of Psychological Disorders

  • Myth: Individuals with psychological disorders do not recover.
  • Fact: Studies and personal reports have documented that individuals with psychological disorders can often recover or “be in recovery” and lead meaningful lives.
  • Myth: The more severe the symptoms, the less likely recovery will occur.
  • Fact: The process of recovery and “being in recovery” can take place regardless of the extent and duration of symptoms. Everyone’s recovery is personally defined (this parallels the personally defined disorder-See Mental Illness-psychological)
  • Myth: If recovery occurs, a diagnosis of psychological disorder must be incorrect.
  • Fact: The recovery process can take place for each diagnosis or type of disorder.
  • Myth: Treatment and services are always the same for each specific psychological disorder.
  • Fact: Unlike the many years of indoctrination from clinical psychology, one size does not fit all persons with a particular disorder. There are many different ways for recovery to occur and there are many different individuals who can assist in a persons recovery, however many of these accept the stigmatization of others with psychological disorders.
  • Myth: Individual needs and personal goals can not be addressed until the symptoms of a psychological disorder are eliminated.
  • Fact: Regardless of the level of severity, it is essential to listen and respond to a person with psychological disorder stated goals at each point of their journey toward recovery.
  • Myth: Recovery is an end point or a “cure”
  • Fact: So far recovery is an ongoing process with ups and downs, starts and stops, on the way towards living a meaningful life. Someday, with research in to recovery, we may become closer to finding a cure for psychological disorders. In the past there was no research in to recovery, instead containment without quality of life being considered.

"...it is safe to say that as many as eighty percent may be expected to recover"--Thomas S. Kirkbride M.D.

SEERecovery is Real

Inside Out

"Inside Outside" is a work of hope created by former patients and film-makers Pat Deegan and Terry Strecker. The film depicts the lives of eight people with very significant histories of institutionalization, as they transition from nursing homes and psychiatric hospitals into the community. In the spirit of the President's New Freedom Initiative and the Supreme Court's Olmstead Decision, the film carries the message that recovery and life in the community are possibilities even for people who are viewed as the most chronic or impaired. The film leaves audiences of professionals and people with psychiatric disabilities alike, cheering for these eight individuals as they make their journey from inside institutions to full community inclusion on the outside. Produced for the US Department of Health And Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services. Production Company: Advocates for Human Potential, Inc. Creative Commons license: Public Domain.

"Inside Outside" PART 2 is a work of hope created by former patients and film-makers Pat Deegan and Terry Strecker. The film depicts the lives of eight people with very significant histories of institutionalization, as they transition from nursing homes and psychiatric hospitals into the community. In the spirit of the President's New Freedom Initiative and the Supreme Court's Olmstead Decision, the film carries the message that recovery and life in the community are possibilities even for people who are viewed as the most chronic or impaired. The film leaves audiences of professionals and people with psychiatric disabilities alike, cheering for these eight individuals as they make their journey from inside institutions to full community inclusion on the outside. Produced for the US Department of Health And Human Services, Substance Abuse and Mental Health Services Administration, Center for Mental Health Services.

Recovery is not remission

Remission is the absence of positive symptoms in psychological disorders, meaning that a person’s abnormal behavior(s) has stopped occurring. Where as, recovery is more about the return of normal behavior(s) or the absence of negative symptoms. Remission is a clinical term for a state of absence of disease activity in patients. This does not describe a qualitative feature that is recovery in terms of psychosocial factors. If a person is "in remission" from a serious mental disorder, they are for the most part temporarily asymptomatic with regards to positive symptoms; recovery is concerned with both positive and negative symptoms. This does not mean that any of the conditions or consequences of sociological determinants of mental illness have sudsided. A person who is no longer delusional, hallicinating or depressed may still not have social skills, employment, or meaningful purpose, but may very well be in remission.

Anti-psychiatry

Although anti-psychiatry views are very apparent in the recovery movement, not all believers in "recovery" are anti-psychiatry, there are some who are quite a bit pro-psychiatry. Recovery Psychology must remain purely objective, with regards to these two views; while offering honest descriptions of both points of view in the educational cirriculum. One of the issues that the members of the "recovery movement" have against the antipsychiatry movement would be the lack of concern for the mental well-being of persons claimed to be have psychological disorders.

The Consumer Movement

Hearing Voices Movement

Mad Pride

The following videos are about mad pride.

  1. madpridetoronto Channel on YouTubeToronto, CA
  2. qldalliance Channel on YouTubeQueensland, AU
  3. Mad Pride Site in the UK
  4. Madpride bookreview from Mental Help Net
  5. Mad Tea Party?
  6. Mad Pride Month Article from psychcentral blog
  7. Essay Question: Define what is mad pride about.

Neurodiversity

Recovery Lectures

  • Northern Birmingham Mental Health NHS Trust and The International Mental Health Network Videos:
  • Recovery Section 1 Part 1 from virtualward on YouTube
  • In this video is an opening discussion on the Recovery concept, why recovery is important, that recovery is an individual and unique process, and that recovery is never done alone. It discusses how the Clinical view is different from Recovery view drawing on the work of William Anthony's 1991 Basic Assumptions of Recovery Oriented Mental Health System. One of the first understandings is that to recover, professional intervention is not always a must. Recovery can occur without professional intervention. Those who have left or escaped the mental health system, have returned in good recovery.
  • Recovery Section 1 Part 2 from virtualward on YouTube
  • In this part of the video the discussion on treatment and training for treatment, the importance of updated information. The former DSM (DSM-III) diagnostic description of Schizophrenia of being a illness of permenent deterioration, this information was based on data collected from crisis situations and hospitalizations. Courtney Harding and John Strauss studied the whole life course of people with schizophrenia, not just in the hospital, are quoted as saying "Only two-thirds of these people with the most serious disorders were indistinguishable from the general population" while one-third may have continued to experience noticable episodes of illness.
  • Recovery Section 1 Part 3 from virtualward on YouTube
  • This part continues on with the work of W. Anthony, C. Harding, J. Strauss, etc. Recovery from consequences from mental illness is much harder than from the illness itself. Mental illness is a disease that causes proverty, not by being a disease, but by the stigma and prejudices against the person with a mental illness. Discussing cultural diversity in psychiatric recovery. In Italy many people live with their families up until the age of 30; whether or not they are diagnosed mentally ill or not. (Imagine that! not hating your parents after 18 years!) However, the need for work, job, employment etc. has been found to a universal component for recovery from mental illness.
  • Recovery Section 1 Part 4 from virtualward on YouTube
  • Further the discussion of persons in recovery from mental illness in the world of work. When asked what was the most important support in helping a person recover 1. Family and friends, 3.Pets, 6. mental health professions 12. medications and as Courtney Harding was researching the 65% of people taking medication were doing better than others. She thought this was a significant factor. She was discussed this with a consumer who was doing great in her recovery. The consumer had a massive arsenal of medication from the pharmacy over fifteen years. It was found out by Courtney Harding that the consumer was not taking the medication but storing it up. When Harding asked this person "why are you spending your money every month to get these meds?" the answer was "to keep them off my back" basically the consumer lived with a certain level of fear that if she did not get this medication, there would be problems (external to herself or her illness)
  • Recovery Section 2 Part 1 from virtualward on YouTube
  • What is a Warm line? The process of recovery through using peer support and consumers working with consumers. You can only show a person how to walk down a road that you have walked down. What is helpful and what is not, redefining boundaries to fit the recovery model.
  • Recovery Section 2 Part 2 from virtualward on YouTube
  • Discussing the overlaying of trauma on the mental health sexual trauma, trauma, and peer support. It is found women recover from trauma by confiding in other women, the problem being most services in the past were not designed with gender being respected or considered. Many rules in placed in the mental health system prevent sharing of recovery stories, which prevents recovery. Disclosure became necessary for recovery. In Oregan seventeen psychiatrists applied for a jobs for a consumer run mental health organization. Mental health organizations prior to the development of peer support intiatives were the biggest discriminators who refused to hire the consumers of mental health services.
  • Recovery Section 2 Part 3 from virtualward on YouTube
  • The discrimination of mental health systems not hiring service users in the past, the core of recovery being understanding and taking responsibility for one's own life, where other professionals may know this intellectually they may not on a personally level. The process of recovery mirrors recovery from not psychiatric disorders. Many young people expeirince their first psychotic episode during the time when their age cohort has split away from them at the time when peer connections are the most critical. Process of greiving that loss of peer cohort is important to recovery. The nature and normal process must be encouraged. The risk is that the person may become stuck in the place of trauma, there may be a long term chronic loss of motivation. The system is an anger producing situation, one needs to express anger to get healthy. The mental health system is often a dam that holds back peoples anger. (See Kubler-Ross and Spaniol.) Class consciousness, what has happened to people like me. Advocacy for social change.
  • Recovery Section 2 Part 4 from virtualward on YouTube People who have the name "the" as their middle name: Howie the Harp was one of the greatist advocates of the homeless, Kate the Great tells her story about London Psychiatric Hospital. Future is just more of the same, bottoming out the spark of recovery "I choose to live" no longer willing to allow others to control her life. Never hospitalised again. This video shifts from the American speaker to two other speakers abroad. The concept of recovery from Schizophrenia, two views that debate whether or not people recover from Schizophrenia. Research shows that between 45% and 60% do recover from Schizophrenia.
  • Recovery Section Part1 from virtualward on YouTube
  • Recovery Section Part1 from virtualward on YouTube
  • Recovery Section Part1 from virtualward on YouTube
  • Recovery Section Part1 from virtualward on YouTube
  • Recovery Section 4 Part1 from virtualward on YouTube
  • Recovery Section 4 Part2 from virtualward on YouTube
  • Recovery Section 4 Part3 from virtualward on YouTube
  • Recovery Section 4 Part4 from virtualward on YouTube
  • The views of Australians British and Americans on the need for recovery, the acceptance for the illness, a need for change for others, recovery can be slow, there are series of recoveries, not just one recovery, there are very many different forms of recovery. The need to recognise the person with the illness as much if not more than the symptoms of the illness.

Essay Questions on Recovery Lecture

  1. Elizabeth Kubler-Ross developed the "Five Stages of Grief." In the video Recovery Section 2 Part 4 from virtualward on YouTube above the speaker Larry, tells of a womans recovery in the terms of the greiving process, not unlike the five stages of grief, these five stages are not linear. This is one model of the recovery process, do all recovery expeirinces conform to this paradigm?
  2. Are all persons with and with out diagnosed mental illness in recovery from some kind of problems, illness or issues?

The Independent Living Movement

  • Howie The Harp was one of the original pioneers in mental health recovery. This rare archive of footage is priceless in its historical value.

In reflective summary on recovery

  1. Article on Pat Deegan's Web page
  2. Recovery is as much about the rights of persons with psychiatric conditions, as much as it is about anything else. Here is a suggested reading list
  3. The Allegory of the Cave

Closing the gap

  • Most of the talk about "Recovery" as a concept is Social work (Rehabilitation, service provision, health care intiative or other beuaracracy etc.) Which Clifton Nees writes in his unfinished Manifesto on a Science of Recovery Psychology that Rehabilitation is like the work of a licensed professional industrial welder, who might know a thing or two about thermodynamics (Thermodynamics is the science of heat and things getting hot.) A officially recognized expert PhD in Thermodynamics is not a licensed welder and may know nothing about how to use a welding machine. A welder may not neccessarily even know half what a person studying thermodynamics might know, in order to be a competent welder. This is how psychiatric rehabilitation (in analogy welding) can be compared to recovery psychology (in analogy thermodynamics) which studies a natural phenomena that is not dependent on human intervention, such as recovery (in analogy heat.)
  • It is the beilef that psychology in studying psychological disorders, has spent far too much time and energy speaking about deviant, abnormal, clinical, psychopathology, deviant pathology, symptomology, disordered and the whole list of synonyms that mean mentally disturbed or disordered. The APA prints various journals all with corresponding names, for each one there is branch of psychology taught at colleges and universities, with of course textbooks which such titles. Meanwhile an executive order was signed in 2001 by the US president ordering for the an Education campaign about recovery from psychological disorders. Clifton Nees asks "where do people get their educations from? Should not the National Campaign on Education be on college campuses?" So far SAMSHA and Department of Health and Human Services, along with many Universities are doing research and educational materials (Science to Services), which still do not directly address the ions transmitting across the synapses in person recovering from psychological disorder. see Neuroimaging see any textbook that carries information on psychological disorder