Simon Robertson Stuart1,2,3, Louise Tansey2, Ethel Quayle3. 1. a Clydesdale Psychological Therapies Team, NHS Lanarkshire , Carluke , UK. 2. b Clinical Psychology, NHS Lothian , Edinburgh , UK , and. 3. c Department of Clinical Psychology , School of Health in Social Science, University of Edinburgh , UK.
Abstract
BACKGROUND: The recovery approach is increasingly popular among mental-health services, but there is a lack of consensus about its applicability and it has been criticised for imposing professionalised ideas onto what was originally a service-user concept. AIMS: To carry out a review and synthesis of qualitative research to answer the question: "What do we know about how service users with severe and enduring mental illness experience the process of recovery?" It was hoped that this would improve clarity and increase understanding. METHOD: A systematic review identified 15 peer-reviewed articles examining experiences of recovery. Twelve of these were analysed using best-fit framework synthesis, with the CHIME model of recovery providing the exploratory framework. RESULTS: The optimistic themes of CHIME accounted for the majority of people's experiences, but more than 30% of data were not felt to be encapsulated. An expanded conceptualisation of recovery is proposed, in which difficulties are more prominently considered. CONCLUSIONS: An overly optimistic, professionally imposed view of recovery might homogenise or even blame individuals rather than empower them. Further understanding is needed of different experiences of recovery, and of people's struggles to recover.
BACKGROUND: The recovery approach is increasingly popular among mental-health services, but there is a lack of consensus about its applicability and it has been criticised for imposing professionalised ideas onto what was originally a service-user concept. AIMS: To carry out a review and synthesis of qualitative research to answer the question: "What do we know about how service users with severe and enduring mental illness experience the process of recovery?" It was hoped that this would improve clarity and increase understanding. METHOD: A systematic review identified 15 peer-reviewed articles examining experiences of recovery. Twelve of these were analysed using best-fit framework synthesis, with the CHIME model of recovery providing the exploratory framework. RESULTS: The optimistic themes of CHIME accounted for the majority of people's experiences, but more than 30% of data were not felt to be encapsulated. An expanded conceptualisation of recovery is proposed, in which difficulties are more prominently considered. CONCLUSIONS: An overly optimistic, professionally imposed view of recovery might homogenise or even blame individuals rather than empower them. Further understanding is needed of different experiences of recovery, and of people's struggles to recover.
Authors: Jorge Pérez-Corrales; Domingo Palacios-Ceña; Marta Pérez-de-Heredia-Torres; Rosa Martínez-Piedrola; Carlos Sánchez-Camarero; Paula Parás-Bravo Journal: BMJ Open Date: 2019-03-23 Impact factor: 2.692
Authors: Claire E Peck; Michelle H Lim; Melanie Purkiss; Fiona Foley; Liza Hopkins; Neil Thomas Journal: Front Psychiatry Date: 2020-07-02 Impact factor: 4.157