Personal accounts of consumer/survivors: insights and implications

The personal accounts of people diagnosed with mental illness have much to teach practitioners. Based on the four articles in this issue, the expanding literature of personal accounts, and the relevant professional literature, some of the salient themes are discussed. Initially, the human context of mental illness is explored, including the diversity among those diagnosed with mental illness and the cataclysmic impact of such a diagnosis on individuals. The recovery process also is examined, including the role of hope, locus of control, coping skills and strategies, and social support and self-help. Finally, the mental health system is considered, including the limitations of the system, patienthood, professional roles and relationships, and psychotherapy. Implications for practitioners are noted.