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Classification of Illness01:17

Classification of Illness

The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
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Integrating Computerized Linguistic and Social Network Analyses to Capture Addiction Recovery Capital in an Online Community
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Published on: May 31, 2019

Recovery: an international perspective.

Mike Slade1, Michaela Amering, Lindsay Oades

  • 1Health Service and Population Research Department, Institute of Psychiatry King's College London, London, United Kingdom. m.slade@iop.kcl.ac.uk

Epidemiologia E Psichiatria Sociale
|July 1, 2008
PubMed
Summary

Understanding the difference between clinical and personal recovery is crucial for mental health services. Personal recovery focuses on a satisfying life, distinct from clinical remission, requiring fundamental service value shifts.

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Area of Science:

  • Mental Health Services Research
  • Psychiatry
  • Psychology

Background:

  • The concept of 'recovery' in mental health has evolved, with distinct interpretations emerging from professional literature and consumer narratives.
  • Distinguishing between 'clinical recovery' (remission and functioning) and 'personal recovery' (satisfying life despite limitations) is essential for service development.

Purpose of the Study:

  • To review international developments in recovery-focussed mental health services.
  • To differentiate between clinical and personal recovery models.
  • To propose a framework for identifying recovery-focussed services.

Main Methods:

  • Review of international literature on recovery-focussed mental health initiatives.
  • Analysis of two distinct conceptualizations of recovery: clinical and personal.
  • Identification of indicators for personal recovery-focussed services, including the role of medication and service user engagement.

Main Results:

  • Clinical recovery emphasizes sustained remission and functional restoration, while personal recovery focuses on a meaningful life with illness-related limitations.
  • Two examples of personal recovery-focussed initiatives are presented: the Collaborative Recovery Model (Australia) and Trialogues (German-speaking Europe).
  • Services heavily reliant on medication, using terms like 'compliance,' and exhibiting attributional bias are unlikely to be personal recovery-focussed.

Conclusions:

  • Conceptual clarity regarding 'recovery' is vital due to its varied interpretations.
  • Implementing personal recovery requires significant shifts in the core values and practices of mental health services, beyond superficial changes.