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Recovery-oriented psychiatry: oxymoron or catalyst for change?
Helene Speyer1, David Roe2, Mike Slade3
1Copenhagen Research Center for Mental Health, Mental Health Center Copenhagen, Mental Health Services in the Capital Region of Denmark, Copenhagen, Denmark; Department of Clinical Medicine, Faculty of Health and Medical Sciences, University of Copenhagen, Copenhagen, Denmark; Competence Center for Rehabilitation and Recovery, Mental Health Services in the Capital Region of Denmark, Copenhagen, Denmark.
This analysis explores the recovery movement and psychiatry, highlighting tensions between grassroots empowerment and the medical paradigm. It proposes a framework for integrating recovery principles into psychiatric practice for meaningful transformation.
Area of Science:
- Mental Health
- Psychiatry
- Social Justice
Background:
- The recovery movement emphasizes empowerment and systemic change.
- Psychiatry is traditionally rooted in a medical paradigm.
- Tension exists between these two perspectives.
Purpose of the Study:
- To develop a conceptual framework for the intersection of recovery and psychiatry.
- To foster academic debate and meaningful implementation of recovery principles.
- To avoid superficial adoption of recovery concepts.
Main Methods:
- Normative and conceptual analysis.
- Exploration of contrasting values, ontologies, and epistemologies.
- Examination of integrative and non-integrative pluralistic approaches.
Main Results:
- Identified points of tension and areas of compatibility between recovery and psychiatry.
- Discussed various pluralistic approaches to integration.
- Developed actionable recommendations for organizational transformation.
Conclusions:
- A nuanced framework is needed to bridge the recovery movement and psychiatry.
- Meaningful integration requires addressing underlying values and epistemologies.
- Transformation at multiple organizational levels is recommended.
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