Lecture 2: Personal Recovery

Question 1

What 2 kinds of identity does the definition (identity) contain and what do they mean

Answer 1

• personal identity = what makes you unique
• social identity = groups that define you

Question 2

What are the 4 key domains of recovery

Answer 2

1. Hope; what will happen to me
2. Identity; who am i
3. Meaning (both direct = what actually happened, and indirect = what does that mean to me)
4. Personal responsibility; what can i do

Question 3

What are 4 crucial relationships discovered in recovery narratives

Answer 3

• higher being or connection to others (culture/society)
• close relationships
• mental health service users —> experts by experience
• a specific mental health professional

Question 4

What are the 5 stages of personal recovery

Answer 4

1. Moratorium; denial, confusion, identity confusion, hopelessness
2. Awareness; some hope
3. Preparation; start working on recovery
4. Rebuilding; forging positive identity, striving for personal goals, etc
5. Growth; person knows how to manage their illness (or is symptom-free)

Question 5

What are the 4 tasks of recovery

Answer 5

1. Developing a positive identity; outside of being a person with a mental illness
2. Framing the mental illness; framed as part of the person, not the whole person
3. Self-managing the mental illness
4. Developing valued social roles

Question 6

What are the 5 aims of recovery oriented assessment

Answer 6

1. Promote and validate the development of personal meaning
2. Amplify strengths rather than deficits
3. Foster personal responsibility rather than passive compliance
4. Support the development of a positive identity rather than an illness identity
5. Develop hopefulness rather than hopelessness

Question 7

What are the 4 needs for meaning

Answer 7

• purpose
• values; sense of good/positiveness to life
• efficacy; belief that one can make a difference
• self-worth

Question 8

What are 4 coping styles

Answer 8

1. Emotional avoidance; withdraw from too painful realities
2. Re-framing; try to make sense of the situation
3. Active engagement; try to change to world/situation to fit with beliefs
4. Integration; change beliefs/values/goals to fit reality

Question 9

Explain the Appreciative Listening Cycle

Answer 9

Listening together for interests/passions/etc —> discover opportunities —> access recourses —> face challenges

Question 10

T/F: suicidality is the wish to be dead

Answer 10

False, it is usually more the wish to escape something bad, rooted in a feeling of entrapment

Question 11

Explain the Problem Focus Cycle

Answer 11

An expert defines/names the problem —> intervention to address the problem is designed —> implementation of the intervention —> assure/measure compliance —> reassess and redefine —>

Question 12

What does the RECOVER framework stand for

Answer 12

Reading, researching and learning about mental health
Emotional growth
Change of circumstances
Others: experiencing social support
Virtues - practicing them
Etcetera: individual strategies, etc.
Repeat strategies that work and realize that recovery takes time

Question 13

Explain what happened in 1945, the 1950s, the 60/70s and the 80/90s

Answer 13

1945 - psychoanalysis, institutional psychiatry and behaviorism were dominant paradigms
50s - humanistic and existentialist approaches
60/70s - anti-psychiatry
80/90s - DSM-3, rise of psychofarmacology and biopsychiatry, RCTs and protocolized treatment