Lecture 2: personal recovery Flashcards
a third person perspective:
the ‘external’ object
- the patient has a disorder, or is disordered
- the clinician diagnoses the disorder
- the clinician knows and explains the disorder
- the clinician treats the disorder
- the patient needs to follow the treatment
-> clinical recovery: if the treatment is successfull the disorder is cured
a first person perspective
the ‘internal’ subject:
- what is the matter with me
- how did i get this way? am i crazy?
- what are they telling me? do they even understand? can i trust these people?
- the world seems so different now, so black, so strange
- who am i? where do i belong?
- what will the future bring?
personal recovery: ?
4 key domains of recovery
I. Hope: what will happen to me?
II. Identity: who am i?
III. Meaning (direct): what has happened?
Meaning (indirect): what does this mean for me?
IV. personal responsibility: what can i do?
a second person perspective=
- attunement to the first person perspective
- empathetic understanding of the mind of the other
- creative collaboration and co-construction
- interest in personal narratives and processes of meaning-making
identity: developing the self via others
crucial relationships in recovery narratives are:
- a higher being or connection with others
- close relationships
- other mental health service users (experts by experience)
- a specific mental health professional
aims of recovery oriented assessment
- Promote and validate the development of personal meaning
- Amplify strengths rather than deficits
- Foster personal responsibility rather than passive compliance
- Support the development of a positive identity rather than an illness
identity - Develop hopefulness rather than hopelessness
3 factoren van promoting & validating the development of personal meaning
- validate
- ask open questions on meaning-making
- learn to deal with difficult emotions
validate=
reflections, summarize using the clients own words
ask open questions on meaning making=
- wat betekende het voor je toen…
- dus, hoe interpreteer jij dit?
- heb je enig idee over waarom je je zo voelt?
3 manieren: amplify strengths rather than deficits
- open questions in search of strengths.
- think ‘coping’!
-> behaviours, thoughts and actions are ways to make sense of the world and deal with it. aks yourself: how may this be a way to cope with internal or external obstacles? - search with the client for internal and external resources
foster personal responsibility rather than passive compliance
- Learn to sit back and shut up
- Ask open questions that facilitate agency
- What would make a difference in your life
- What would it take to get there? Etc. - Give suggestions and ask about them
- Some people say that their moods improve after exercising. What is your experience with that?
Support the development of a positive identity rather than an illness identity -> wat kan je als psycholoog doen?
- Investigate your own biases concerning mental illness.
- Be curious about what the mental problems mean to the person.
- Do not assume it is the same as for you.
- Ask open questions on meaning
- How is it for you to sit here with a psychologist?
develop hopefulness rather than hopelessness
- Trust us: there is good reason for hope
- Learn to be present
- Learn to understand, validate, summarize, etc.
- Don’t give ‘cheap’ hope
suicidality
- Speaking personally about suïcide does not plant ideas in someones head.
- Avoiding or tabooing the topic isolates people.
- The permission to freely speak about it can give relief and be helpful.
- It is part of our profession
- It is part of the intake
what is suicidality
- Spectrum: Thoughts of death <-> Suicidal Actions
- It is typically not the wish to be dead
- Most commonly it is:
1. The wish to escape or get rid of something terrible
2. The feeling that this is not possible: entrapment
