nog niet af Slade: The personal recovery framework (final exam)

Question 1

4 negative impacts from being diagnosed with a mental disorder (Leroy Spaniol)

Answer 1

• loss of sense of self (replaced by identity as a mental patient)
• loss of power (agency, choice, personal values)
• loss of meaning (through loss or valued social roles)
• loss of hope (giving up, and withdrawal)

Question 2

HEART acronym =

Answer 2

een acronym voor wat belangrijk is voor recovery

Hope
Esteem
Agency
Relationship
Transitions in identity, comprising: personal identity, Mãori, cultural identity, gay identity, leaving illness identity

Question 3

4 key domains of personal recovery

Answer 3

• hope
• identity
• meaning (direct: what does it mean to the patient & indirect: how do the symptoms integration into personal and social identity)
• personal responsibility

Question 4

5 vragen bij die key domains

Answer 4

• hope = what will happen to me?
• identity = who am i?
• direct meaning = what has happened?
• indirect meaning = what does this mean for me?
• personal responsibility = what can i do?

Question 5

4 psychological events of recovery

Answer 5

1. Crisis, followed by a stage of recuperation, accompanied by denial, confusion and despair
2. Decision to get going, followed by rebuilding the ability to resume normal life roles, suffering setbacks and developing a more integrated sense of self
3. Awakening to restructured personhood, followed by the stage of recovery and rebuilding healthy interdependence – a stage characterised by future goals, meaningful work, advocacy and fun

Question 6

two phases of recovery

Answer 6

1. ‘Why me?’ followed by the search for the meaning to the illness
2. ‘What now?’ followed by the task of developing a new identity and positive sense of self.

Question 7

Andresen’s five-stage model of recovery

Answer 7

1. moratorium
2. awareness
3. preparation
4. rebuilding
5. growth

Question 8

moratorium =

Answer 8

characterised by denial, confusion, hopelessness, identity confusion and
self-protective withdrawal

Question 9

awareness=

Answer 9

the first glimmer of hope for a better life, and that recovery is possible. This can emerge from within or be triggered by a significant other, a role model or a clinician. It involves a developing awareness of a possible self other than that of mental patient.

Question 10

preparation =

Answer 10

the person resolves to start working on recovery, e.g. by taking stock of personal resources, values and limitations, by learning about mental illness and available services, becoming involved in groups and connecting with others who are in recovery

Question 11

rebuilding =

Answer 11

the hard work stage, involving forging a more positive identity, setting and striving towards personally valued goals, reassessing old values, taking responsibility for managing illness and for control of life, and showing tenacity by takings risks and suffering setbacks

Question 12

growth =

Answer 12

[may also be considered the outcome of the previous recovery processes]
whether or not symptom-free, the person knows how to manage their illness and stay well. Associated characteristics are resilience, self-confidence and optimism about the future. The sense of self is positive, and there is a belief that the experience has made them a better person

Question 13

NIHME four stage model of recovery

Answer 13

Stage 1: Dependent / Unaware
Stage 2: Dependent / Aware
Stage 3: Independent / Aware
Stage 4: Interdependent / Aware

Question 14

twee kritiek punten van any stage model

Answer 14

1. First, it imposes an order on human growth and development which may not fit some people’s experiences. In other words, its external validity is limited. An image of a spiral rather than linear stages may be a more helpful metaphor.
2. Second, it can easily become seen as a model for what should happen, with consequent feelings of failure incurred for people who do not seem to be recovering.

Question 15

wat is een oplossing voor deze kritiekpunten

Answer 15

The response to these concerns is to distinguish between a map and a route.
Providing a map of the terrain does not prescribe the best way through it. Similarly,
providing a synthesis of the kinds of domains and processes involved in the recovery
journey of others has value in a general way, but does not provide an individualised list
of instructions to follow. Each person needs to find their own way forward.

Question 16

clinical advantages of stage models:

Answer 16

• therapeutic optimism
• making sense both of progress and of lack of discernible progress in a non stigmatising & non pathologising way
• help clinicians become more sophisticated in providing support matched to the persons stage of recovery

Question 17

personal identity bestaat uit…

Answer 17

• a mental model of oneself (self-image)
• self-esteem (a valued personal identity)
• individuation (the process of differentiated components becoming a more individisble whole)
• a capacity for self-reflextion
• awareness of self

(personal identity sets us apart from others, is what makes us unique)

Question 18

social identity=

Answer 18

• role-behaviour
• discrimination towards outsiders by members of the in-group
• identity negotiation in which the person negotiates with society about the meaning and value of their identity

Question 19

dus wat is identity

Answer 19

Identity comprises those persistent characteristics which make us unique and by
which we are connected to the rest of the world