Slade ch3 & 16 + personal recovery lecture Flashcards
Clinical recovery (Slade)?
- Objective, observable state, characterized by symptom reduction and functional improvement
- Traditional view
- Defined externally by professionals (instead of client)
Schizophrenia recovery rates indications?
- Recovery rates range widely, indicating that schizophrenia is not inevitably chronic or degenerative
- Contrary to past beliefs (which I imagine assumed that it was inevitably chroning/degenerative)
Personal recovery (Slade)?
- Subjective process described by clients
- Finding meaning and purpose in life, hope, identity and personal responsibility (regardless of symptom presence)
Differences clinical vs. personal recovery?
Clinical = symptom reduction defined by professionals, personal = living a meaningful and fulfilling life, regardless of clinical symptoms
Recovery-focused assessment principles? (6)
- Validate personal meaning
- Amplify strengths
- Encourage personal responsibility
- Promote positive identity
- Cultivate hope
- Acknowledgement of client also being an expert (aka partnership)
Baumeister’s framework for the four needs for meaning?
- Purpose (understanding life goals and future fulfillment)
- Values (encouraging expression and respect of personal beliefs and values)
- Efficacy (building confidence that individuals can make a difference in their own lives)
- Self-worth (promoting positive self-regard and empowerment through active roles and meaningful social contributions)
Barriers to effective assessment (Slade, moreso in the difference clinical vs. personal)
- Assessments traditionally overemphasize deficits and pathology, reinforcing a negative illness identity
- Recovery-focused must deliberately highlight strengths, assets and meaninful goals
Problem focus cycle vs. appreciative listening cycle?
Respectively:
- problem defined by clinician > intervention > compliance focus > reasessment (disempowering and deficit-focused)
- accessing resources > facing challgenges together (empowering, strength-based and hopeful)
Slade’s really selling their point huh
What are other names for clinical and personal recovery?
Third person perspective, vs. first person perspective (respectively)
What is meant with a second person perspective?
Basically a bridge between first person (client) and third person (clinician) = intersubjective & collaborative
Four key domains of recovery (from the lecture)?
- Hope = what will happen
- Identity = who am I
- Meaning (direct = what happened, indirect = what does that mean for me)
- Personal responsibility = what can I do
Why is idenity important for recovery narratives?
Development of the self via others (religion, connection, close relationships, mental health services, etc.)
Historically, how did personal recovery come to be? (4)
- Client-centered movements (humanism)
- Anti-authoritarian movements (anti-psychiatry movement)
- Dissatisfaction with the dominant discourse in the 80s (DSM, psychofarma, etc.)
- Dissatisfaction from clients (“nothing about us, without us”)
What is an important concept that the clinician should keep in mind with personal recovery?
tbh any type of therapy
Reflexivity (how we affect the client/treatment, through or views, values, etc.)
