The Mental Health Recovery Movement and Family Therapy, Part II: A Collaborative, Appreciative Approach for Supporting Mental Health Recovery

2011 ◽  
Vol 38 (3) ◽  
pp. 443-457 ◽  
Author(s):  
Diane R. Gehart
Author(s):  
SuEllen Hamkins

In practicing narratively, the doctor and patient can examine together what the doctor’s kit of psychiatry might have to offer in light of the values and preferences of the person seeking consultation, which authorizes the patient as the arbiter of what is helpful and what is not. Narrative psychiatry holds the perspective that while the doctor may have specialized knowledge about treatments, the patient is the expert on his or her life, and medicine or other treatments can be evaluated according to the values and preferences of the patient. In its nuanced approach to effective collaboration, narrative psychiatry offers ways to more fully manifest the intentions of the mental health recovery movement. This chapter will show how to collaborate with patients in considering and choosing among psychiatric resources such as psychotropic medications. In doing so, it will touch on the range of competing discourses about psychiatric treatments that may be influencing our patients and us. The story we have come to hold about who the patient is and what the problem is determines the therapeutic options we consider. All the skills described in the previous chapters—emotional attunement; developing a rich portrait of who the person is separate from the problem; clarifying the patient’s vision for his or her life; creating an externalized, experience-near description of the problem and its effects; and cultivating a narrative of how the person is resisting the problem and how that is linked to personal hopes and values—are prerequisites for being able to collaboratively consider which resources might best meet the patient’s needs. From our initial consultation on, we cultivate very different stories about the patient and the problem depending on the questions we ask—or don’t ask. Creating narratives that articulate our patients’ personal experiences of their problems and that honor their resiliencies, skills, and preferences sets the stage for considering treatments that will be most effective and life enhancing. When we have a collaborative therapeutic stance, we can look side by side with our patients at the wealth of treatment options that might be helpful and weigh the pros and cons together.


2018 ◽  
Vol 23 (1) ◽  
pp. 25-36 ◽  
Author(s):  
Kate P. Nurser ◽  
Imogen Rushworth ◽  
Tom Shakespeare ◽  
Deirdre Williams

Purpose Creating more positive individual narratives around illness and identity is at the heart of the mental health care recovery movement. Some recovery services explicitly use personal storytelling as an intervention. The purpose of this paper is to look at individual experiences of a personal storytelling intervention, a recovery college Telling My Story (TMS) course. Design/methodology/approach Eight participants who had attended the TMS course offered at a UK recovery college were interviewed. Data were analysed using interpretative phenomenological analysis. Findings Five key themes, namely a highly emotional experience, feeling safe to disclose, renewed sense of self, two-way process and a novel opportunity, were emerged. Originality/value The findings suggest that storytelling can be a highly meaningful experience and an important part of the individual’s recovery journey. They also begin to identify elements of the storytelling process which might aid recovery, and point to pragmatic setting conditions for storytelling interventions to be helpful. More time could be dedicated to individuals telling their story within UK mental health services, and the authors can use this insight into the experience of personal storytelling to guide any future developments.


2014 ◽  
Author(s):  
Beth Vayshenker ◽  
Abby Mulay ◽  
Philip T. Yanos

2020 ◽  
Vol 90 (4) ◽  
pp. 479-488
Author(s):  
Stacey L. Barrenger ◽  
Katherine Maurer ◽  
Kiara L. Moore ◽  
Inhwa Hong

2020 ◽  
Author(s):  
Huiting Xie

BACKGROUND Many people are affected by mental health conditions, yet its prevalence in certain populations are not well documented. OBJECTIVE The aim of this study is to describe the attributes of people with mental health conditions in U.S and SG in terms of: perception of mental health recovery and its correlates such as strengths self-efficacy, resourcefulness and stigma experience. With the findings, not only could the knowledge base for mental health recovery in both countries be enhanced but interventions and policies relating to self-efficacy, resourcefulness and de-stigmatization for mental health recovery could be informed. METHODS A A cross-sectional, descriptive study with convenience sample of 200 community dwelling adults were selected, 100 pax from the United States (U.S) and 100 pax from Singapore (SG). Adults with serious mental illnesses without substance abuse impacting on their recovery were recruited. Participants completed self-administered questionaires measuring their mental health recovery, strengths self-efficacy, resourcefulness and stigma experience. RESULTS This study offered the unique opportunity to examine mental health recovery as well as its correlates such as strengths self-efficacy, resourcefulness and stigma experience from both the United States and Singapore. While the perception of mental health recovery and positive attributes like strengths self-efficacy and resourcefulness remained strong in participants with serious mental illnesses across both countries, people with serious mental illnesses in both countries still experienced negative perception like stigma. The findings would not only inform strategies to promote mental health recovery but also enhance the focus on correlates such as strengths self-efficacy and resourcefulness across both countries. CONCLUSIONS The findings would not only inform strategies to promote mental health recovery but also enhance the focus on correlates such as strengths self-efficacy and resourcefulness across both countries.


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