Recovery in Serious Mental Illness: A New Wine or Just a New Bottle?

Davidson, Larry; O’Connell, Maria; Tondora, Janis; Lawless, Martha; Evans, Arthur C.

doi:10.1037/0735-7028.36.5.480

Cited by 383 publications

(322 citation statements)

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“…This implies that adaptation should be considered on the basis of QoL scores on a time by level pattern referring to a desirable endpoint [35]. Recovery takes place when the patients have been restored (at least partially) to the same state they had prior to first experiencing the condition [36].…”

Section: Introductionmentioning

confidence: 99%

A prospective study on educational level and adaptation to cancer, within one year after the diagnosis, in an older population

Barbareschi¹,

Sanderman²,

Tuinstra³

et al. 2007

Psycho-Oncology

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Socio‐economic status (SES) has often been associated with health disparities and mortality in cancer patients, yet systematic research into the role of SES in the course of the disease is lacking. This prospective study intends to examine the role of SES (i.e. educational level in this study) in psychological and physical adaptation to cancer. Ninety‐nine cancer patients were followed from a community‐based survey. Pre‐ and post‐morbid data on patients' quality of life (QoL) were available. Adaptation was defined by looking at the level and pattern of scores on QoL scales from pre‐ to post‐disease assessments. Results show some non‐significant trends that more high‐educated patients managed to adapt completely to cancer in relation to role and physical functioning when compared with low‐educated participants. Furthermore, the greater part of high‐educated patients who completely adapted in physical functioning achieved this result more rapidly without an initial deterioration. Unexpectedly, these differences were not significant when tested in a regression model. Hence, although there are some indications for differences in adaptation to role and physical functioning between educational groups, we did not find any evidence that proved such a relation. For the group as a whole, it is very interesting to see that based on our operationalization of adaptation, only a small percentage of patients deteriorated from pre‐ to post‐disease assessments. Copyright © 2007 John Wiley & Sons, Ltd.

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Section: Introductionmentioning

confidence: 99%

A prospective study on educational level and adaptation to cancer, within one year after the diagnosis, in an older population

Barbareschi¹,

Sanderman²,

Tuinstra³

et al. 2007

Psycho-Oncology

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“…This unprecedented advance in US policy is reflective of an increasing global interest in recovery as the expectation for people living with mental illness. It remains the case at this time, however, that there is little consensus on what recovery means in relation to mental illness or what is to be entailed in transforming mental health services to promote it (Davidson, O'Connell, Tondora, Staeheli, & Evans, 2005;Davidson, O'Connell, Tondora, Styron, & Kangas, 2006). We consider these aims to be of sufficient urgency and import to warrant dissemination of admittedly preliminary efforts to tease apart the various and at times contradictory aspects of recovery and recovery-oriented practice appearing increasingly in the literature (e.g., Andreasen, Carpenter, Kane, Lasser, Marder & Weinberger, 2005;Corrigan, Salzer & Ralph, 2004;Kelly & Gamble, 2005;Liberman & Kopelowicz, 2005;Resnick, Fontana, Lehman & Rosenheck, 2005;Roberts & Wolfson, 2004).…”

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confidence: 99%

Recovery from versus recovery in serious mental illness: One strategy for lessening confusion plaguing recovery

Davidson

Roe²

2007

Journal of Mental Health

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473

402

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Background: There is an increasing global commitment to recovery as the expectation for people with mental illness. There remains, however, little consensus on what recovery means in relation to mental illness. Aims: To contribute to current efforts to tease apart the various aspects of recovery appearing in the psychiatric literature by describing two conceptualizations of recovery from and recovery in mental illness. Method: Review of empirical literature on recovery and use of the term in clinical and rehabilitative practice. Results: Two potentially complementary meanings of recovery were identified. The first meaning of recovery from mental illness derives from over 30 years of longitudinal clinical research, which has shown that improvement is just as common, if not more so, than progressive deterioration. The second meaning of recovery in derives from the Mental Health Consumer/Survivor Movement, and refers instead to a person's rights to self-determination and inclusion in community life despite continuing to suffer from mental illness. Conclusions: The implications for practice of each of these concepts of recovery, as well as for that group of individuals for which neither concepts may apply, are discussed. Declaration of interest: None.

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“…The reasons for these findings are likely multifaceted, but the findings do point to a need for more education and intervention if the recovery movement is to expand to hospital-based care. The mental health field has spent considerable effort defining, conceptualizing, and measuring recovery (8)(9)(10)(11).…”

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confidence: 99%