Rockland Psychiatric Center, 140 Old Orangeburg Rd., RPC B57, Orangeburg, NY 10962, USA.
Psychiatr Serv. 2012 Mar;63(3):277-9. doi: 10.1176/appi.ps.201100248.
Treatment grounded in recovery principles is often viewed as not being based on the "medical model." In this Open Forum the author asserts that recovery from mental illness is entirely compatible with concepts of recovery from medical illness and with new approaches to medical treatment. Three ways of conceptualizing recovery are defined: clinical recovery, illness management, and personal recovery. Basing treatment on recovery principles is supported by research that has shown significant remission rates over time among persons with schizophrenia. The author uses examples of public figures and of one family with physical disabilities to illustrate the progress society has made toward accepting and including people with physical illness and disability. Recovery-oriented mental health treatment parallels the move in other medical specialties toward person-centered care. A clinical approach to promote recovery is discussed.
以康复原则为基础的治疗方法通常被视为不符合“医学模式”。在本论坛中，作者断言，从精神疾病中康复与从医学疾病中康复以及与新的医疗方法完全兼容。定义了三种康复概念：临床康复、疾病管理和个人康复。基于康复原则的治疗方法得到了研究的支持，研究表明，随着时间的推移，精神分裂症患者的缓解率显著提高。作者用公众人物和一个身体残疾家庭的例子来说明社会在接受和包容身体疾病和残疾人士方面所取得的进步。以康复为导向的心理健康治疗与其他医学专业向以患者为中心的护理模式转变相吻合。本文讨论了一种促进康复的临床方法。
