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心理健康康复运动与家庭治疗,第一部分:被诊断患有严重精神疾病的患者主导的服务改革。

The mental health recovery movement and family therapy, part I: consumer-led reform of services to persons diagnosed with severe mental illness.

机构信息

Marriage and Family Therapy Program, California State University, 18111 Nordhoff, Northridge, California 91330, USA.

出版信息

J Marital Fam Ther. 2012 Jul;38(3):429-42. doi: 10.1111/j.1752-0606.2011.00230.x. Epub 2011 Apr 19.

DOI:10.1111/j.1752-0606.2011.00230.x
PMID:22804463
Abstract

In 2004, the U.S. Department of Health and Human Services issued a consensus statement on mental health recovery based on the New Freedom Commission's recommendation that public mental health organizations adopt a "recovery" approach to severe and persistent mental illness, including services to those dually diagnosed with mental health and substance abuse issues. By formally adopting and promoting a recovery orientation to severe mental illness, the United States followed suit with other first-world nations that have also adopted this approach based on two decades of research by the World Health Organization. This movement represents a significant paradigm shift in the treatment of severe mental health, a shift that is more closely aligned with the nonpathologizing and strength-based traditions in marriage and family therapy. Furthermore, the recovery movement is the first consumer-led movement to have a transformational effect on professional practice, thus a watershed moment for the field. Part I of this article introduces family therapists to the concept of mental health recovery, providing an overview of its history, key concepts, and practice implications. Part II of this article outlines a collaborative, appreciative approach for working in recovery-oriented contexts.

摘要

2004 年,美国卫生与公众服务部根据新自由委员会的建议发布了一项关于精神健康康复的共识声明,该建议要求公共精神卫生组织对严重和持续的精神疾病采用“康复”方法,包括为同时被诊断患有精神健康和药物滥用问题的人提供服务。美国通过正式采用并推广严重精神疾病的康复方向,效仿了其他也基于世界卫生组织二十年研究而采用这种方法的发达国家。这一运动代表了严重精神健康治疗方面的重大范式转变,这种转变更符合婚姻和家庭治疗中非病理化和基于优势的传统。此外,康复运动是第一个对专业实践产生变革性影响的以消费者为导向的运动,因此是该领域的一个分水岭时刻。本文第一部分向家庭治疗师介绍精神健康康复的概念,概述其历史、关键概念和实践意义。本文第二部分概述了在以康复为导向的背景下进行合作和欣赏性工作的方法。

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