Pandya Anand, Jän Myrick Keris
Department of Psychiatry and Behavioral Neurosciences, UCLA School of Medicine, Los Angeles, CA, USA.
J Psychiatr Pract. 2013 May;19(3):242-6. doi: 10.1097/01.pra.0000430509.82885.d2.
People living with mental illnesses, their family members, and advocacy groups have long encouraged the mental health system to adopt a greater focus on wellness and recovery. A superficial interpretation of wellness and recovery may cause some clinicians to devalue the possibility and importance of wellness and recovery for the people they serve, and this may inhibit or disrupt the development of a working therapeutic relationship. This column reviews definitions of wellness and recovery and their applicability to serious mental illnesses and provides an overview of several programs that promote wellness and recovery. In addition to peer-led courses, ongoing peer support and a range of applications for mobile devices can help consumers lead a self-directed and affirming life that facilitates symptom management and reduction and maximizes wellness. By understanding wellness and recovery and how people living with mental illnesses achieve these goals, psychiatrists may build rapport with their patients and improve outcomes. By familiarizing oneself with new resources available to people with serious mental illness, mental health clinicians may be able to suggest supports that extend far beyond the time constraints of our current treatment model.
长期以来，患有精神疾病的患者、他们的家庭成员以及倡导团体一直鼓励心理健康系统更加关注健康和康复。对健康和康复的肤浅理解可能会导致一些临床医生轻视他们所服务的人群实现健康和康复的可能性及重要性，而这可能会抑制或破坏有效的治疗关系的发展。本专栏回顾了健康和康复的定义及其在严重精神疾病中的适用性，并概述了几个促进健康和康复的项目。除了同伴主导的课程外，持续的同伴支持以及一系列移动设备应用程序可以帮助患者过上自主且积极的生活，这有助于症状管理和减轻，并最大限度地提高健康水平。通过理解健康和康复以及患有精神疾病的人如何实现这些目标，精神科医生可以与患者建立融洽的关系并改善治疗效果。通过熟悉严重精神疾病患者可获得的新资源，心理健康临床医生或许能够提供远远超出我们当前治疗模式时间限制的支持。
