Vignat Jean-Pierre
6, avenue Leclerc, 69007 Lyon, France.
Soins Psychiatr. 2017 Jan-Feb;38(308):21-24. doi: 10.1016/j.spsy.2016.11.004.
The evolution of mental disorders, notably the most severe forms such as schizophrenia, is a constant concern in terms of the necessary assessment of treatments and their efficiency, and to the human and economic cost of the 'chronicity' of the disorders. Many patients experience a positive evolution, evaluated in terms of subjective quality of life. However, the concept of recovery does not seem appropriate. The field of representations which the patient and the caregiver form with regard to the disease and its curability is an important element. The co-construction of the patient's future, in an approach centred on the patient, on their freedom and their autonomy, opens up the way towards recovery.
精神障碍的演变，尤其是精神分裂症等最严重形式的演变，在对治疗方法及其疗效进行必要评估以及这些障碍的“慢性化”所带来的人力和经济成本方面，一直是人们关注的焦点。许多患者在主观生活质量方面经历了积极的演变。然而，康复的概念似乎并不合适。患者和护理人员对疾病及其可治愈性形成的认知领域是一个重要因素。以患者为中心，围绕其自由和自主性来共同构建患者的未来，为康复开辟了道路。
