Acharya Tanvi, Agius Mark
Emmanuel College Cambridge, Cambridge, UK.
Psychiatr Danub. 2017 Sep;29(Suppl 3):619-622.
Hope underpins the recovery process of mental illness, as recovery depends on the notion that a patient desires to get better. This makes hope the route by which it occurs. Here, we assess the importance of hope in recovery by exploring what recovery means; the relevance of hope and other factors in achieving it; and finally, the difficulties surrounding maintaining hope. We attempt to discuss hope in the context of recovery from three different situations; Depression, Anorexia Nervosa, and Schizophrenia, and therefore we consider what recovery means in each of these situations and hence the role of hope in each of them. The journey of recovery is an on-going, personal process, which aims to allow a person to have a satisfying life despite the limitations posed by their condition. Several factors are important in permitting it, ranging from learning how to manage one's condition, to improving self- esteem. However, the central tenet in recovery is hope- it is the catalyst for change, and the enabler of the other factors involved in recovery to take charge. Whilst problems exist in helping an individual believe in it, there exist definite routes by which it can be done, such as education and reducing stigma. Ultimately, hope is just as important in recovery from mental illness as in physical illness because hope matters in any situation - the only difference is that in mental illness, the end point is much harder to rationalize in the patient's mind because it requires an awareness that one's mental state is not fixed, the truth being that mental illnesses are not part of one's nature, but are states of mind which can be changed in many instances. Therefore, we must work even harder to ensure this belief is instilled in those suffering from mental illness because hope offers the means by which a better future can be perceived; and therefore, achieved.
希望是精神疾病康复过程的基础,因为康复取决于患者想要好转的信念。这使得希望成为康复发生的途径。在此,我们通过探讨康复的含义、希望及其他因素在实现康复中的相关性,以及最后围绕维持希望所存在的困难,来评估希望在康复中的重要性。我们试图从抑郁症、神经性厌食症和精神分裂症这三种不同情况的康复背景下讨论希望,因此我们考虑在每种情况下康复意味着什么,以及希望在每种情况中的作用。康复之旅是一个持续的个人过程,其目的是让一个人尽管受到自身状况的限制,仍能过上满意的生活。有几个因素在促成康复方面很重要,从学习如何管理自身状况到提高自尊。然而,康复的核心原则是希望——它是变革的催化剂,是促使康复中涉及的其他因素发挥作用的推动者。虽然在帮助个体相信希望方面存在问题,但确实有实现这一点的明确途径,比如教育和减少污名化。最终,希望在精神疾病康复中与在身体疾病康复中同样重要,因为希望在任何情况下都很重要——唯一的区别在于,在精神疾病中,终点在患者心中更难合理化,因为这需要意识到一个人的精神状态不是固定不变的,事实上精神疾病并非一个人本性的一部分,而是在很多情况下可以改变的心理状态。因此,我们必须更加努力确保将这种信念灌输给那些患有精神疾病的人,因为希望提供了一种能够感知并进而实现美好未来的方式。