Hugman R
Sante Ment Que. 1994 Spring;19(1):47-58.
Increasingly the purposes and focus of mental health rehabilitation has turned away from a concern to maximise the functioning of individuals towards an interest in helping people with mental needs to interact sufficiently well with their environment so as to gain independence in everyday life (Wing, 1980). Rehabilitation is to be seen, therefore, as a process rather than an event (Sheppard, 1984). In other words, rehabilitation not simply a single treatment (or fixed series of treatment) but often will be a longer term intervention to maintain social functioning and support adaptation. A failure to understand this distinction or to translate it into guiding principle which informs all aspects of professional practice in psychiatric rehabilitation results in misdirected effort (or, worse, in a series of empty rituals which reinforce dependence) (Watts and Bennett, 1993; Brandon, 1991). A central question for all the caring professions engaged in psychiatric rehabilitation, therefore, is how to utilize their skills to enable and support this process.
心理健康康复的目的和重点越来越多地从关注最大限度地提高个人功能,转向关注帮助有心理需求的人与其环境充分互动,以便在日常生活中获得独立(温,1980)。因此,康复应被视为一个过程而非一个事件(谢泼德,1984)。换句话说,康复不仅仅是单一的治疗(或固定的一系列治疗),而往往是一种长期干预,以维持社会功能并支持适应。未能理解这种区别或将其转化为指导原则,从而影响精神科康复专业实践的各个方面,会导致努力方向错误(或者更糟的是,导致一系列强化依赖的空洞仪式)(瓦茨和贝内特,1993;布兰登,1991)。因此,所有从事精神科康复的关爱专业面临的一个核心问题是,如何利用他们的技能来促成并支持这一过程。