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Journeys through mental illness: clients' experiences and understandings of mental disorders
- Author:
- FOSTER Juliet L.H.
- Publisher:
- Palgrave Macmillan
- Publication year:
- 2007
- Pagination:
- 218p., bibliog.
- Place of publication:
- Basingstoke
At a time when service users' perspectives are increasingly recognized in healthcare, this seminal book highlights the importance of clients' perceptions of all aspects of mental illness. It examines the implications of these understandings, especially in relation to clients' relationships with services.
Psychiatrist-consumer relationships in US public mental health care: consumers' views of a disability system
- Author:
- TANENBAUM Sandra J.
- Journal article citation:
- Disability and Society, 24(6), October 2009, pp.715-726.
- Publisher:
- Taylor and Francis
The US public mental health system is a disability system. By this is meant that public programs for people with mental illness serve consumers who are seriously and chronically ill, functionally disabled and eligible for benefits by virtue of their disability. This study explores, through focus groups and qualitative data analysis, the perceptions of these consumers of their relationships with public sector psychiatrists. Thematic analysis finds relationships of three types - compliance, collaboration and contention - and constituent sub-themes that specify these further. Issues of poverty and powerlessness arise in every category, but especially in contentious relationships. The paper argues that the economic and political empowerment of people with psychiatric disabilities is vital to the success of their clinical care.
Recovery in psychiatry
- Authors:
- SCHRANK Beate, SLADE Mike
- Journal article citation:
- Psychiatric Bulletin, 31(9), September 2007, pp.321-325.
- Publisher:
- Royal College of Psychiatrists
In recent years, the concept of recovery from severe mental illness has increasingly gained relevance in the mental health field. Countries all over the world have been introducing recovery policy into mental health services However, there is still debate about the concept, such as whether symptom reduction is central or not. This article proposes a conceptual framework for recovery and identifies emergent practical issues. The term, two meanings, two classes of definitions which emerged from two different influences, can be identified for the term recovery in mental health. In psychiatry the idea of recovery is based on longitudinal studies demonstrating a widely heterogeneous course for severe mental illnesses. In this context, remission is defined as an improvement in symptoms and other deficits to a degree that they would be considered within a normal range. Recovery can be seen as a long-term goal of remission This is named service-based definition of recovery. A second definition of the term recovery came from the self-help and consumer/user/survivor movement. Here, recovery may include, but does not require, symptom remission or a return to normal functioning. However, recovery is seen as a process of personal growth and development, and involves overcoming the effects of being a mental health patient, with all its implications, to regain control and establish a personally fulfilling, meaningful life This is named the user-based definition of recovery. This is exemplified by the National Institute for Mental Health in England definition of recovery as the ‘achievement of a personally acceptable quality of life’.
Choosing methods in mental health research: mental health research from theory to practice
- Editors:
- SLADE Mike, PRIEBE Stefan, (eds.)
- Publisher:
- Routledge
- Publication year:
- 2006
- Pagination:
- 298p., bibliog.
- Place of publication:
- London
This book is concerned with how to choose the most appropriate mental health research method, not only to address a specific question, but to maximize the potential impact on shaping mental health care. The editors focus attention on the types of audience that the researcher is seeking to influence, the types of evidence each audience accepts as valid, and the relative strengths and limitations of each type of methodology. A range of research methodologies are described and critically appraised, and the use of evidence by different groups is discussed. This produces some important findings about the interplay between research production and consumption, and highlights directions for future mental health research theory and practice. The findings presented here will be relevant to mental health service users and professionals who use research evidence to inform decision-making.
Service user involvement in training: the trainees' view
- Authors:
- VIJAYAKRISHNAN Ajay, et al
- Journal article citation:
- Psychiatric Bulletin, 30(8), August 2006, pp.303-305.
- Publisher:
- Royal College of Psychiatrists
A questionnaire survey was conducted of trainees across the South-West London and St George's Basic Specialist Training Scheme in Psychiatry to explore their attitudes towards service user involvement in training. Fifty-two completed questionnaires were received; 20 trainees (38%) had not attended teaching sessions where a user was present; 35 trainees (67%) were agreeable to service user involvement in examinations. Reservations concerned the objectivity of service users in examination rating and their role as an expert on assessing the trainee's skill. Awareness of user involvement strategies and policies in their trusts were not matched with actual participation. Service users should be involved in teaching in an expert capacity and also in examinations, with safeguards regarding transparency and objectivity of the marking schemes in place.
The future of critical psychiatry
- Author:
- HOPTON John
- Journal article citation:
- Critical Social Policy, 26(1), February 2006, pp.57-73.
- Publisher:
- Sage
This article outlines an agenda for critiques of psychiatry and other mainstream ideologies of mental health for the 21st century. While the heyday of anti-psychiatry was the period from the 1960s to the 1970s, new critiques of psychiatry, clinical psychology and psychotherapy continued to emerge throughout the last two decades of the 20th century. Some of these – not least those that emerged from the mental health service users’ movement – echoed the themes of earlier critics such as R. D. Laing and Thomas Szasz by questioning the legitimacy of diagnoses and therapeutic interventions. Others focused on anti-racist and/or feminist perspectives. This paper suggests that, in the wake of developments in biological psychiatry and socio-biology as well as clinical advances in psychopharmacology and the rise of Evidence Based Psychiatry, critical psychiatry has a new role. This role is less adversarial than that of the so-called anti-psychiatry of the 1960s and 1970s and less concerned with challenging basic assumptions about the causes of mental distress. The critical psychiatry of the 21st century can best serve the interests of service users by ensuring that service users’ rights to autonomy, fairness and freedom of choice are not overlooked due to a preoccupation with the science of Evidence Based Psychiatry.
What chance choice?
- Author:
- GEORGE Chris
- Journal article citation:
- Mental Health Today, September 2004, pp.12-13.
- Publisher:
- Pavilion
- Place of publication:
- Hove
Asks how realistic patient choice, the Government's 'next big thing' for the NHS, is for users of mental health services. It is a highly complex issue, given that the illness itself is commonly believed to compromise people's capacity even to recognise they are unwell and need treatment. Minister of State Rosie Winterton has said the reforms apply as much to mental health as the rest of the NHS. Gives the views of representatives of Rethink, the Sainsbury Centre for Mental Health, the Royal College of Psychiatrists, the Mental Health Foundation, the King's Fund, and Central and North West London NHS Mental Health Trust, and the experiences of a user.
Sure thing
- Author:
- ROSE Diana
- Journal article citation:
- Openmind, 116, July 2002, p.22.
- Publisher:
- MIND
Reports on the Service User Research Enterprise (SURE) at the Institute of Psychiatry in London. SURE has been set up to promote collaborative research between mental health service users and clinical academics.
Lest we forget
- Author:
- JACKSON Catherine
- Journal article citation:
- Mental Health and Learning Disabilities Care, 3(7), March 2000, pp.220-221.
- Publisher:
- Pavilion
The filmed life stories and testimonies of survivors of the psychiatric system have been added to the National Life Story Collection at the British Library. This article details the Mental Health Media project and gives some brief examples of the kind of stories that were told.
Teenage narratives of electroshock
- Authors:
- COELHO Dawn, BALDWIN Steve
- Journal article citation:
- Changes an International Journal of Psychology and Psychotherapy, 17(2), Summer 1999, pp.102-103.
Electroshock or electro-convulsive therapy (EST/ECT) is an invasive psychiatric procedure aimed at alleviating symptoms rather than achieving cure. ECT recipients and some practitioners are actively promoting the ban of the procedure. Offers a brief summary of how ECT originated and presents self reports from teenagers given electroshock, sometimes non voluntarily.