As the global psychiatric community enters a new era of transformation, this book explores lessons learned from previous efforts with the goal of “getting it right” this time. In response to the common refrain that we know about and ‘do’ recovery already, the authors set the recovery movement within the conceptual framework of major thinkers and achievers in the history of psychiatry, such as Philippe Pinel, Dorothea Dix, Adolf Meyer, Harry Stack Sullivan, and Franco Basaglia.The book reaches beyond the usual boundaries of psychiatry to incorporate lessons from related fields, such as psychology, sociology, social welfare, philosophy, political economic theory, and civil rights. From Jane Addams and the Settlement House movement to Martin Luther King, Jr., and Gilles Deleuze, this book identifies the less well-known and less visible dimensions of the recovery concept and movement that underlie concrete clinical practice.In addition, the authors highlight the limitations of previous efforts to reform and transform mental health practice, such as the de-institutionalization movement begun in the 1950s, in the hope that the field will not have to repeat these same mistakes. Their thoughtful analysis and valuable advice will benefit people in recovery, their loved ones, the practitioners who serve them, and society at large.Foreword by Fred Frese, Founder of the Community and State Hospital Section of the American Psychological Association and past president of the National Mental Health Consumers' Association
Author(s): Larry Davidson, Jaak Rakfeldt, John Strauss
Edition: 1
Year: 2010
Language: English
Pages: 299
The Roots of the Recovery Movement in Psychiatry......Page 4
Contents......Page 10
Foreword......Page 14
Acknowledgements......Page 16
1.1 What is the recovery movement in psychiatry?......Page 18
1.2 Rationale for the book......Page 22
1.3 From traitement moral to moral treatment......Page 26
1.4 Reciprocity in community-based care......Page 27
1.5 The everyday and interpersonal context of recovery......Page 28
1.6 Closing the hospital......Page 30
1.7 The rights and responsibilities of citizenship......Page 31
1.8 Agency as a basis for transformation......Page 32
1.9 Why these figures and not others?......Page 34
1.10 Conclusion......Page 38
2.1 The birth of psychiatry as a medical speciality......Page 40
2.2 Philippe Pinel and Jean-Baptise Pussin......Page 46
2.3 Traitement moral......Page 51
2.4 Pinel’s psychological interventions......Page 55
2.5 The Retreat at York......Page 59
2.6 Moral treatment or moral management?......Page 63
2.7 From treatment to education......Page 67
2.8 Re-shaping character......Page 71
2.9 The demise of moral treatment......Page 75
2.10 Summary of lessons learned......Page 76
3.1 The advocacy of Dorothea Dix......Page 78
3.2 The legacy of Dorothea Dix......Page 81
3.3 Jane Addams’ community alternative......Page 83
3.4 A series of unfortunate, but influential, events......Page 85
3.5 The founding of the first American ‘settlement’......Page 90
3.6 Forty years at Hull-House......Page 93
3.7 Distilling the active ingredients......Page 99
3.8 Interventions with individuals......Page 102
3.9 Interventions with collectives......Page 105
3.10 Applications to mental health......Page 110
3.11 Summary of lessons learned......Page 114
4.1 The birth of psychiatry as a community-based practice......Page 116
4.2 Beyond the illness paradigm (by John Strauss, part 1)......Page 117
4.3 Growing up inside Meyer’s ‘common sense’ psychiatry (by John Strauss, part 2)......Page 122
4.4 Subjectivity and the person (by John Strauss, part 3)......Page 127
4.5 Blending science and art in a human science (by John Strauss, part 4)......Page 134
4.6 From a psychiatry based in death to a psychiatry based in life......Page 136
4.7 Problems in everyday living and their resolution......Page 143
4.8 Opportunity and occupation......Page 151
4.9 The interpersonal context of recovery......Page 154
4.10 Summary of lessons learned......Page 160
5.1 The failure of the asylum......Page 162
5.2 Erving Goffman and the presentation of self......Page 164
5.3 The hospital as ‘total institution’......Page 167
5.4 Franco Basaglia and the Italian mental health reform movement......Page 173
5.5 De-institutionalization the Italian way......Page 174
5.6 Bracketing the illness......Page 178
5.7 ‘Freedom is therapeutic’......Page 183
5.8 Avoiding the re-creation of the asylum in the community......Page 186
5.9 Social inclusion......Page 189
5.10 Summary of lessons learned......Page 193
6.1 Recovery as a civil rights movement......Page 196
6.2 The incomplete world of Martin Luther King, Jnr......Page 197
6.3 Can rights be given?......Page 199
6.4 Recovery delayed is recovery denied......Page 201
6.5 Color blindness and capitalism......Page 205
6.6 The complete subject of Gilles Deleuze......Page 209
6.7 Oedipus and anti-Oedipus......Page 212
6.8 Schizophrenic speech and Watergate......Page 214
6.9 Community inclusion vs community integration......Page 217
6.10 Summary of lessons learned......Page 222
7.1 The need for a new conceptual framework......Page 224
7.2 Beyond de-institutionalization and community tenure......Page 226
7.3 Rights and recovery......Page 229
7.4 The capabilities approach of Amartya Sen......Page 231
7.5 Applying a capabilities approach to the work of transformation......Page 237
7.6 Human agency and mediation: the work of Lev Vygotsky......Page 241
7.7 Action theory, the zone of proximal development and scaffolding......Page 248
7.8 Applying activity analysis: the case of fossilized behavior......Page 254
7.9 Applying activity analysis: using the zone of proximal development......Page 260
7.10 Summary of lessons learned......Page 264
8 Conclusion......Page 266
References......Page 278
Index......Page 290
