The Roots of the Recovery Movement in Psychiatry: Lessons Learned [NOOK Book]


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.


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The Roots of the Recovery Movement in Psychiatry: Lessons Learned

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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

"This well-written, interesting volume should serve to provide significant edification and enlightenment to anyone desirous of a better grounding in how we have arrived at these relatively halcyon days of transforming our approach to persons with serious mental illness from one focusing primarily on care to one where the primary goal is that of recovery" (see Excerpt above for full Foreword).

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Editorial Reviews

From the Publisher
"Overall, this book would be useful for students and practitioners who are familiar with the literature on recovery." (Mental Health Practice, 1 November 2011)

"This is an important contribution from international leads, which offers the reader interested in recovery an awareness of its substantial ethical and political foundations and the need to sustain a civil rights perspective." (British Journal of Psychiatry, 2011)

"Just as Tuke and the late 18th century reformers were bold in their vision of moral treatment, we need to be bold about recovery. Davidson et al. provide some of the conceptual and political framework for that vision, and it is these aspects of their book that will help practitioners build recovery focused mental health services." (Metapsychology, February 2011)"This book should be required reading for any young professional entering the mental health field. Education in the history of the development of applied psychology will often give the reader a self-satisfied glow. We know so much more now than in the days of insulin shock therapy, hydrotherapy, and psychoanalysis. The Roots of the Recovery Movement in Psychiatry: Lessons Learned drives home the point that we can learn as much from the successes of our predecessors as we can from their mistakes". (American Psychological Association, 17 November 2010)

"This book is a wonderful contribution to the literature attempting to untangle the web of what recovery truly means to individuals and how care can continue to evolve to meet the fundamental rights of human beings with serious mental illnesses." (Psychiatric Rehabilitation Journal, Summer 2010)"However the book is not limited to the study of psychiatry- it illustrates how psychiatry has been influenced by other disciplines such as philosophy, sociology, psychology, political theory, and civil rights. This is the major strength of this book." (British Journal of Wellbeing, September 2010)

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Product Details

  • ISBN-13: 9781119964513
  • Publisher: Wiley
  • Publication date: 8/17/2011
  • Sold by: Barnes & Noble
  • Format: eBook
  • Edition number: 1
  • Pages: 294
  • Sales rank: 1,365,030
  • File size: 902 KB

Meet the Author

Larry Davidson is Associate Professor of psychiatry at the Connecticut Mental Health Center at Yale. His patient-oriented research includes recovery from serious mental illness, the development of qualitative and participatory research methods, community-based treatment of psychosis, the development and evaluation of innovative psycho-social interventions, and the promotion of collaborative relationships between people with serious mental illness and their healthcare providers. He received the President's Award, United States Psychosocial Rehabilitation Association, New York Chapter, in 2007 and the Franco Basaglia Memorial Scholarship, Fondazione Basaglia, Rome, Italy, in 2008.

Jaak Rakfeldt is Professor of Social Work at the Southern Connecticut State University in New Haven, CT, USA.

John Strauss is Emeritus Professor of Psychiatry the Department of Psychiatry at Yale University in New Haven, CT, USA.

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Table of Contents

Foreword xi

Acknowledgements xiii

1 Introduction 1

1.1 What is the recovery movement in psychiatry? 1

1.2 Rationale for the book 5

1.3 From traitement moral to moral treatment 9

1.4 Reciprocity in community-based care 10

1.5 The everyday and interpersonal context of recoveiy 11

1.6 Closing the hospital 13

1.7 The rights and responsibilities of citizenship 14

1.8 Agency as a basis for transformation 15

1.9 Why these figures and not others? 17

1.10 Conclusion 21

2 From Traitement Moral to Moral Treatment 23

2.1 The birth of psychiatry as a medical speciality 23

2.2 Philippe Pinel and Jean-Baptise Pussin 29

2.3 Traitement moral 34

2.4 Pinel's psychological interventions 38

2.5 The Retreat at York 42

2.6 Moral treatment or moral management? 46

2.7 From treatment to education 50

2.8 Re-shaping character 54

2.9 The demise of moral treatment 58

2.10 Summary of Lessons learned 59

3 Reciprocity in Community-based Care 61

3.1 The advocacy of Dorothea Dix 61

3.2 The legacy of Dorothea Dix 64

3.3 Jane Addams' community alternative 66

3.4 A series of unfortunate, but influential, events 68

3.5 The founding of the first American 'settlement' 73

3.6 Forty years at Hull-House 76

3.7 Distilling the active ingredients 82

3.8 Interventions with individuals 85

3.9 Interventions with collectives 88

3.10 Applications to mental health 93

3.11 Summary of Lessons learned 97

4 The Everyday and Interpersonal Context of Recovery 99

4.1 The birth of psychiatry as a community-based practice 99

4.2 Beyond the illness paradigm (by John Strauss, part 1) 100

4.3 Growing up inside Meyer's 'common sense' psychiatry (by John Strauss part 2)105

4.4 Subjectivity and the person (by John Strauss part 3) 110

4.5 Blending science and art in a human science (by John Strauss part 4) 117

4.6 From a psychiatry based in death to a psychiatry based in life 119

4.7 Problems in everyday living and their resolution 126

4.8 Opportunity and occupation 134

4.9 The interpersonal context of recovery 137

4.10 Summary of lessons learned 143

5 Closing the Hospital 145

5.1 The failure of the asylum 145

5.2 Erving Goffman and the presentation of self 147

5.3 The hospital as 'total institution' 150

5.4 Franco Basaglia and the Italian mental health reform movement 156

5.5 De-institutionalization the Italian way 157

5.6 Bracketing the illness 161

5.7 'Freedom is therapeutic' 166

5.8 Avoiding the re-creation of the asylum in the community 169

5.9 Social inclusion 172

5.10 Summary of lessons Learned 176

6 The Rights and Responsibilities of Citizenship 179

6.1 Recovery as a civil rights movement 179

6.2 The incomplete world of Martin Luther King, Jnr 180

6.3 Can rights be given? 182

6.4 Recovery delayed is recovery denied 184

6.5 Color blindness and capitalism 188

6.6 The Complete subject of Gilles Deleuze 192

6.7 Oedipus and anti-Oedipus 195

6.8 Schizophrenic speech and Watergate 197

6.9 Community inclusion vs community integration 200

6.10 Summary of lessons learned 205

7 Agency as the Basis for Transformation 207

7.1 The need for a new conceptual framework 207

7.2 Beyond de-institutionalization and community tenure 209

7.3 Rights and recovery 212

7.4 The capabilities approach of Amartya Sen 214

7.5 Applying a capabilities approach to the work of transformation 220

7.6 Human agency and mediation: the work of Lev Vygotsky 224

7.7 Action theory, the zone of proximal development and scaffolding 231

7.8 Applying activity analysis: the case of fossilized behavior 237

7.9 Applying activity analysis: using the zone of proximal development 243

7.10 Summary of lessons learned 247

8 Conclusion 249

References 261

Index 273

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Customer Reviews

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Sort by: Showing all of 2 Customer Reviews
  • Anonymous

    Posted October 22, 2012

    Important Book on Mental Health Recovery Movement

    If you are unfamiliar with the Recovery Movement, this is a good place to start your exploration. Davidson et. al. look at the philosophy underpinning the trajectory of the movement. They look in places perhaps unexpected to stake down their perspective and in the process provide much food for thought. This book is well written and I have found it a key text in my work in the mental health field.

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  • Posted May 25, 2010

    I Also Recommend:

    Practical, Historically Grounded, and Filled with Insights

    I'm neither a psychiatrist nor a person in recovery, but I found this book to be a fascinating introduction to a key issue in the field: how to move American psychiatry away from the standard medical model and toward the recognition of people with mental illness as persons trying to address or get past a problem in living they have encountered, to which their illness is a rough "solution." The book reviews and links together the work of Philippe Pinel, Dorothea Dix, Jane Addams, Adolph Meyer, Harry Stack Sullivan, Erving Goffman, Franco Basaglia, Martin Luther King, Jr., Gilles Deleuze, Lev Vygotsky, and Amartya Sen--a list which in itself tells you how broad-minded and innovative the authors are in tackling their subject. There are judicious quotes from each of these figures throughout, most of them offering valuable insights relevant to the situation today (a measure of the authors' ability to set words in context). At the end of each chapter are bulleted summaries of "lessons learned" and measures to "avoid repeating," all of which make perfect sense and yet which, if followed, would surely revolutionize psychiatric practice. The last chapter of the book is likewise a novel (yet informative) experiment: a "conversation" among the historical figures discussed in the the book. Best of all, there is no theoretical hobby horse trotted out to anchor the case--other than the pragmatic one of listening to patients and letting them define their own lives--and there is no strident antipsychiatry or other forms of preaching. In short, the book embodies what it seeks to describe, a humanistic psychiatry focused on helping people build up in themselves what they already know they can be and do.

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