Empowerment and serious mental illness: Treatment partnerships and community opportunities

被引:94
作者
Corrigan, PW [1 ]
机构
[1] Univ Chicago, Ctr Psychiat Rehabil, Tinley Pk, IL 60477 USA
关键词
consumer empowerment; stigma; serious mental illness;
D O I
10.1023/A:1016040805432
中图分类号
R749 [精神病学];
学科分类号
100205 [精神病与精神卫生学];
摘要
The health goals of persons with serious mental illness are greatly improved when their personal power is advanced. Two targets of empowerment are discussed in this paper: treatment partnerships and community opportunities. Strategies that enhance treatment partnerships include provider endorsement of recovery rather than promoting an approach that suggests poor prognoses, treatment plans that are collaborative rather than unilateral decision making that is perceived as coercive, and treatment services provided in the person's community rather than geographically or psychological distant institutions. Approaches that focus on the person and treatment relationship are not sufficient however. Stigma and discrimination are significant barriers to the kind of community opportunities that are necessary to help people attain life goals. Communities that substitute stigmatizing attitudes and discriminatory behaviors with realistic views of mental illness are more likely to provide the kind of reasonable accommodations that some people need for work and independent living opportunities.
引用
收藏
页码:217 / 228
页数:12
相关论文
共 56 条
[1]
*AM PSYCH ASS, 1994, AM J PSYCHIAT S, V151, P12
[2]
[Anonymous], 1991, Helping people change
[3]
Anthony WA, 1992, HDB PSYCHIAT REHABIL
[4]
DISSEMINATION AND ADOPTION OF INNOVATIVE PSYCHOSOCIAL INTERVENTIONS [J].
BACKER, TE ;
LIBERMAN, RP ;
KUEHNEL, TG .
JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY, 1986, 54 (01) :111-118
[5]
Beers CliffordW., 1908, A Mind That Found Itself: An Autobiography
[6]
HIRING DECISIONS FOR DISABLED WORKERS - LOOKING AT THE CAUSE [J].
BORDIERI, JE ;
DREHMER, DE .
JOURNAL OF APPLIED SOCIAL PSYCHOLOGY, 1986, 16 (03) :197-208
[7]
Brehm J.W., 1980, THEORY PSYCHOL REACT
[8]
Brehm S. S., 1981, PSYCHOL REACTANCE TH
[9]
THE COMMUNITY TOLERANCE OF THE MENTALLY-ILL [J].
BROCKINGTON, IF ;
HALL, P ;
LEVINGS, J ;
MURPHY, C .
BRITISH JOURNAL OF PSYCHIATRY, 1993, 162 :93-99
[10]
Chamberlin Judi., 1978, On Our Own: Patient-Controlled Alternatives to the Mental Health System