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Leder
(side 290-292)
av Marit Borg, Pernille Jensen, Alain Topor og Anders Johan W. Andersen
For snart tyve år siden begynte «recovery»-begrepet å bli kjent i Norden. Det passet godt inn i en sammenheng der internasjonale vinder og WHO-strategier fokuserte på brukerperspektivet og ...
Fagfellevurderte artikler
Fagfellevurdert
(side 293-302)
av Agnete Neidel
Artiklen giver indblik i en kvalitativ undersøgelse af hvad forsøgene på at skabe recovery-orientering i socialpsykiatrien i Danmark gør ved det socialpsykiatriske arbejde, samt hvordan det former medarbejdere og ...
Abstract

Summary

Agnete Neidel

Recovery-Orientation in Mental Health Social Services – Unfinished or Intertensional Business?

How does the ongoing recovery-orientation of mental health services affect everyday social work? And how does it in complex ways shape the «space of possibilities» that social workers as well as users act within? These are the guiding questions in the empirical analysis which this article offers insight into. The study behind this article shows how the attempts to move towards recovery-orientation are guided by a range of institutional imperatives, and that they tend to create a strong hierarchical focus on who «does it well» and who does not. Through analyses of concrete stories from social work practices, this study argues that the social work practices can be understood in more nuanced and complex ways with the concept of intertensionality. It is shown how the space of possibilities in mental health services are shaped by the intertensional relations between the «right practices» and the «wrong practices» appointed by the discourse of recovery-orientation.

Fagfellevurdert
(side 303-312)
av Alain Topor
Inom stora delar av det psykiatriska fältet1 har begrepp som återhämtning2 och empowerment (brukarmakt, -inflytande och så vidare) erövrat ett betydande utrymme. I flera länder (Storbritannien, Nya Zeeland, Danmark, USA ...
Abstract

The Practice and Body of Knowledge of Psychiatry as Opposed to Those of the Users

An increasing number of policy documents are recommending that the recovery perspective be used as a guiding principle in the development of psychiatric care. The recovery perspective also implies a formalized user involvement in the planning and managing of treatment interventions. The present article questions whether it is possible to integrate this perspective in psychiatry’s current practice and body of knowledge. Three aspects are investigated: What are mental disorders? Who are the users? Which factors contribute to the recovery process? Psychiatry’s belief in chronic illnesses that follow a given course of development is contrasted with the view of mental problems as being related to life events with recovery as a likely course of development. The dominant view in psychiatry is that the patient is irrational and incapable of interpersonal relationships. Results in recovery research place the user in his or her social context and show that the managing of symptoms and stigma is possible. Where psychiatry focuses on specific treatment interventions, the users themselves point at a variety of helping factors where interpersonal relationships play a central role. An integration of users’ experience-based knowledge in the arena of psychiatry would deeply transform its current knowledge and practice.

Fagfellevurdert
(side 314-323)
av Marit Borg og Bengt Karlsson
Det har de senere år vært betydelig satsning på systematisering og gyldiggjøring av brukeres erfaringskunnskap, samt stimulering til bred kunnskapsutvikling innen psykisk helsefeltet. Helsepolitiske føringer, økonomisk stimulering og faglige perspektiver ...
Abstract

Recovery – and So What?

The Potentials of Experience Based Knowledge

During the last decades there has been considerable emphasis on systemizing and acknowledging service users’ experiences, as well as developing a comprehensive and wide knowledgebase for mental health service development. National strategies, financial incitements and processes of service transformation should all in all represent good frameworks for making recovery oriented practice real. The intentions have been the best, however, looking at the present discussions and practises one might well question the genuine interest of the authorities as well as central parts of the services. Is recovery primarily seen as theoretically interesting or politically correct? In this paper we will outline some radical changes needed in order to fulfil the intentions of valuing service users’ voices and preferences in recovery. We will discuss issues like power and knowledge, the potentials of recovery research and practice in promoting solid change and finally the prospective of bringing together various research, practice and experience based communities for working in partnership towards a recovery oriented mental health service transformation.

Fagartikler
(side 324-333)
av Linda Granlien og Arild Granerud
Brukermedvirkning skal sørge for at brukere får økt makt og innflytelse i eget liv. Det kan sees som en betingelse for en helsefremmende og mestringsfremmende strategi. Sagatun Brukerstyrt Senter på ...
Abstract

The System of Recovery

User involvement aims to make sure that users gain increased power and influence over their own lives. User involvement may be seen as a condition for a health - and coping promoting strategy. Sagatun Brukerstyrt Senter in Hamar has distinguished itself by the fact that users find the way back to work or education after some time»s use of the center. This article presents the center and its shared values and goals which have been developed in a qualitative study with focusgroups, using an action-oriented design. Respect is perceived as the chief value. Respect is created and maintained through the three values: Equality, Openness and Compassion. Based on this project, it was possible to outline a superior vision and some goals for further work at the center.

(side 334-344)
av Søren Hertz og Jørn Nielsen
Børn og unge er i konstant udvikling – og det er vores fornemste opgave at skabe og deltage i de bedste kontekster for udvikling. Vores opgave er at få øje på ...
Abstract

From Recovery to Discovery

– The Development of Children and Adolescents as a Shared Obligation

Children and adolescents are constantly developing – and our finest professional obligation is to create and participate in the best contexts for development. Our task is to spot the not yet seen or experienced potentials that every child and adolescent possess (as we all do). We have to discover the possibilities that develop when we look for them with special care and interest. They develop when we expect change to happen and when we, together with significant others, participate in processes built on our preferred professional understanding of problems as invitations to change.

(side 345-355)
av Pernille Jensen, Line Top Abildtrup og Jonny Holme-Pedersen
I denne artikel drøftes de indledende erfaringer i den danske kommune Gladsaxe med at omstille den psykosociale indsats med recovery og rehabilitering som grundlag. Den politisk vedtagne Vision og Plan ...
Abstract

Summary

Pernille Jensen, Line Top & Jonny Holme-Petersen

Gladsaxe Municipality – on the Road towards a New Psychosocial Effort?

This article discusses the preliminary experience from the Danish municipality Gladsaxe’s attempt to transform its psychosocial efforts to that of one based on the concepts of recovery and rehabilitation. The politically approved Vision and Plan 2020 is briefly discussed while being placed in context with the previous decade’s intensified focus on recovery-orientation of services. This process is then illustrated using an account of a newly completed joint training course for service users and professionals, where challenges concerning change and partnership are highlighted. It ends with a discussion on how evidence based praxis can be developed which genuinely acknowledges service users’ experiences and wishes and where openness and reflexivity is upheld – a real challenge for a municipality under pressure.

Essay
(side 356-361)
av Klas Sundström
I denna essay avser jag med ordet brukare en person som under någorlunda lång tid haft en brukaridentitet på grund av psykisk sjukdom, att brukardelen tagit stor plats i tillvaron ...
Fortelling
(side 362-366)
av Nelli Øvre Sørensen
Det er ikke til at komme udenom, at der er mange tanker, følelser og frem for alt refleksioner forbundet med at udføre forskning med og om mennesker. Men det betyder ...
Skeivt blikk
(side 367-370)
av Benny Lihme
I 1970-erne underviste jeg psykologistuderende på Københavns Universitet i emnet «totale institutioners sociologi». For de psykiatriske anstalters vedkommende var udgangspunktet Erving Goffman´s bog «Asylums. Essays on the social situation ...
Bokanmeldelser
(side 371-374)
av Ragnfrid Kogstad
Når en psykiater skriver en bok som i følge baksideteksten er en modig, velinformert, tankevekkende og intellektuelt utfordrende kritikk av dagens psykiatri, blir forventningene høye. Og visst tar Joel Paris ...
(side 375-378)
av Christine Øye
Boken er en redigert artikkelsamling av Arnulf Kolstad og Ragnfrid Kogstad, og et resultat av et nordisk samarbeidsprosjekt omkring temaene psykologisering av sosiale problemer og medikalisering av psykiske lidelser. Artikkelsamlingen ...
Vox populi
(side 379-382)
av Inger Beate Larsen
Før jeg begynner å lese, legger jeg merke til bokas omslag. Det har flere budskap: Det første er at dette er en roman om et fiktivt sinnssykeasyl (tittelen «Sinnssykeasyl» er ...
  • ISSN Online: 1504-3010
  • ISSN Print: 1503-6707
  • Utgiver: Universitetsforlaget
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