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Recovery into Practice for and by Professionals

Recovery into Practice for and by Professionals. INTERNATIONAL MENTAL HEALTH COLLABORATING NETWORK March 27 Plymouth 2012 Dirk Corstens Maastricht The Netherlands. Examples from a psychiatrist practice. Michel – Hearing Aggressive Voices (MHT 2011) Afraid to harm someone His story

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Recovery into Practice for and by Professionals

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  1. Recovery into Practice for and by Professionals INTERNATIONAL MENTAL HEALTH COLLABORATING NETWORK March 27 Plymouth 2012 Dirk Corstens Maastricht The Netherlands

  2. Examples from a psychiatrist practice • Michel – Hearing Aggressive Voices (MHT 2011) • Afraid to harm someone • His story • Making sense of the voices • Learn to think independently • School - work • Laura – Living in the Fog • Repeatedly depressive – first encounter MH • Bipolar family • Psychotherapy

  3. Experiences with the Maastricht Hearing Voices Interview (Romme & Escher, 2000) • It helps me to focus on the experience • It offers the VH suggestions • It enables both of us to think about the experience (decrease avoidance) • Helps to tell positive stories – creates hope • Helps to make sense out of the experience – construct • The construct offers a venue to make a recovery plan

  4. Why develop a Recovery into Practice Manual ADVANTAGES • Guidance in a long process • Structures contact • Systematic exploration • Work on it in a team • Share it • Stimulate own responsibility and recovery DISADVANTAGES • Too fixed • Boring paper work

  5. Critical Remarks • A psychiatrist is a medical doctor – often not trained as a psychotherapist – what is her/his role in recovery? In a recovery oriented team? • Visionary – Free thinking • Leader • Chemical Engineer • Inspirational • Workers • Physical aspects • Individual – Groups • I don’t have the time for that

  6. Critical Remarks • Diagnosis • Seeing through – understand • Making sense • Support the client to formulate what s/he wants and needs • Dilemma’s: no schizophrenia - no allowance!

  7. Critical Remarks Medication • Critical understanding (Soteria, Open Dialogue, Whitaker) • E.g. no evidence for antipsychotic medication and hearing voices – but everybody does! • Inform – other sources • How to translate evidence from groups to individuals • Deliver choice

  8. Critical Remarks • Time • I don’t have time for this

  9. Critical Remarks • Recovery as Religion • Pragmatics of Recovery • Simple solutions are the best • Institutionalising Recovery

  10. Psychiatrists must recover too • Empowering • Accepting personal reality • Personal • Passion • Empathy • Real • Take risk • Laugh

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