By Trapman P.
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The Vermont programme had as its overarching goal the self-sufficiency of the patients. In hospital, the rehabilitation programme strengthened relationships between staff and patients, and included home-like wards, group therapy, vocational therapy and counselling, and self-help groups. , 1987a). Even though the Vermont subjects 18 Psychological Recovery were those patients who had not responded well to drug treatment, they had a better course and long-term outcome than the Maine cohort. , 1995a, 1995b).
I believe that it never will; we can no more find the ‘cause’ of complex human behavior in brain chemistry than we can find the ‘cause’ of poetry’. Rather, mental illness is regarded as a sign of severe emotional distress in the face of overwhelming stressors (Ahern and Fisher, 2001; Fisher, 2003). This can interrupt normal development. How a person responds, and is responded to, plays a crucial role in their further development: ‘With an attitude of optimism, understanding, trust and empowerment, people not only can restore their emotional balance, but also can heal past traumas.
As a result, psychological responses to the diagnosis itself, which are not an essential part of the illness, can lead to poor outcomes. . The patient role. Even without long-term institutionalization, chronicity may be exacerbated by engulfment in the ‘patient role’, in which the person becomes resigned to being a passive recipient of care (Lally, 1989). Estroff (1989) asserts that ‘becoming a schizophrenic’ (p. 194) is essentially a social and interpersonal process, not an inevitable consequence of primary symptoms and neurochemical abnormality.