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      “Recovery” in mental health services, now and then: A poststructuralist examination of the despotic State machine's effects

      1 , 1 , 2
      Nursing Inquiry
      Wiley

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          Abstract

          Recovery is a model of care in (forensic) mental health settings across Western nations that aims to move past the paternalistic and punitive models of institutional care of the 20th century and toward more patient‐centered approaches. But as we argue in this paper, the recovery‐oriented services that evolved out of the early stages of this liberating movement signaled a shift in nursing practices that cannot be viewed only as improvements. In effect, as “recovery” nursing practices became more established, more codified, and more institutional(ized), a stasis developed. Recovery had been reterritorialized. The purpose of this paper is to examine some of the threads of recovery, from its early days of antipsychiatry activism to its codification into mental health—including forensic mental health—institutions through the lens of poststructuralist philosophers Gilles Deleuze and Felix Guattari. We believe that Deleuze and Guattari's scholarship provides the necessary, albeit uncomfortable, framework for this critical examination. From a conceptualization of recovery as an assemblage, we critically examine how we can go about creating something new, caught in a tension between stasis and change.

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          Most cited references38

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          Recovery from mental illness: The guiding vision of the mental health service system in the 1990s.

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            Recovery: The lived experience of rehabilitation.

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              Recovery from mental illness as an emergent concept and practice in Australia and the UK.

              The language of recovery is now widely used in mental health policy, services, and research. Yet the term has disparate antecedents, and is used in a variety of ways. Some of the history of the use of the term recovery is surveyed, with particular attention to the new meaning of the term, especially as identified by service users, supported and taken up to various degrees by research and in the professional literature. Policy and practice in two countries--Australia and the United Kingdom--are examined to determine the manner and extent to which the concept of recovery is evident. In its new meaning, the concept of recovery has the potential to bring about profound and needed changes in mental health theory and practice. It is being taken up differently in different settings. It is clear that--at least in Australia and the United Kingdom--there are promising new recovery models and practices that support recovery, but the widespread use of recovery language is not enough to ensure that the core principles of the recovery model are implemented.
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                Author and article information

                Contributors
                Journal
                Nursing Inquiry
                Nursing Inquiry
                Wiley
                1320-7881
                1440-1800
                January 2024
                May 2023
                January 2024
                : 31
                : 1
                Affiliations
                [1 ] School of Nursing University of Ottawa Ottawa Ontario Canada
                [2 ] Université du Luxembourg Luxembourg
                Article
                10.1111/nin.12558
                37127936
                30d8e6dd-2b23-4667-b72f-a18e94bc17fc
                © 2024

                http://creativecommons.org/licenses/by/4.0/

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