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Glenn Roberts (Wonford House Hospital, Exeter, Devon EX2 5AF, UK. Tel: +44 (0)1392 403433; e-mail: glennroberts{at}doctors.org.uk) and Paul Wolfson (Goldie Leigh Hospital, London) are both consultants in psychiatric rehabilitation. They have been led into valuing recovery perspectives largely by their patients and non-medical colleagues, and are keen to struggle with reconciling these new perspectives with the realities of contemporary psychiatry.
Recovery is usually taken as broadly equivalent to getting back to normal or cure, and by these standards few people with severe mental illness recover. At the heart of the growing interest in recovery is a radical redefinition of what recovery means to those with severe mental health problems. Redefinition of recovery as a process of personal discovery, of how to live (and to live well) with enduring symptoms and vulnerabilities opens the possibility of recovery to all. The recovery movement argues that this reconceptualisation is personally empowering, raising realistic hope for a better life alongside whatever remains of illness and vulnerability. This paper explores the background and defining features of the international recovery movement, its influence and impact on contemporary psychiatric practice, and steps towards developing recovery-based practice and services.
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