Pat Abbott is a consultant rehabilitation psychiatrist with Mersey Care NHS Trust (Ashworth Hospital, Parkbourn, Maghull, Merseyside L31 1HW, UK. Email: pat.abbott{at}merseycare.nhs.uk). She has worked in community rehabilitation and low secure services, before working in high security. She is a member of the Executive Committee of the Royal College of Psychiatrists Faculty of Rehabilitation and Social Psychiatry.
Self-determination theory has been offered as a potential theoretical framework for recovery. It has been argued that a concept as wide-ranging as recovery seems likely to require a number of theoretical frameworks, including self-determination theory, which appears to be particularly applicable to the clinical and social dimensions of this concept. With its emphasis on social competence and environmental support, self-determination theory may be particularly useful as a framework for considering recovery in client groups with higher levels of service need associated with disability or risk.
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