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Cited by 73Mental Health and Patient InvolvementSchizophrenia research and treatmentMental Health and Psychiatry

Culture, stress and recovery from schizophrenia: lessons from the field for global mental health

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Myers, Neely Laurenzo·2010·Culture Medicine and Psychiatry
DOI 10.1007/s11013-010-9186-7PMC PMC3068598
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Abstract

This cultural case study investigates one U.S. psychosocial rehabilitation organization's (Horizons) attempt to implement the recovery philosophy of the U.S. Recovery Movement and offers lessons from this local attempt that may inform global mental health care reform. Horizons' "recovery-oriented" initiatives unwittingly mobilized stressful North American discourses of valued citizenship. At times, efforts to "empower" people diagnosed with schizophrenia to become esteemed self-made citizens generated more stressful sociocultural conditions for people whose daily lives were typically remarkably stressful. A recovery-oriented mental health system must account for people diagnosed with schizophrenia's sensitivity to stress and offer consumers contextually relevant coping mechanisms. Any attempt to export U.S. mental health care practices to the rest of the world must acknowledge that (1) sociocultural conditions affect schizophrenia outcomes; (2) schizophrenia outcomes are already better in the developing world than in the United States; and (3) much of what leads to "better" outcomes in the developing world may rely on the availability of locally relevant techniques to address stress.

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  • There has been substantive criticism about the field of recovery being excessively focused on the individual has raised awareness on the risk of glossing over important social challenges and the stressful social conditions that can be generated by high expectations of self-control in adverse contexts.

    “There has been substantive criticism about the field of recovery being excessively focused on the individual has raised awareness on the risk of glossing over important social challenges and the stressful social conditions that can be generated by high expectations of self-control in adverse contexts (18, 97–99).”

    From Recovery from Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives (2021) · cites this paper as [98]

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Research works printed but not linked: 8

  1. Deegan PE 1996a Recovery and the Conspiracy of Hope Sixth Annual Mental Health Services Conference of Australia and New Zealand Brisbane, Australia
  2. Estroff Sue Lindenbaum S Lock M 1993 Identity, Disability, and Schizophrenia: the Problem of Chronicity Knowledge, Power and Practice: The Anthropology of Medicine in Everyday Life 247 286 Los Angeles University of California Press
  3. Fisher D Torbert WR 1995 Personal and Organizational Transformations: The True Challenge of Continual Quality Improvement London McGraw-Hill
  4. Franklin Benjamin 2005 Benjamin Franklin: Wit and Wisdom White Plains, NY Peter Pauper Press
  5. Leff J 1987b Influence of Relatives’ Expressed Emotion on the Course of Schizophrenia in Chandigarh British Journal of Psychiatry 151 166 173 3690105
  6. Ragins Mark 2003 Recovery: Changing from a Medical Model to a Psychosocial Rehabilitation Model Journal of the California National Alliance for the Mentally Ill 5 3 7 11
  7. Rhodes Lorna Lindenbaum S Lock M 1993 The Shape of Action: Practice in Public Psychiatry Knowledge, Power & Practice 129 144 Berkeley University of California Press
  8. Spaniol L Gagne C Koehler M Marinelli RP Orto ED 1999 Recovery from Serious Mental Illness: What It is and How to Support People in Their Recovery The Psychological and Social Aspects of Disability New York Springer

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Authors
Myers, N. L.
Affiliations
University of Virginia (US)
Corresponding author
Myers, Neely Laurenzo
Venue
Culture Medicine and Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2010-06-23
Volume
34
Issue
3
Pages
500-528
ISSN
  • 0165-005X (ISSN-L)
  • 1573-076X
DOI
10.1007/s11013-010-9186-7
PMC
PMC3068598
OpenAlex
W2006439113
Cited by
73
References
193
Citations by year
2026: 1 · 2025: 4 · 2023: 3 · 2022: 2 · 2021: 8 · 2020: 4 · 2019: 4 · 2018: 6 · 2017: 2 · 2016: 9 · 2015: 7 · 2014: 5 · 2013: 9 · 2012: 8
FWCI
10.25
Type
journal article
Language
en
Open access
Licence
www.springer.com/tdm (tdm)
Locations
  • Culture Medicine and Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • PubMed Central (acceptedVersion)
Funders
National Center for Complementary and Integrative Health (T32AT000052)
Topics
  • Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
  • Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
  • Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
Keywords
schizophrenia, recovery-oriented care, psychosocial rehabilitation, global mental health, mental health reform, stress, coping strategies, citizenship discourse, empowerment, sociocultural context, developing countries, horizon
MeSH terms
Community Mental Health Services, Cross-Cultural Comparison, Developing Countries, Humans, Outcome and Process Assessment, Health Care, Peer Group, Power, Psychological, Schizophrenia, Schizophrenic Psychology, Self Concept, Social Adjustment, Stress, Psychological, United States, Patient Satisfaction, Health Care Reform, Case Management, Internationality

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