Rethinking social recovery in schizophrenia: what a capabilities approach might offer
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Resurgent hopes for recovery from schizophrenia in the late 1980s had less to do with fresh empirical evidence than with focused political agitation. Recovery's promise was transformative: reworking traditional power relationships, conferring distinctive expertise on service users, rewriting the mandate of public mental health systems. Its institutional imprint has been considerably weaker. This article takes sympathetic measure of that outcome and provides an alternative framework for what recovery might mean, one drawn from disability studies and Sen's capabilities approach. By re-enfranchising agency, redressing material and symbolic disadvantage, raising the bar on fundamental entitlements and claiming institutional support for complex competencies, a capabilities approach could convert flaccid doctrine into useful guidelines and tools for public mental health.
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Less widely cited recovery paradigms propose social and political factors to be taken into account, and add pursuing civil rights to the aims of recovery.
“Less widely cited recovery paradigms propose social and political factors to be taken into account, and add pursuing civil rights to the aims of recovery (23, 24).”
From Recovery from Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives (2021) · cites this paper as [23]
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- Authors
- Hopper, K.
- Affiliations
- Nathan Kline Institute for Psychiatric Research (US)
- Corresponding author
- Hopper, Kim
- ORCID
- Hopper, Kim
- Venue
- Social Science & Medicine
- Publisher
- Elsevier BV
- Published
- 2007-09
- Volume
- 65
- Issue
- 5
- Pages
- 868-879
- ISSN
- 0277-9536 (ISSN-L)
- PMC
- PMC2018655
- OpenAlex
- W2096245683
- Cited by
- 296
- References
- 68
- Citations by year
- 2026: 7 · 2025: 3 · 2024: 8 · 2023: 11 · 2022: 8 · 2021: 25 · 2020: 17 · 2019: 15 · 2018: 14 · 2017: 54 · 2016: 11 · 2015: 16 · 2014: 17 · 2013: 19 · 2012: 19
- FWCI
- 26.23
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Social Science & Medicine (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- National Institute of Mental Health (P50MH051359, MH 51359, R01MH065247, MH065247)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Safety Research › Disability Rights and Representation
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- schizophrenia, social recovery, capability approach, Amartya Sen, disability studies, agency, service user empowerment, public mental health, mental health policy
- MeSH terms
- Anthropology, Persons with Disabilities, Humans, Mental Health Services, Schizophrenia, United States, Health Care Reform
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