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Relational recovery: beyond individualism in the recovery approach
Abstract
Objective: While the recovery approach in mental health currently enjoys immense support, it is not without its critics. The most persistent criticisms focus on the individualism underpinning many conceptualisations of recovery. In this paper, we outline the shortcomings of individualistic approaches to recovery, and explore the alternative notion of relational recovery.Method: We begin this article by reviewing recent research and theory that critiques individualistic approaches to recovery. We then draw together disparate bodies of research that view recovery as an inherently social process.Results: Our reading of the literature suggests that although many models of recovery recognise relationships or connectedness as a component of the recovery process, an overemphasis on the ‘inner’, subjective experiences of people with a lived experience of mental ill-health largely obscures the interpersonal contexts of recovery. Interpersonal relationships can more accurately be seen as suffusing all aspects of recovery, including experiences such as hope, identity and empowerment.Discussion: We conclude by arguing that the way forward for mental health systems lies in developing, promoting and implementing approaches that properly acknowledge the irreducibly relational nature of recovery.
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“There has, however, been criticism about personal recovery being defined in individualistic terms (16) that neglect collectivist values that are more present in some cultural groups (17–20).”
From Recovery from Severe Mental Health Problems: A Systematic Review of Service User and Informal Caregiver Perspectives (2021) · cites this paper as [16]
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Personal Informatics in Interpersonal Contexts
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“…extensive critique, especially considering its way of defining what recovery practice actually is, where some argue that within this tradition the attention now is directed more towards excessive individual orientation (Bengt Karlsson and Borg 2017; Price-Robertson, Obradovic, and Morgan 2017).”
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The Recovery Narrative: Politics and Possibilities of a Genre
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“It has been pointed out that a risk with this focus on the person is considering the user out of his/her social context and putting the burden of recovery solely on the person (Rose 2014; Price-Robertson et al. 2016; Topor et al. 2011).”
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“This relational aspect of de-constructing the patient and reand co-constructing the person (Price-Robertson et al., 2017) constituted a challenge to traditional knowledge about the illnesses that these persons were said to be affected by, attacking their capacity for and interest in social relationships (Frith and Joh…”
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“At the same time, the legal or social barriers that prevent psychiatrists from promoting user freedom and participation should be addressed (16, 115, 116).”
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“In this issue, Price-Robertson, Obradovic, and Morgan (2017) challenge the notion of individualism implicit in many recovery models.”
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“The recovery approach has been criticised for being based on mono-cultural, predominantly Western assumptions [21], so broader concepts from more collectivist and interdependent approaches need to be incorporated [22].”
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“In the case of recovery, which aims to transform the way service users and service providers relate to one another [167, 168], the state of these relationships before and during implementation is an important implementation factor to consider.”
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Mental Ill Health, Recovery and the Family Assemblage
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“Moreover, conclusions that cut across different recovery traditions around what constitutes recovery—for example long-term increase in community and social functioning, along with reductions in or elimination of substance use [4,26,27]—are largely ignored.”
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Steenberghe, T. V., Vanderplasschen, W., Bellaert, L., & Maeyer, J. D. (2021) · Drugs Education Prevention and Policy · doi:10.1080/09687637.2021.1931033 · Cited by 32
“From this perspective, a relational approach to recovery, in which social and interactional resources are seen as crucial to achieve recovery objectives, is recommended (Dekkers et al., 2020b; Price-Robertson et al., 2017).”
Pouille, A., Bellaert, L., Laenen, F. V., & Vanderplasschen, W. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413025 · Cited by 35
Being (In)Visible: Privacy, Transparency, and Disclosure in the Self-Management of Bipolar Disorder
Petelka, J., Kleunen, L. V., Albright, L., Murnane, E. L., Voida, S., & Snyder, J. (2020) · CHI Conference on Human Factors in Computing Systems · doi:10.1145/3313831.3376573 · Cited by 35
“Concepts like “relational recovery” from the mental health domain acknowledge the role that social supports beyond the clinician–patient relationship play in coping with chronic illnesses [59].”
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“Being in recovery from severe mental health illness is often a complex process that involves a range of stakeholders, including both professionals and peer support [14-16], and it is often described as a process in which the service user is in the driver’s seat for their own recovery to live a self-directed life [11].”
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“…in the literature (Best, Musgrove, et al., 2018; Castillo & Resurreccion, 2019; Veseth et al., 2019), relational aspects are often overshadowed by a predominant focus on the individual (responsibility) in addiction recovery processes (Adams, 2016; Mudry et al., 2019; Price-Robertson et al., 2017).”
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Turning points toward drug addiction recovery: contextualizing underlying dynamics of change
Bellaert, L., Steenberghe, T. V., Maeyer, J. D., Laenen, F. V., & Vanderplasschen, W. (2022) · Addiction Research & Theory · doi:10.1080/16066359.2022.2026934 · Cited by 35
“Our findings underscore the relational dimension of recovery as a socially embedded process (Teruya and Hser 2010; Price-Robertson et al. 2017) and highlight the importance of assessing and supporting individuals’ social relationships and the form and breadth of these connections – apart from, during, and after treatm…”
BackgroundSocial recovery in substance use disorder: A metasynthesis of qualitative studies
Vigdal, M. I., Moltu, C., Bjørnestad, J. R., & Selseng, L. B. (2022) · Drug and Alcohol Review · doi:10.1111/dar.13434 · Cited by 41
“This is in line with the relational theoretical perspective on recovery, which regards interpersonal relationships and social contexts as prerequisites for recovery [6].”
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Questioning the professionalization of recovery: a collaborative exploration of a recovery process
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Embodying Experiences with Nature in Everyday Life Recovery for Persons with Eating Disorders
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“Recovery has been highlighted as thorough relational processes with an emphasis on the connection between what takes place on the inside of a person and the socio-cultural situatedness of an individual [55].”
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Gough, B., Robertson, S., & Luck, H. (2021) · Frontiers in Sociology · doi:10.3389/fsoc.2021.697356 · Cited by 39
Part II: Living Life: A Meta-Synthesis Exploring Recovery as Processual Experiences
Sommer, M., Biong, S., Borg, M., Karlsson, B., Klevan, T., Ness, O., Nesse, L., Oute, J., Sundet, R., & Kim, H. S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph18116115 · Cited by 28
The Family Experience of the Crisis of Involuntary Treatment in Mental Health
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“This relational dimension of recovery suggests that the recovery process is distributed throughout an interpersonal network (Price-Robertson et al., 2016).”
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Hall, T., Loveday, S., Pullen, S., Loftus, H., Constable, L. N., Paton, K., & Hiscock, H. (2023) · International Journal of Integrated Care · doi:10.5334/ijic.6975 · Cited by 28
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“sonal recovery-oriented models of care that emphasize a person-centred and individualized approach, rather than a relational or family-centred philosophy (Price-Robertson et al. 2016).”
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“The predominance of participant focus upon relationships with others, and the positive and negative impacts of these speak directly to the ‘relational’ approach to recovery recently promoted [32, 33] and calls for extension to the CHIME component of connectedness.”
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“This research adds to the literature by finding a wider transition in relationship quality across family, friendships, and professional relationships, mirroring the relational processes in mental health recovery (Price-Robertson et al., 2017; Veseth et al., 2017) and indicating greater social capital in the recovery n…”
Promoting Self-Determination in Parents With Mental Illness in Adult Mental Health Settings
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“Relational recovery, however, posits that an individual’s recovery is intertwined with their relationships and wider social determinants (Price-Robertson et al., 2017).”
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“Research consistent with a Social Practice approach (Price-Robertson et al., 2017; Reckwitz, 2002) argues that identity incorporates the embodied dimensions of recovery as processes of social practices when linking the internal environment of the body and the external environment of the social…”
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“The importance of peers in promoting hope is consistent with previous literature (Davidson 2016; Price-Robertson et al. 2017).”
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“Collectivists place a strong emphasis on interdependence and collective interests [97], valuing relationships and social integration [10, 71].”
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Complex cases – Complex representations of problems
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“Family inclusion has been a policy priority underpinned by growing recognition of family needs, as well as evidence of benefits to the consumer (36, 37).”
BackgroundA Sustainability Model for Family-Focused Practice in Adult Mental Health Services
Allchin, B., Weimand, B. M., O’Hanlon, B., & Goodyear, M. J. (2022) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2021.761889 · Cited by 17
“These barriers are reinforced by organizational contexts that do not routinely identify their client’s parental status (29, 40–42) and are funded to work with individuals within a biomedical professional-centered approach that is focused on treatment in acute episodic care (10, 11, 20, 43).”
BackgroundA family perspective on parental psychosis: An interpretative phenomenological analysis study
Radley, J., Barlow, J., & Johns, L. (2022) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12443 · Cited by 16
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Epistemic injustice in experiences of young people with parents with mental health challenges
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“A growing body of work explores the complex interactions of stigma and family communication for families affected by mental health challenges (Price-Robertson et al., 2016).”
BackgroundRuysscher, C. D., Vanheule, S., & Vandevelde, S. (2017) · Drugs Education Prevention and Policy · doi:10.1080/09687637.2017.1375461 · Cited by 18
“…Gate’-afternoons (where the local neighbors come over for coffee and cake) tally with a social approach to recovery, in which full participation and the reclaiming of valued social roles are crucial (Price-Robertson et al., 2016; Tew et al., 2012; Vandekinderen, Roets, Roose, & Van Hove, 2012).”
BackgroundTomlinson, P., & Ruysscher, C. D. (2019) · Disability & Society · doi:10.1080/09687599.2019.1680345 · Cited by 17
Trangsrud, L. K. J., Borg, M., Bratland‐Sanda, S., & Klevan, T. (2021) · Journal of Adventure Education & Outdoor Learning · doi:10.1080/14729679.2021.1894954 · Cited by 17
“ecological context may run the risk of transferring the responsibility for recovery to a person’s selfcare strategies (Price-Robertson et al., 2017).”
BackgroundKlevan, T., Sommer, M., Borg, M., Karlsson, B., Sundet, R., & Kim, H. S. (2021) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph182413180 · Cited by 22
“The recovery process is seen as inseparable from the social and cultural milieus of the people concerned [12].”
BackgroundHow older adults recovering from substance use problems experience mattering
Bahl, N. K. H., Nafstad, H. E., Blakar, R. M., Øversveen, E., Brodahl, M., Ness, O., & Prilleltensky, I. (2023) · BMC Health Services Research · doi:10.1186/s12913-023-10413-x · Cited by 15
“Thus, the findings support an understanding of recovery as a relational [31] and social [37] process.”
BackgroundResultInfluentialColoni-Terrapon, C., Favrod, J., Clément-Perritaz, A., Gothuey, I., & Rexhaj, S. (2020) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2019.00972 · Cited by 17
“It seems essential to adopt a relational vision of recovery (32).”
BackgroundKlevan, T., Jonassen, R., Sælør, K. T., & Borg, M. (2020) · International Journal of Qualitative Methods · doi:10.1177/1609406920967868 · Cited by 15
Sunde, O. S., Vatne, S., & Ytrehus, S. (2021) · Health & Social Care in the Community · doi:10.1111/hsc.13456 · Cited by 15
Challenges of connectedness in personal recovery for rural mothers with mental illness
Hine, R. H., Maybery, D. J., & Goodyear, M. J. (2017) · International Journal of Mental Health Nursing · doi:10.1111/inm.12353 · Cited by 18
Hoefer, M. J. D., Kleunen, L. V., Goodby, C., Blackburn, L. B., Panati, P., & Voida, S. (2021) · Designing Interactive Systems Conference · doi:10.1145/3461778.3461995 · Cited by 14
“For example, it might be challenging for someone with SMI to understand how to self-assess mood on a numerical scale.”
BackgroundInfluentialPeer Worker-Supported Transition from Hospital to Home—Outcomes for Service Users
Hancock, N., Berry, B., Banfield, M., Pike-Rowney, G., Scanlan, J. N., & Norris, S. (2022) · International Journal of Environmental Research and Public Health · doi:10.3390/ijerph19052743 · Cited by 15
A narrative study of mental health recovery: exploring unique, open-ended and collective processes
Reed, N. P., Josephsson, S., & Alsaker, S. (2020) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2020.1747252 · Cited by 16
Bendel-Rozow, T. (2021) · The Arts in Psychotherapy · doi:10.1016/j.aip.2021.101830 · Cited by 20
A Systematic Mapping Review of Family Perspectives About Received Mental Health Interventions
Walters, C., & Petrakis, M. (2021) · Research on Social Work Practice · doi:10.1177/10497315211010950 · Cited by 13
“…future research to understand which interventions best support carers in their roles is important especially with the growing emphasis on relational recovery (Price-Robertson et al., 2016) and the need for families and carers to undergo their own journey of recovery (Wyder & Bland, 2014).”
BackgroundBarnes, S., Carson, J. F., & Gournay, K. (2022) · Health & Social Care in the Community · doi:10.1111/hsc.13822 · Cited by 15
Veseth, M., Binder, P.-E., & Stige, S. H. (2017) · International Journal of Mental Health Systems · doi:10.1186/s13033-017-0166-y · Cited by 12
“Similarly, Price-Robertson, Obradovic and Morgan [8] call for a new vision of relational recovery that is “based on the idea that human beings are interdependent creatures; that people’s lives and experiences cannot be separated from the social contexts in which they are embedded” (p.”
BackgroundInfluentialSchizophrenia, recovery and the individual-cultural considerations
Tirupati, S., & Ramachandran, P. (2019) · Australasian Psychiatry · doi:10.1177/1039856219889320 · Cited by 12
“1177/1039856219889320 Australasian Psychiatry 2020, Vol 28(2) 190 –192 © The Royal Australian and New Zealand College of Psychiatrists 2019 Article reuse guidelines: sagepub.”
BackgroundLevy-Fenner, E., Colucci, E., & McDonough, S. (2022) · Journal of Psychosocial Rehabilitation and Mental Health · doi:10.1007/s40737-022-00319-y · Cited by 12
“…from their supportive social contexts, and family recovery , where individuals’ interpersonal or familial roles are considered, may be well suited to people in cultures with more collectivist values (Glynn et al., 2006; O’Hagan et al., 2012; Price-Robertson et al., 2016; Tse & Ng, 2014).”
Saavedra, J., Brzeska, J., Matías-García, J. A., & Sánchez, S. Á. (2023) · Psychology and Psychotherapy Theory Research and Practice · doi:10.1111/papt.12451 · Cited by 15
Reid, K., & Alford, J. H. (2023) · The British Journal of Social Work · doi:10.1093/bjsw/bcad009 · Cited by 11
Lindkvist, R., Eckerström, J., Landgren, K., & Westling, S. (2024) · International Journal of Qualitative Studies on Health and Well-Being · doi:10.1080/17482631.2024.2353460 · Cited by 11
Saavedra, J., Sánchez, S. Á., Matías-García, J. A., & Brzeska, J. (2021) · Disability and Rehabilitation · doi:10.1080/09638288.2021.1954246 · Cited by 15
Agrest, M., Nishioka, S. A., Le, P. D., Dishy, G. A., Dahl, C. M., Juan, N. V. S., Mascayano, F., Kankan, T., Dev, S., Abadi, D., et al. (2021) · Revista Iberoamericana de Psicología · doi:10.33881/2027-1786.rip.14212 · Cited by 10
Pars, E., VanDerNagel, J., Dijkstra, B. A. G., & Schellekens, A. (2023) · Journal of Clinical Medicine · doi:10.3390/jcm12185914 · Cited by 10
Rocelli, M., Aquili, L., Giovanazzi, P., Puecher, A., Goglio, M. M., & Faccio, E. (2024) · Health Expectations · doi:10.1111/hex.13999 · Cited by 9
“23 The integration of these professionals in the collaboration process and the development of a coherent and structured methodology for active involvement are crucial pillars on which to build health services that are truly user ‐ oriented, by understanding, valuing and integrating the knowledge…”
Background
Metadata
- Authors
- Price-Robertson, R., Obradovic, A., & Morgan, B.
- Affiliations
- Monash University (AU)
- Emerging Minds, North Adelaide, SA, Australia
- Corresponding author
- Price-Robertson, Rhys
- Venue
- Advances in Mental Health
- Publisher
- Informa UK Limited
- Published
- 2016-10-13
- Volume
- 15
- Issue
- 2
- Pages
- 108-120
- ISSN
- 1446-7984 (ISSN-L)
- 1838-7357
- 1837-4905
- OpenAlex
- W2531276615
- Cited by
- 344
- References
- 42
- Citations by year
- 2026: 32 · 2025: 43 · 2024: 39 · 2023: 37 · 2022: 59 · 2021: 57 · 2020: 31 · 2019: 22 · 2018: 15 · 2017: 8
- FWCI
- 27.99
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Advances in Mental Health (publishedVersion)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Social Sciences › Arts and Humanities › Philosophy › Mental Health and Psychiatry
- Keywords
- recovery approach, individualism, interpersonal relationships, social connectedness, mental illness, hope, identity, empowerment, lived experience, mental health system
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