The DOI matches its Crossref record; 67 of the 68 references it cites were found in a registry or an index.
No hope without compassion: the importance of compassion in recovery-focused mental health services
Abstract
BACKGROUND: Whilst current policy is replete with recovery language and references to the need for services to create a sense of hope and optimism, there is less understanding about how such hope may be engendered within services. We propose that an understanding of compassion is necessary to appreciate what actually stimulates hope-inspiring practices. AIMS: An examination of the continuing relevance of compassion to mental health care and an exploration of its place within modern mental health policy and practice. METHODS: A review of the compassion deficit in mental health care and a critical examination of whether the direction of current mental health policy in the UK is likely to facilitate compassionate care. RESULTS: Compassion needs to be viewed not merely as an individual expression or property but something which must be nurtured in context, through relationships, cultures and healing environments. However, current mental health policy and practice does not appear to prioritise the development of such contexts. CONCLUSION: Attention to fostering compassion would help to shift the language of "recovery" (or "well-being") beyond the twin dangers of rhetoric and/or imposing preconceived definitions, models or expectations of what recovery "should" be. Therefore, the development of compassionate contexts should have a stronger place in modern mental health practice and policy.
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“People accessing mental health services have been found to have better outcomes if they experience compassionate [1] and empathic [2] relationships with staff caring for them.”
From Interventions to address empathy-based stress in mental health workers: A scoping review and research agenda (2024) · cites this paper as [1]
Citations
Cites
Attachment and Loss. Vol. 1. Attachment
Rever, G. W. (1972) · Psychosomatic Medicine · doi:10.1097/00006842-197211000-00011 · Cited by 8,446
(1999) · Cited by 5,934
On Becoming a Person: A Therapist's View of Psychotherapy
Rogers, C. R. (1961) · DigitalGeorgetown (Georgetown University Library) · Cited by 3,997
(2001) · Cited by 3,666
Relation between working alliance and outcome in psychotherapy: A meta-analysis
Horvath, A. O., & Symonds, B. D. (1991) · Journal of Counseling Psychology · doi:10.1037/0022-0167.38.2.139 · Cited by 2,673
The Spirit Level: Why More Equal Societies Almost always do Better
Johnston, R. J. (2009) · Political Geography · doi:10.1016/j.polgeo.2009.10.003 · Cited by 2,054
The effectiveness of psychotherapy: The Consumer Reports study.
Seligman, M. E. P. (1995) · American Psychologist · doi:10.1037//0003-066x.50.12.965 · Cited by 1,626
The effectiveness of psychotherapy: the Consumer Reports study
Seligman, M. E. P. (1995) · American Psychologist · doi:10.1037/0003-066x.50.12.965 · Cited by 1,608 · cited 1×
“Yet, we know frompsychotherapy research that it is usually relationship factors rather than the specificmodel espoused, which appear to be the best predictorof positive outcome (Bolsover, 2007;Cooper, 2008;Horvath&Symonds, 1991; Seligman, 1995).”
BackgroundRead, J., van Os, J., Morrison, A. P., & Ross, C. A. (2005) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2005.00634.x · Cited by 1,534
Mindfulness-Based Cognitive Therapy for Depression: A New Approach to Preventing Relapse
Hodo, D. W. (2002) · American Journal of Psychiatry · doi:10.1176/appi.ajp.159.7.1257 · Cited by 1,405
Mindfulness-based cognitive therapy for depression
TEASDALE, J. D. (2006) · Routledge eBooks · doi:10.4324/9780203098899-33 · Cited by 1,332
(2005) · doi:10.4324/9780203003459 · Cited by 1,041 · cited 4×
“In addition, some clinical psychologists have emphasized the importance of developing specific “compassion-focused” therapies incorporating practices of self-compassion through the teaching of meditation and mindfulness exercises (Gilbert, 2005, 2010; Williams et al., 2007).”
BackgroundInfluentialRecovery from schizophrenia: psychiatry and political economy
(1995) · Choice Reviews Online · doi:10.5860/choice.33-0599 · Cited by 464
(2009) · Cited by 423
Recovery and mental health: a review of the British Literature
BONNEY, S., & Stickley, T. (2008) · Journal of Psychiatric and Mental Health Nursing · doi:10.1111/j.1365-2850.2007.01185.x · Cited by 304
Rethinking “Generation Me”: A Study of Cohort Effects from 1976-2006
Trzesniewski, K. H., & Donnellan, M. B. (2010) · Perspectives on Psychological Science · doi:10.1177/1745691609356789 · Cited by 295
Recovery from Mental Illness as an Emergent Concept and Practice in Australia and the UK
Ramon, S., Healy, B., & Renouf, N. (2007) · International Journal of Social Psychiatry · doi:10.1177/0020764006075018 · Cited by 276
Compassionate mind training with people who hear malevolent voices: A case series report
Mayhew, S. L., & Gilbert, P. (2008) · Clinical Psychology & Psychotherapy · doi:10.1002/cpp.566 · Cited by 259 · cited 1×
“More specific compassionate approaches are being introduced to particular client groups, such as people experiencing anxiety and depression (Segal et al., 2002); survivors of child sexual abuse (Gilbert, 2005); and hearing voices groups (Mayhew & Gilbert, 2008).”
BackgroundHope in psychiatry: a review of the literature
Schrank, B., Stanghellini, G., & Slade, M. (2008) · Acta Psychiatrica Scandinavica · doi:10.1111/j.1600-0447.2008.01271.x · Cited by 254
Essential research findings in counselling and psychotherapy:: The Facts are Friendly
Cooper, M. (2008) · Cited by 239
Thorlby, R. (2008) · Cited by 239
New Horizons: A shared vision for mental health
Billeter, J. (2009) · Cited by 229
NHS plc: The Privatisation of Our Health Care
Pollock, A. M., & Leys, C. (2004) · Cited by 194
`Recovery' and current mental health policy
Pilgrim, D. M. (2008) · Chronic Illness · doi:10.1177/1742395308097863 · Cited by 174
Living with voices: 50 stories of recovery
Beavan, V. (2009) · Psychosis · doi:10.1080/17522430903461368 · Cited by 164
Recovery from Schizophrenia: Psychiatry and Political Economy
Pfohl, S., & Warner, R. (1987) · Contemporary Sociology A Journal of Reviews · doi:10.2307/2071613 · Cited by 156
The Science of compassionate love: theory, research, and applications
(2009) · Choice Reviews Online · doi:10.5860/choice.46-4143 · Cited by 153
Childhood trauma and psychosis: Evidence, pathways, and implications
Read, J., & Larkin, W. (2008) · Journal of Postgraduate Medicine · doi:10.4103/0022-3859.41437 · Cited by 136
Friend or Foe? Towards a Critical Assessment of Direct Payments
Spandler, H. (2004) · Critical Social Policy · doi:10.1177/0261018304041950 · Cited by 126
Self-citation(2009) · BCU Open Access Repository (Birmingham City University) · Cited by 116
An Introduction to Therapeutic Communities
Lansen, J. (1984) · Group Analysis · doi:10.1177/053331648401700112 · Cited by 114
An introduction to therapeutic communities
Kennard, D. (1984) · Medical Entomology and Zoology · Cited by 114
Love, hate and welfare: Psychosocial approaches to policy and practice
Froggett, L. (2002) · Medical Entomology and Zoology · Cited by 110
Emotional Life and the Politics of Welfare
Haggett, P. (2000) · Palgrave Macmillan UK eBooks · doi:10.1057/9780230597815 · Cited by 104
Twenge, J. M., & Campbell, W. K. (2010) · Perspectives on Psychological Science · doi:10.1177/1745691609357015 · Cited by 88
Alternatives Beyond Psychiatry
Lehmann, P. Z. (2007) · Cited by 87
The Selfish Capitalist: Origins of Affluenza
James, O. (2008) · Medical Entomology and Zoology · Cited by 84
From social exclusion to inclusion? A critique of the inclusion imperative in mental health
Spandler, H. (2009) · doi:10.1007/978-1-349-92322-9_18 · Cited by 84
Self-citationEmotional Life and the Politics of Welfare
Hoggett, P. (2000) · Medical Entomology and Zoology · Cited by 83
Froggett, L. (2002) · Policy Press eBooks · doi:10.51952/9781447366720 · Cited by 74
Pilgrim, D. M., Rogers, A. E., & Bentall, R. P. (2009) · Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine · doi:10.1177/1363459308099686 · Cited by 69
Maben, J., Cornwell, J., & Sweeney, K. (2009) · Journal of research in nursing · doi:10.1177/1744987109353689 · Cited by 66
The Science of Compassionate Love
Fehr, B., Sprecher, S., & Underwood, L. (2008) · Wiley eBooks · doi:10.1002/9781444303070 · Cited by 66
Compassion and Caring in Nursing
Chambers, C. M., Ryder, E., & Kagan, S. H. (2018) · Routledge eBooks · doi:10.1201/b21764 · Cited by 64
Advocacy or folly: The Alleged Lunatics' Friend Society, 1845–63
Hervey, N. (1986) · Medical History · doi:10.1017/s0025727300045701 · Cited by 62
Journal of Postgraduate Medicine
Bavdekar, S., Gogtay, N., Muzumdar, D., Vaideeswar, P., Salvi, V., & Sarkar, M. (2007) · Journal of Postgraduate Medicine · doi:10.4103/0022-3859.33852 · Cited by 54
Asylum to action: Paddington Day Hospital, therapeutic communities and beyond
Gordon, P. J. (2007) · Psychodynamic Practice · doi:10.1080/14753630701609996 · Cited by 47
NHS plc: The Privatisation of Our Health Care
Robbins, A. S. (2005) · Journal of Public Health Policy · doi:10.1057/palgrave.jphp.3200025 · Cited by 45
Beyond Fear and Control: Working with Young People who Self‐Harm
Quentin (2008) · Child and Adolescent Mental Health · doi:10.1111/j.1475-3588.2008.00486_1.x · Cited by 41
Recovery: Say what you mean and mean what you say
Craig, T. (2008) · Journal of Mental Health · doi:10.1080/09638230802003800 · Cited by 40
Asylum to Action: Paddington Day Hospital, Therapeutic Communities and Beyond
Spandler, H. (2006) · CLOK (University of Central Lancashire) · Cited by 34
Self-citationThe NHS After 60: for patients or profits?
Lister, J. (n.d.) · Coventry University Open Collections (Coventry university) · Cited by 32
Guest Editorial: Compassion and smiles: what’s the evidence?
Smith, P. A. (2008) · Journal of research in nursing · doi:10.1177/1744987108096012 · Cited by 32
Thinking about Suicide: Contemplating and Comprehending the Urge to Die
Sheean, L. (2010) · Psychotherapy in Australia · Cited by 28
Tasks and routines in 21st century nursing: student nurses’ perceptions
Pearcey, P. A. (2007) · British Journal of Nursing · doi:10.12968/bjon.2007.16.5.23007 · Cited by 26
New Strategies for Practice-Based Evidence: A Focus on Self-Harm
Warner, S., & Spandler, H. (2011) · Qualitative Research in Psychology · doi:10.1080/14780887.2012.630631 · Cited by 19
Self-citationBeyond Fear and Control: Working with Young People Who Self Harm
Spandler, H., & Warner, S. (2007) · CLOK (University of Central Lancashire) · Cited by 16
Self-citationFrom narrative wreckage to islands of clarity: stories of recovery from psychosis.
Gold, E. (2007) · PubMed Central · Cited by 16
Koekkoek, B., van Meijel, B., Schene, A. H., & Hutschemaekers, G. J. M. (2009) · Psychiatric Services · doi:10.1176/ps.2009.60.5.693 · Cited by 12
`Recovery' as a response to oppressive social structures
Davidson, L. (2008) · Chronic Illness · doi:10.1177/1742395308095355 · Cited by 11
Dooley, K. (2010) · Cited by 9
Clashing Ideologies or Scientific Discourse?
Bola, J. R., & Mosher, L. R. (2002) · Schizophrenia Bulletin · doi:10.1093/oxfordjournals.schbul.a006966 · Cited by 8
Qualitative Research in Psychology
Hanurawan, F. (2012) · Journal of Educational Health and Community Psychology · doi:10.12928/jehcp.v1i2.3802 · Cited by 8
Jones, G. H., & Evans, A.-M. (2008) · Mental Health Practice · doi:10.7748/mhp2008.05.11.8.32.c7708 · Cited by 8
Hamilton, D. R. (2010) · Medical Entomology and Zoology · Cited by 7
Bolsover, N. (2007) · Mental Health Review Journal · doi:10.1108/13619322200700002 · Cited by 5
A long and emotional story from illness to recovery
Ramsey, C., & Till, U. (2009) · Mental Health Practice · doi:10.7748/mhp2009.05.12.8.30.c7004 · Cited by 5
Flagged first, then by citations
1 of the 68 references couldn’t be matched to a known paper.
Research works printed but not linked: 26
- Baer R.A., 2008, Twenty-first Century Psychotherapies, 123
- Bowlby J., 1999, Attachment. Attachment and Loss
- Brandon D., 1976, Zen and the Art of Helping.
- British Medical Association, 2011, The Psychological and Social Needs of Patients.
- Bunting M., 2004, Willing Slaves: How the Overwork is Ruling Our Lives.
- Department of Health, 2009, The NHS Constitution.
- Department of Health, 2011, No Health, Without Mental Health: A Cross-Government Mental Health Outcomes Strategy for People of All Ages
- Gerhardt S., 2010, The Selfish Society.
- Gilbert P., Compassion: Conceptualisations, Research and Use in Psychotherapy
- Gold E., 2007, Canadian Family Physician, 53, 1271
- Gordon P., 2009, The Hope of Therapy.
- Healthcare Commission, 2006, Count me in: Results of the 2006 national census of inpatients in mental health and learning disability services in England and Wales
- Mickel A., 2008, Community Care
- NHS Confederation, 2008, The Compassion in Health Care: The Missing Dimension of Healthcare Reform? Futures Debate.
- NMC, 2007, Essential Skills Clusters for Pre-registration Nursing Programmes
- Pembroke L., 1994, Self-harm: Perspectives from Personal Experience.
- Pembroke L., 2004, Openmind, 130
- Podvoll E., 1990, The Seduction of Madness: A Compassionate Approach to Recovery at Home
- Seddon J., 2008, Systems Thinking in the Public Sector: The failure of a Reform Regime and a Manifesto for a Better Way
- Sedgwick P., 1982, Psychopolitics.
- Slade M., 2009, Personal Recovery and Mental Illness: A Guide for Mental Health Professionals, 10.1017/CBO9780511581649 · DOI · Paper page
- Spandler H., 2007, Medical Sociology Online, 2, 3
- Turner D., 2001, Wild Geese: Recovery in National Schizophrenia Fellowship.
- Williams M., 2007, The Mindful Way though Depression.
- Youngson R., 2008, Compassion in Health Care: The Missing Dimension of Health Care Reform?
- Youngson R., 2009, NHS Policy Salon: Discussion Summary: Has compassion got lost?
Cited by
Sorted by citations
Kassam, A., Papish, A., Modgill, G., & Patten, S. (2012) · BMC Psychiatry · doi:10.1186/1471-244x-12-62 · Cited by 233
Papish, A. L., Kassam, A., Modgill, G., Vaz, G., Zanussi, L., & Patten, S. B. (2013) · BMC Medical Education · doi:10.1186/1472-6920-13-141 · Cited by 158
groups, C. S. U. A. C. W., Morant, N. J., Lloyd‐Evans, B., Lamb, D., Fullarton, K., Brown, E., Paterson, B., Istead, H., Kelly, K. J., Hindle, D., et al. (2017) · BMC Psychiatry · doi:10.1186/s12888-017-1421-0 · Cited by 108
Slade, M., Williams, J., Bird, V., Leamy, M. C., & Boutillier, C. L. (2012) · Journal of Mental Health · doi:10.3109/09638237.2012.670888 · Cited by 113
Sweeney, A., Fahmy, S., Nolan, F., Morant, N. J., Fox, Z. V., Lloyd‐Evans, B., Osborn, D., Burgess, E., Gilburt, H., McCabe, R., et al. (2014) · PLoS ONE · doi:10.1371/journal.pone.0100153 · Cited by 105
Metadata
- Authors
- Spandler, H., & Stickley, T.
- Affiliations
- University of Lancashire (GB)
- Corresponding author
- Spandler, Helen
- ORCID
- Spandler, Helen
- Venue
- Journal of Mental Health
- Publisher
- Informa UK Limited
- Published
- 2011-11-29
- Volume
- 20
- Issue
- 6
- Pages
- 555-566
- ISSN
- 0963-8237 (ISSN-L)
- 1360-0567
- OpenAlex
- W2082732280
- Cited by
- 136
- References
- 68
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 18 · 2023: 10 · 2022: 11 · 2021: 5 · 2020: 10 · 2019: 10 · 2018: 3 · 2017: 15 · 2016: 5 · 2015: 15 · 2014: 4 · 2013: 8 · 2012: 5
- FWCI
- 10.09
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Mental Health (publishedVersion)
- PubMed (publishedVersion)
- CLOK (University of Central Lancashire) (submittedVersion)
- 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 › Psychology › Applied Psychology › Optimism, Hope, and Well-being
- Keywords
- compassion, hope, mental health policy, compassionate care, healing environment, therapeutic relationship
- MeSH terms
- Mental Disorders, Empathy, United Kingdom, Health Policy, Humans, Mental Health Services, Patient Satisfaction
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