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Resource-oriented therapeutic models in psychiatry : conceptual review
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Priebe, Stefan, Omer, Serif, Giacco, Domenico and Slade, Mike (2014) Resource-oriented therapeutic models in psychiatry : conceptual review. British Journal of Psychiatry, 204 (4). pp. 256-261. doi:10.1192/bjp.bp.113.135038 ISSN 0007-1250.
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Official URL: http://dx.doi.org/10.1192/bjp.bp.113.135038
Abstract
Background
Like other medical specialties, psychiatry has traditionally sought to develop treatments targeted at ameliorating a deficit of the patient. However, there are different therapeutic models that focus on utilising patients' personal and social resources instead of ameliorating presumed deficits. A synopsis of such models might help to guide further research and improve therapeutic interventions.
Aims
To conduct a conceptual review of resource-oriented therapeutic models in psychiatry, in order to identify their shared characteristics.
Method
The literature was searched to identify a range of resource-oriented therapeutic models, particularly for patients with severe mental illness. Key texts for each model were analysed using a narrative approach to synthesise the concepts and their characteristics.
Results
Ten models were included: befriending, client-centred therapy, creative music therapy, open dialogue, peer support workers, positive psychotherapy, self-help groups, solution-focused therapy, systemic family therapy and therapeutic communities. Six types of resources were utilised: social relationships, patients' decision-making ability, experiential knowledge, patients' individual strengths, recreational activities and self-actualising tendencies. Social relationships are a key resource in all the models, including relationships with professionals, peers, friends and family. Two relationship dimensions – reciprocity and expertise – differed across the models.
Conclusions
The review suggests that a range of different therapeutic models in psychiatry address resources rather than deficits. In various ways, they all utilise social relationships to induce therapeutic change. A better understanding of how social relationships affect mental health may inform the development and application of resource-oriented approaches.
| Item Type: | Journal Article | ||||||
|---|---|---|---|---|---|---|---|
| Divisions: | Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Mental Health and Wellbeing Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School |
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| Journal or Publication Title: | British Journal of Psychiatry | ||||||
| Publisher: | Cambridge University Press | ||||||
| ISSN: | 0007-1250 | ||||||
| Official Date: | April 2014 | ||||||
| Dates: |
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| Volume: | 204 | ||||||
| Number: | 4 | ||||||
| Page Range: | pp. 256-261 | ||||||
| DOI: | 10.1192/bjp.bp.113.135038 | ||||||
| Status: | Peer Reviewed | ||||||
| Publication Status: | Published | ||||||
| Access rights to Published version: | Restricted or Subscription Access |
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