Abstract

The prospect of recovery requires to stop being centered on the disease and its course, in order to be now centered on the person and his or her future. It implies building a project, aiming at an accomplished life, and therefore making existential choices, which is a matter of ethical reflection. This makes self-determination one of the principles of the recovery process, which must be respected by the person and by those who accompany him or her. This orientation towards recovery means a change of purpose of care and support practices, which in turn implies a transformation of these practices that should be guided by the principles and values of the recovery process. The current movement of values-based medicine can be a useful resource for balancing the two foundations of care practices: knowledge and values.

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