Abstract
BackgroundIt is a qualitative design study that examines points of divergence and convergence in the perspectives on recovery of 36 participants or 12 triads. Each triad comprising a patient, a family member/friend, a care provider and documents the procedural, analytic of triangulating perspectives as a means of understanding the recovery process which is illustrated by four case studies. Variations are considered as they relate to individual characteristics, type of participant (patient, family, member/friend and care provider), and mental illness. This paper which is part of a larger study and is based on a qualitative research design documents the process of recovery of people with mental illness: Developing a Model of Recovery in Mental Health: A middle range theory.MethodsData were collected in field notes through semi-structured interviews based on three interview guides (one for patients, one for family members/friends, and one for caregivers). Cross analysis and triangulation methods were used to analyse the areas of convergence and divergence on the recovery process of all triads.ResultsIn general, with the 36 participants united in 12 triads, two themes emerge from the cross-analysis process or triangulation of data sources (12 triads analysis in 12 cases studies). Two themes emerge from the analysis process of the content of 36 interviews with participants: (1) Revealing dynamic context, situating patients in their dynamic context; and (2) Relationship issues in a recovery process, furthering our understanding of such issues. We provide four case studies examples (among 12 cases studies) to illustrate the variations in the way recovery is perceived, interpreted and expressed in relation to the different contexts of interaction.ConclusionThe perspectives of the three participants (patients, family members/friends and care providers) suggest that recovery depends on constructing meaning around mental illness experiences and that the process is based on each person's dynamic context (e.g., social network, relationship), life experiences and other social determinants (e.g., symptoms, environment). The findings of this study add to existing knowledge about the determinants of the recovery of persons suffering with a mental illness and significant other utilizing public mental health services in Montreal, Canada.
Highlights
IntroductionIntroduction to Empowerment and Recovery inMental Health. Partnership for Consumer Empowerment
Introduction to Empowerment and Recovery inMental Health
The perspectives of the three participants suggest that recovery depends on constructing meaning around mental illness experiences and that the process is based on each person's dynamic context, life experiences and other social determinants
Summary
Introduction to Empowerment and Recovery inMental Health. Partnership for Consumer Empowerment. Over the past twenty years, many research studies have indicated that recovery is not a cure but a profoundly personal path that individuals may follow; it entails work, work on themselves, their feelings, desires, competencies, roles, and plans [4,5,6,7] These studies shed light on the conditions associated with recovery but have not explained how the conditions affect each other or how the mechanisms by which they operate might help us understand the process by which people recover [3]. It is clearly appropriate to broaden the study of recovery to include other diagnoses; mental health problems do present certain convergences, notably in terms of illness progression, but they differ in terms of the nature of the symptoms, the patient's experience of self others, and the world, and their impact on biopsychosocial functioning [2]. It is important first to identify how the recovery process is perceived and negotiated between the different actors, and second, to identify the points of convergence and divergence which characterize the recovery of the persons specific problems of mental health, in order to develop the parameters of a theoretical model that would be general enough to orient the practitioners' gaze, and specific enough to take into account the singularity of the persons and their condition of health [2]
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