Fundamental of Mental Health Nursing: Principles of Recovery and Therapeutic Alliance

MENTAL HEALTH 1
Fundamental of Mental Health Nursing
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MENTAL HEALTH 2
Question 1
Recovery in healthcare is either clinical or social (Mizock and Russinova, 2016). Clinical
recovery focusses on the diminution of symptoms while social recovery work with an ultimate
goal of ensuring that the subjects lead self-fulfilling and contributing lives as normal citizens
(Tew, 2013). It has been proved that at international population level, social and cultural factors
lead to a great impact in ensuring that patients recover fully from chief mental health problems.
There are three classes of descriptions of recovery which are clinical, research as well as
consumer (Marton, 2016). These three are the policy contexts from which recovery from mental
disorders is evaluated. It is again from one of the three that three other positive-based aspects or
rather the principles of recovery (hope, respect and empowerment) are formulated.
In many mental health systems, recovery has been understood as an individual and biased
experience. It cannot be the return to a condition free from symptoms of mental illness as this
definition has many weaknesses that even people suffering from mental illnesses detest by all
means (Slade et al, 2014). It is a complex process involving complex and unique procedures of
changing one’s attitude, objectives, skills, values, beliefs, feelings and duties. Recovery is a
mode of bringing satisfaction, hope and impacting life positive beyond restrictions caused by the
mental infirmity (Marton, 2016).
Slade et al (2014) say that the definition of recovery in mental health as a subjective
experience for individual patients has been hijacked by professionals. Recovery has diverse
subjective definitions since a patient’s understanding of recovery is not static but changes with
time. This has rendered it difficult to formulate a recovery orientation in healthcare that
considers a personal understanding of recovery.

MENTAL HEALTH 3
At a population level, social interventions are preferred to medical interventions when
working out a recovery framework in a healthcare facility. However, according to Tew (2013)
social work processes have always been subjugated by biomedical viewpoints and attention to
risk management. That makes the study to bring up a new paradigm that develops mental health
social work particularly focused on the advancement of discrete efficiency as well as social
capacity.
The way people perceive recovering from a physical health problem is not the way
mental health conceives recovery (Tew, 2013). Many people view recovery as being in control of
one’s life despite of the mental health challenge. Enforcing a culture of resilience on the ailing
under care is what recovery means. The recovery process is comprised of so many aspects such
as a holistic view of mental infirmity and not just symptoms, a belief that despite the severity of
the illness, recovery is still possible, a confirmation that to recover is not to get back to your
original state, a consent that so many challenges come along the process, and that, it is a journey
and not a destination and thus requires total commitment. Some other guiding values towards
recovery is that the expectation of the people involved are very is a determining factor towards
success, family support has a great impact towards recovery and that it requires services to take
into consideration innovative and groundbreaking ways of working.
The first principle of the recovery model is empowerment. It is basically the provision of
a space for a patient to express concerns, wishes and needs, plus focusing on the patient in the
social context and eliminating barriers to gaining a positive position in the world (Slade et al.,
2014). The principles work together with capability and social engagement to reach to that goal.
Empowerment leads to fearless expression of feelings. The principle encompasses even the other
two principles of hope and respect. Under empowerment the management team is not to be