Recovery-oriented psychiatry: oxymoron or catalyst for change?

Helene Speyer, David Roe, Mike Slade

Research output: Contribution to journalReview articlepeer-review

Abstract

This Personal View provides a normative and conceptual analysis of the intersection between the recovery movement and psychiatry. Although recovery emerged as a grassroots social justice movement emphasising empowerment and systemic change, psychiatry remains rooted in the medical paradigm. We aim to develop a nuanced conceptual framework that fosters academic debate and meaningful implementation, while avoiding superficial or tokenistic adoption of recovery principles. Our analysis explores the contrasting values, ontologies, and epistemologies of these perspectives, identifying points of tension and areas of compatibility. We examine and discuss integrative and non-integrative pluralistic approaches, and we conclude with actionable recommendations for transformation at different organisational levels.

Original languageEnglish
JournalThe Lancet Psychiatry
Early online date6 May 2025
DOIs
StateE-pub ahead of print - 6 May 2025

Bibliographical note

Publisher Copyright:
© 2025 Elsevier Ltd

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Biological Psychiatry

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