[Recovery. A new paradigm for psychiatry].
The treatment of people with mental illness in the community is not a creation of the XXth Century. Since Ancient times to the foundation of the first mental hospital in the 1400s, the few available treatments take place in the community. The paradigm changed with the creation of asylums and the birth of psychiatry as a medical specialty. Three centuries of seclusion of the most severe patients begun. The ideas of Soranus of Ephesus (II AD) anticipated the moral treatment by Pinel. Antipsychotics, from chlorpromazine on, implied a new paradigm and allowed stabilization and de-hospitalization of patients. With psychiatric rehabilitation the goal changed from stability maintenance to the search of community reintegration. A new paradigm is taking place now: recovery is a possibility and the new goal is a full life in the community.
Centro Psicopatológico Aranguren.
Pablo Miguel
PM
Gabay
D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation*; D011570:Psychiatry / Q000379:methods