title: [Recovery: reshaping scientific responsibilities].
abstract: Recovery-concepts have travelled from margin movements into mainstream psychiatry rapidly in recent years. Recovery advocacy has been joined by recovery research resulting in new information on the long-term perspectives of people experiencing severe mental health problems. Emerging data on recovery outcomes as well as processes bring on a paradigm shift from prognostic scepticism and focus on maintenance therapies towards an optimistic outlook and recovery-oriented interventions and services. The emerging evidence-base for recovery-orientation essentially includes the urgent call for a partnership approach allowing the full involvement of users and their families and friends and the exploit of their expertise. Patient self-determination, individual choice of flexible support and opportunities, intervenetions to promote empowerment and hope also in the long-term, as well as assistance in situations of calculated risk are new indicators of quality of services.      The dynamic complexities of recovery and resilience have the ability to capture the progress in biological, psychological, social and political advances in the direction of modern integrated and subject-oriented psychiatry. Cooperative and coordinated efforts together with consumers, carers, their spokespersons and public health advocates offer formidable chances to reduce stigma, discrimination and social exclusion, currently seriously limiting clinical and other efforts towards recovery.
authors.affiliation: Department of Psychiatry and Psychotherapy, Medical University of Vienna, Vienna, Austria. michaela.amering@meduniwien.ac.at
authors.forename: Michaela
authors.initials: M
authors.lastname: Amering
mesh_terms: D019317:Evidence-Based Medicine; D006801:Humans; D001523:Mental Disorders / Q000534:rehabilitation*; D010043:Outcome and Process Assessment, Health Care; D010358:Patient Participation; D057240:Patient Preference