[Consideration of Recovery, as a Family Member, as a Patient, and as a Psychiatrist].

Ikuko Natsukari
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Abstract

I have previously published a paper in this journal that described my mother's schizo- phrenia, how I became a patient and the process by which I subsequently became a psychia- trist. After that paper, I began to think that my mother made a strong recovery. I no longer see my mother as an 'unfortunate person'. This change in perspective has also altered my values and internal strength, and I have begun to see the course of my own recovery. It is directed toward my 'recovery as a psychia- trist' ; it involves my contribution to psychiatric care and the social activities that I can par- ticipate in as a patient's family member and as a patient myself. For one of these activities, I administered a questionnaire survey directed toward patients and their family members throughout the country on 'psychiatrists' communication abilities' in June 2015. This survey is based on my frustrating experience of being unable to speak hon- estly with my attending physician when my mother and I were receiving psychiatric care. From my own experiences, I realised that recovery represents subjective improvement. Being subjective, it changes throughout life ; therefore, it is not something that can be defi- nitely ended, as in 'recovered'. I feel that recovery is similar to constantly 'climbing up a hill'. Sometimes, encounters and events in life may make us feel that we have fallen down. Dur- ing such times, we need people who can support us to climb 'the hill of recovery'. I believe that a psychiatric specialist is an important person who supports 'recovery according to the patient' by the side of the hill, firmly grounded in medical knowledge but also based on a sub- jective viewpoint of the patient and his/her family. In my description of these changes, I hope that this article can depict how I am climbing the hill to'recovery as a psychiatrist' and serve as a reference for the readers' clinical practice.

[以家庭成员、病人和精神科医生的身份考虑康复]。
我之前在这本杂志上发表过一篇论文,描述了我母亲的精神分裂症,我是如何成为一名病人的,以及我后来成为一名精神科医生的过程。在那篇论文发表后,我开始认为我的母亲康复得很好。我不再把母亲看作一个“不幸的人”。这种观点的改变也改变了我的价值观和内在力量,我开始看到自己康复的过程。它的目的是让我“从精神病患者的身份中恢复过来”;它包括我对精神科护理的贡献,以及我作为病人家属和我自己作为病人可以参与的社会活动。在其中一项活动中,我于2015年6月对全国各地的患者及其家属进行了一项关于“精神科医生的沟通能力”的问卷调查。这项调查是基于我的沮丧经历:当我和母亲接受精神科治疗时,我无法诚实地与主治医生交谈。从我自己的经历来看,我意识到康复代表着主观的改善。它是主观的,随着生活的变化而变化;因此,它不是一种可以确定结束的东西,就像“恢复”一样。我觉得恢复就像不断地‘爬山’。有时候,生活中的遭遇和事件会让我们觉得自己已经跌倒了。在这样的时刻,我们需要能够支持我们攀登“复苏之山”的人。我相信精神科专家是一个重要的人,他站在山的一边,支持“根据病人的情况康复”,坚定地立足于医学知识,但也基于病人和他/她的家人的主观观点。在我对这些变化的描述中,我希望这篇文章能够描绘出我是如何攀登“精神科医生的康复之山”的,并为读者的临床实践提供参考。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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