Community mental health case management has been an important source of support for persons living with a severe mental illness (SMI) since the shift from hospital-based to community-based services, and it is considered to be a central component of the recovery-based model of care. Fostering a strong and positive relationship between case managers and consumers is important to good case management practice. The ascendance of recovery in the mental health paradigm has invigorated the need for collaborative relationships that open up space for consumers to move toward recovery. Using Cooley's metaphor of the looking-glass self, we examine the consumer-case manager relationship and how it helps create a new, recovery-oriented self in SMI consumers. Understanding this relationship as an important mechanism of change provides a useful model for understanding the impact of case managers on the lives of SMI consumers.
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References
1.
AhnH., & WampoldB. E. (2001). Where oh where are the specific ingredients? A meta-analysis of component studies in counseling and psychotherapy. Journal of Counseling Psychology, 48, 251–257.
2.
AnthonyW. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16, 11–23.
3.
AnthonyW. A. (2000). Recovery-oriented service systems: Setting some system level standards. Psychiatric Rehabilitation Journal, 24, 159–168.
4.
AnthonyW. A., CohenM., FarkasM., & CohenB. (1988). The chronically mentally ill case management: More than a response to a dysfunctional system. Community Mental Health Journal, 24, 219–228.
5.
AronL. (2000). Self-reflexivity and the therapeutic action of psychoanalysis. Psychoanalytic Psychology, 17(4), 667–689.
6.
BeckerH. (1964). The other side: Perspectives on deviance. New York, NY: Free Press.
BordinE. S. (1979). The generalizability of the psychoanalytic concept of the working alliance. Psychotherapy: Theory, Research, and Practice, 16, 252–260.
9.
BucklesB., BrewerE., KerecmanJ., MildredL., EllisA., & RyanJ. (2008). Beyond stigma and discrimination: Challenges for social work practice in psychiatric rehabilitation and recovery. Journal of Social Work in Disability and Rehabilitation, 7, 232–283.
10.
CarpenterJ. (2002). Mental health recovery paradigm: Implications for social work. Health and Social Work, 27, 86–94.
11.
CharonJ. M. (2001). Symbolic interactionism: An introduction, an interpretation, and an integration (7th ed.). Upper Saddle River, NJ: Prentice Hall.
12.
CooleyC. H. (1967). Human nature and the social order. New York, NY: Schocken Books. (Original work published 1902)
13.
CorriganP. W. (2002). Empowerment and serious mental illness: Treatment partnerships and community opportunities. Psychiatric Quarterly, 73, 217–228.
14.
CorriganP. W., & RalphR. O. (2002). Introduction: Recovery as consumer vision and research paradigm. In RalphR. O. & CorriganP. W. (Eds.), Recovery in mental illness: Broadening our understanding of wellness (pp. 2–18). Washington, DC: American Psychological Association.
15.
DeeganP. (1996). Recovery is a journey of the heart. Psychiatric Rehabilitation Journal, 19, 91–97.
DriskoJ. W. (2004). Common factors in psychotherapy outcome: Meta-analytic findings and their implications for practice and research. Families in Society: The Journal of Contemporary Social Services, 85(1), 81–90. doi:10.1606/1044-3894.239
18.
FranksD. D., & GecasV. (1992). Autonomy and conformity in Cooley's self-theory: The looking-glass self and beyond. Symbolic Interaction, 15, 49–68.
19.
ForteJ. A. (2004). Symbolic interactionism and social work: A forgotten legacy, part 1. Families in Society: The Journal of Contemporary Social Services, 85, 391-400. doi:10.1606/1044-3894.1500
20.
GrayB. (2009). Psychiatry and oppression: A personal account of compulsory admission and medical treatment. Schizophrenia Bulletin, 35(4), 661–663.
21.
HardingC. M., BrooksG., AshikagaT., StrausJ., & BreierA. (1987). The Vermont longitudinal study of persons with severe mental illness. American Journal of Psychiatry, 144, 718–735.
22.
HatfieldA. B., & LefleyH. P. (1993). Surviving mental illness: Stress, coping, and adaptation.New York, NY: Guilford Press.
23.
HoganM. F. (2003). The President's New Freedom Commission: Recommendations to transform mental health care in America. Psychiatric Services, 54(11), 1467–1475.
24.
HowgegoI. M., YellowleesP., OwenC., MeldrumL., & DarkF. (2003). Therapeutic alliance: The key to effective patient outcome? A descriptive review of the evidence in community mental health case management. Australian and New Zealand Journal of Psychiatry, 37, 169–183.
25.
JacobsonN., & CurtisL (2000). Recovery as policy in mental health services: Strategies emerging from the states. Psychiatric Rehabilitation Journal, 23(4), 333–341.
LauronenE., KoskinenJ., VeijolaJ., MiettunenJ., JonesP. B., FentonW. S., & IsohaniM. (2005). Recovery from schizophrenic psychoses within the northern Finland 1966 birth cohort. Journal of Clinical Psychiatry, 66, 375–383.
28.
LinkB. G. (1987). Understanding labeling effects in the area of mental disorders: An assessment of the effects of expectation of rejection. American Sociological Review, 52, 96–112.
29.
LinkB. G., StrueningE. L., Neese-ToddS., AsmussenS., & PhelanJ. C. (2002). On describing and seeking to change the experiences of stigma. Psychiatric Rehabilitation Skills, 6, 201–231.
30.
LovejoyM. (1982). Expectations and the recovery process. Schizophrenia Bulletin, 9, 604–609.
31.
LuborskyL. (1984). Principles of psychoanalytic psychotherapy: A manual for supportive-expressive treatment. New York, NY: Basic Books.
32.
MacmurrayJ. (1999). Persons in relation. Amherst, NY: Humanity Books. (Originally published in 1961)
33.
MarkowitzF. E., AngellB., & GreenbergJ. S. (2011). Stigma, reflected appraisals, and recovery outcomes in mental illness. Social Psychology Quarterly, 74, 144–165.
34.
MartinD. J., GarskeJ. P., & DavisM. K. (2000). Relation of the therapeutic alliance with outcome and other variables: A meta-analytic review. Journal of Counseling and Clinical Psychology, 68, 432–450.
35.
MeadG. H. (1934). Mind, self & society from the standpoint of a social behaviorist.Chicago, IL: University of Chicago Press.
36.
MeadS., & CopelandM. C. (2000). What recovery means to us: Consumers’ perspectives. Community Mental Health Journal, 36, 315–328.
37.
MechanicD. (2008). Mental health and social policy: Beyond managed care (5th ed.). Boston, MA: Allyn & Bacon.
38.
McCabeR., Röder-WannerU. U., HoffmanK., & PriebeS. (1999). Therapeutic relationships and quality of life: Association of two subjective constructs in schizophrenia patients. International Journal of Social Psychiatry, 45(4), 276–283.
39.
National Association of Social Workers. (2000). Code of Ethics of the National Association of Social Workers.Washington, DC: Author.
40.
NordtC., RösslerW., & LauberC. (2006). Attitudes of mental health professionals toward people with schizophrenia and major depression. Schizophrenia Bulletin, 32(4), 709–714. doi:10.1093/schbul/sbj065
41.
PescosolidoB. A., MartinJ. K., LongJ. S., MedinaT. R., PhelanJ. C., & LinkB. G. (2010). “A disease like any other”? A decade of change in public reactions to schizophrenia, depression, and alcohol dependence. American Journal of Psychiatry, 167, 1321-1330. doi: 10.1176/appi.ajp.2010.09121743
42.
PhelanJ. C., LinkB. G., StueveA., & PescosolidoB. A. (2000). Public conceptions of mental illness in 1950 and 1996: What is mental illness and is it to be feared?Journal of Health and Social Behavior, 41, 188–207.
43.
Preston-ShootM., & AgassD. (1990). Making sense of social work: Psychodynamics, systems and practice. Basingstoke, UK: Macmillan Education.
44.
RappC. A., & GoschaR. J. (2012). The strengths model: A recoveryoriented approach to mental health services (3rd ed.). New York, NY: Oxford University Press.
45.
RidgewayP. (2001). ReStorying psychiatric disability: Learning from first person narratives. Psychiatric Rehabilitation Journal, 24, 335–343.
46.
RogersC. R. (1957). The necessary and sufficient conditions of therapeutic personality change. Journal of Counseling Psychology, 21, 95–103.
47.
RosenzweigS. (2002). Some implicit common factors in diverse methods of psychotherapy. Journal of Psychotherapy Integration, 12(1), 5-9. (Original work published in 1936)
48.
RossbergJ. I., KarterudS., PedersenG., & FriisS. (2010). Psychiatric symptoms and countertransference feelings: An empirical investigation. Psychiatry Research, 178, 191–195.
49.
ScheffT. (1984) Being mentally ill (2nd ed.). Chicago, IL: Adline.
50.
SmithS. W. (2008). Rodolph H. Turcotte, M.D.: Another perspective. Psychiatric Services, 59(8), 845–846.
51.
StrongS. R. (1968). Counseling: An interpersonal influence process. Journal of Counseling Psychology, 115, 117–126.
52.
ThoitsP. G. (1999). Self, identity, stress, and mental health. In AneshenselC. S. & PhelanJ. C. (Eds.), Handbook of the sociology of mental health (pp. 345–368). New York, NY: Kluwer Academic.
53.
VandenbergheL., & Aquino de SousaA. (2005). The dodo-bird debate, empirically supported relationships and functional analytic psychotherapy. International Journal of Behavioral Consultation and Therapy, 1, 323–328.
54.
WalshJ. (1999-2000). Social work practice and mental illness: Symbolic interactionism as a framework for intervention. Journal of Applied Social Sciences, 24, 73–82.
55.
WalshJ. (2011). Psychodynamic theories II: Object relations. In J. Walsh, Theories for direct social work practice (2nd ed.; pp. 62–89). Belmont, CA: Wadsworth Cengage.
56.
WatsonA. C., CorriganP., LarsonJ. E., & SellsM. (2007). Self-stigma in people with mental illness. Schizophrenia Bulletin, 33(6), 1312–1318.
57.
YeungK. T., & MartinJ. L. (2003). The looking glass self: An empirical test and elaboration. Social Forces, 81, 843–879.
58.
YoungS. L., & EnsingD. S. (1999). Exploring recovery from the perspective of people living with psychiatric disabilities. Psychiatric Rehabilitation Journal, 22, 219–231.
