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Scandinavian Journal of Public Health, Vol. 33, No. 5, 29-35 (2005)
DOI: 10.1080/14034950510033345

The importance of personal medicine: A qualitative study of resilience in people with psychiatric disabilities

Patricia E. Deegan

University of Kansas, School of Social Welfare, Lawrence, KS USA, patricia.deegan{at}comcast.net

Background: Resilience does not refer to a magical state of invulnerability and the capacity for resilience does not end when one is diagnosed with a prolonged disorder or disease. Despite the enduring legacy of pessimism regarding resilience in the population of people diagnosed with psychiatric disorders, a majority do recover. Aim: The present study seeks to understand how people with psychiatric disorders demonstrate the capacity for resilience in the ways they use or do not use psychiatric medications in their daily lives. Method: A qualitative method and participatory action design was used to analyze interviews with 29 people diagnosed with psychiatric disorders. Results: When discussing their use of psychiatric medications, research participants also talked about non-pharmaceutical, personal medicine. Personal medicine was found to be those activities that gave life meaning and purpose, and that served to raise self-esteem, decrease symptoms, and avoid unwanted outcomes such as hospitalization. When psychiatric medications interfered with non-pharmaceutical personal medicine, non-adherence often occurred. Conclusion: People with psychiatric disorders demonstrate resilience through the use of non-pharmaceutical, personal medicine in the recovery process. This understanding suggests that medication adherence may be improved when clinicians inquire about patients' personal medicine and use pharmaceuticals to support, rather than interfere with, these self-assessed health resources.

Key Words: Medication adherence • non-compliance • person centered • psychiatric disability • qualitative research • resilience • recovery • strengths


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