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The key to practising collaborative psychiatry is to make our knowledge and expertise available to people in a way which increases their sense of empowerment, autonomy, strengths and personal effectiveness. This can support people to develop a sense of our "expert" knowledge as existing alongside their personal knowledge - to be taken up by them as it enables them to live their lives by their ideas. The knowledge and expertise we offer becomes a resource they can make use of in their recovery journey. There are special challenges in doing this in mental health work. This is partly because the context we work in sets us up to be experienced as dis-empowering and also because of the fragility of holding of personal knowledge from a patient role.

To overcome these challenges we need:

  1. a social constructionist view of knowledge
  2. profound respectfulness for the knowledge and resources each person holds
  3. therapeutic strategies for bringing forward these personal resources

All this, and the strategies Johnella offers, need to be taken up as strands to be woven together, as in raranga (the Maori word for weaving) to create a kete. » more

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