| Frequently
Asked Questions |
| Recovery
Method |
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1.
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What is the Recovery method? |
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2.
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Can
the Recovery method be described as a therapy? And what
is the difference between self-help and therapy? |
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3.
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What
happens at the weekly meeting? |
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4.
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Can
you elaborate the term Recovery Method? |
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5.
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Please
site a few more examples of Recovery tools? |
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6.
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Is
sharing of an experience in the group meetings compulsory?
I may not feel like sharing some time? |
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7.
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A
shubharthi shares his experience, which is normally
success story of coping with a disturbing situation,
using the Recovery method. What does he do, if he had
undergone a disturbing event, but he had not used the
Recovery method? |
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8.
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At the weekly meetings of shubharthis
do you have any activities other than practice of Recovery
method? |
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9.
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Why
does the Recovery method insist on sharing experience
in the four- step format only? |
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10.
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How
do you overcome the language barrier as the Recovery
tools and procedures are all in English? |
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11.
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What Types of problems does Recovery
help manage? |
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12.
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How will Recovery help me solve my problems? |
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13.
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What
do I do if I have a major problem? |
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14.
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Is there any time when one stops coming
to the Recovery group meetings? If yes, what are the
reasons? |
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15.
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How
long does one need to attend these weekly meetings? |
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16.
|
When
can one expect improvement his/her condition? |
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17.
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Are
there any books on Recovery? And where can one find
them? |
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18.
|
Does
the shubharthi stop using medication when he starts
feeling better using the Recovery method? |
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19.
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If one takes part in the Recovery group
meetings, can one stop seeing his/her health-care provider? |
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20.
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Does
the use of the word 'recovery' create unrealistic expectations
about the method when it is widely believed that schizophrenia
is life-long? |
|
21.
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Is there no risk in using the word 'recovery'
as it is likely to give rise to false hope and consequent
disappointment? |
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22.
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Do
shubharthis feel the absence of professionals at the
weekly meetings? |
|
23.
|
As
sharing consists of personal details, are they treated
confidential? |
|
24.
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What
if my shared experience is leaked out by members to
outsiders as that could increase my suffering? |
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25.
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Special Recovery phrases and words are
usedin these meetings. Why is this so? |
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26.
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How
do I learn to share experience in a structured way? |
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27.
|
When
does one start to comment on another member's example? |
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28.
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Does
the Recovery method work for shubharthis? |
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29.
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Does
the Recovery method work equally well for all the participants?
If not, why so? |
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30.
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Why is the Recovery meeting limited to
once a week only? As benefit depends on one's skill
in using the method, why not more often? |
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31.
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Do the benefits of Recovery method have
lasting effects or not? If not, why not? |
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32.
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Do
I have to come alone to the meetings? |
|
33.
|
Why is the Recovery method, developed
more than 65 years' ago, valid today also? Have there
not been any changes effected to better serve the purpose? |
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34.
|
Apart from practice of the Recovery method,
don't you have some other daily activities, which can
keep shubharthis usefully and gainfully occupied?
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What
is the Recovery method? |
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The
Recovery method is a compilation of many simple yet practical
coping techniques. To gain inner peace, shubharthis learn
how to change the way they react to people and situations
over which they have no control. They also learn how to identify
and manage negative thoughts, feelings, beliefs, and behavior
that can lead to emotional distress and stress- related physical
symptoms. This self-help technique is learned through studying
the Recovery literature, regular attendance at the weekly
meetings, and, above all, daily practice. |
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|
Can
the Recovery method be described as a therapy? And what is
the difference between self-help and therapy? |
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Answer
to the second part of question will help clarify the former
automatically. In therapy there is a therapist-client relationship
and usually the therapist plays a directive role in helping
the client. In self-help, on the other hand, there is no such
one-to-one relationship. The person needing help is trained
in some technique, say, Recovery method, and he learns to
practice and master it by himself, on his own initiative.
In a self-help group there is no dependence except on the
method. Thus, Recovery is not a therapy administered by a
professional. Changes in the shubharthi after consistent use
of this method may lead one to believe it is a therapy.
However
professionals who have studied the method concede that it
has the scientific basis of CBT, that is, 'Cognitive Behavioural
Therapy.' All the same, we are more concerned with the outcome
of internalizing the method.
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What
happens at the weekly meeting? |
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The
shubharthis meetings begin at 4.30 pm every Saturday and continue
until 6.00 pm. Each meeting has a similar structure: The meeting
begins with self-introductions if any new members are present.
After this members volunteer examples that describe how they
have used this self-help method to cope better. Sharing is
done in four steps laid down by the Recovery method, which
I will explain in detail in some time. Every member gets a
chance to share his/her experience. After this sharing, if
time permits, some of the coping tools or recovery literature
is read and discussed.
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Can
you elaborate the term Recovery Method? |
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Dr
Abraham Low, a neuropsyhiatrist, introduced this method in
1937 in the US. He found limitations in the traditional methods
used to treat mentally ill persons. He found that patients
found more relief when they were taught simple strategies
to deal with day-to-day problems. When he started introducing
his method in hospital groups and mental institutions he faced
a lot of resistance from his colleagues. Despite this, he
was committed to provide the benefit of this method to as
many patients as possible.
Now, about the actual method; Shubharthis meet in a group
and they share their experiences in a four-step format.
1. Briefly
describe the event coped with.
2. Narrate the physical and mental symptoms experienced
due to this event.
3. Which tools of Dr Low did you use to cope with this event?
4. Compare the experience before and after using the Recovery
method.
In the
first step, the person who is sharing has to recall a single
event, which upset him. Care is taken to see that the event
chosen is one specific event, not a general issue like marriage,
employment etc. It should be one single thread of an event.
For example, the person may have had an argument with his
sibling that morning. He simply describes that specific
argument without getting into his sibling's general attitude,
past experiences etc.
In the
next step the person shares with the group the symptoms,
both physical and mental, while the event occurred. For
instance, he may have felt blood rushing to his head, palpitation,
throat drying up, hands trembling etc.
Now the third and a very important step: being able to recall
any of Dr Low's tools at the crucial time. This is known
as spotting appropriate tool to cope with the event. For
example, he may have recalled the tool" My internal
peace is my supreme goal." And this may have made him
take a better perspective of the situation and be able to
maintain peace instead of ending up in an argument.
In the
last step, he tries to understand what would have
Been
the situation had he not used the method. Perhaps, in this
particular example, the person would have let the argument
escalate to such an extent he could have lost control. But
because he used the tool in time, the situation got resolved
without any harm. After sharing the event in these four
steps the person endorses himself for his effort to use
the method and deal with his symptoms.
I hope
I have been able to explain this method to your satisfaction.
However complete understanding would come only after one
actually attends the support group meetings.
After
this whole cycle is completed others from the group also
endorse him. Further they 'comment,' as it is called in
'Recovery' language, i.e. they express as to what other
tools also he has unknowingly used in dealing with this
event. Thereafter it is someone else's turn in the group
to share.
Recovery
self-help support group advantages:
- Helps release pent-up feelings.
- No fear of criticism or judgment.
- Breaks stigmatized isolation.
- Encourages socialization.
- Generates a sense of belonging.
- Opportunity to learn from each other.
- Promotes mutual inspiration.
- Supportive attitude of members.
- Builds sense of hope & security.
- Helps members develop insight.
- Triggers self-initiatives.
- Nurtures self-confidence.
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Please
site a few more examples of Recovery tools? |
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Some
important spotting tools of Dr. Low.
1. Maintaining
inner peace is my supreme goal.
2. My internal peace is more important than my anger.
3. Helplessness is not hopelessness.
4. Nervous symptoms are distressing but not dangerous.
5. I can't control external but only my internal environment.
6. Setback is part of life. I am an average person.
7. Feelings are not facts.
8. People do things that irritate us, not to irritate us.
9. We can't control feelings & impulses; we can control
muscles and thoughts.
10. We can't control outer environment but we can control
our reaction to it.
11. Illness is fate-appointed, not self-appointed.
12. We can break old habit patterns.
13. Endorse for the effort, not just for the outcome.
14. Have the courage to make a mistake.
15. There is no right or wrong way to view trivialities
of everyday life.
16. Feelings will rise and fall if we don't attach danger
to them.
17. Changing our thoughts from insecure thoughts, to secure
thoughts.
18. It is hard to feel comfortable in an uncomfortable situation.
19. Try-fail, try-fail, try-succeed.
20. Don't look regretfully into the past or fearfully into
the future.
21. I should lower my expectations.
22. Recovery method is simple but not easy.
23. Fear feeds the symptoms and the symptoms feed the fear.
24. Every act of self-control leads to self-respect.
25. Strive for peace, order and balance.
26. Fearful anticipation is worse than the realization.
27. Be willing to bear discomfort and comfort will come.
28. Self-imposed expectations lead to self-induced disappointment
and frustration.
29. Commanding your muscles to move transforms the vicious
cycle of helplessness into the vitalizing cycle of self-confidence.
30. Don't measure good mental health by how you feel.
31. It is how you function, not how you feel.
32. Feelings can be expressed with culture and control.
33. Practice being self-led, not symptom-led.
34. Thoughts can be rejected, suppressed or dropped.
35. Controlling your speech muscles.
36. Take the total view.
37. Lower your standards and performance will rise.
38. Re-training the brain.
39. Do it in part-acts.
40. Excuse rather than accuse.
41. It happened by chance, not by choice.
42. Self-appointed expectations lead to disappointments.
43. Be group-minded.
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Is
sharing of an experience in the group meetings compulsory?
I may not feel like sharing some time? |
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There
is no compulsion to share. You may share when you think you
are ready. Being an attentive observer at the meetings is
also a good learning experience. On the other hand you stand
to gain much more by actual sharing in the four-step format. |
|
|
A
shubharthi shares his experience, which is normally success
story of coping with a disturbing situation, using the Recovery
method. What does he do, if he had undergone a disturbing
event, but he had not used the Recovery method? |
|
|
If
a shubharti had not used the method to cope with the event
but still wants to share, he simply narrates the first two
steps. Then he tries to identify there itself which tools
he could have used to cope while the event was going on. He
skips the fourth step. Similarly, during commenting, group
members identify other tools he could have used and encourage
him to use the method next time he encounters a disturbing
event. After all, hasn't Dr.Low suggested 'Try-fail, try-fail,
try-succeed' and also 'Neither look regretfully into the past
nor fearfully into the future?' Is it not better to 'Excuse
rather than accuse oneself also? |
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At
the weekly meetings of shubharthis do you have any activities
other than practice of Recovery method? |
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Once
the members finish sharing their experiences and if we still
have time to spare, we read aloud some portions from Dr.Low's
books. This is followed by discussions on it. At times we
also discuss what is meant by specific tools, say, 'Endorse
for the effort, not just for the outcome' or 'Fearful anticipation
is worse than realization.' This improves our understanding
and our ability to use the tools.
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Why
does the Recovery method insist on sharing experience in the
four- step format only? |
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The
simple method provides a clear, structured, and brief format.
Before this method was introduced, meetings held in a non-structured
fashion were not fruitful. In such a flexible form discussion
was often dominated by a few members. Focus was on their problems
and suffering. Another major risk is going off the track.
The four-step method ensures that participants briefly narrate
the disturbing event and then proceed to share success stories.
Thus, the four-step structure has positive impact. |
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How
do you overcome the language barrier as the Recovery tools
and procedures are all in English? |
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Members
are encouraged to learn or become a little more familiar with
other languages. Shubharthis take turns to translate the shared
examples into Marathi, Hindi or English. Usually nobody experiences
great difficulty due to language barrier. Moreover, guidelines
and Recovery tools have already been translated into Marathi,
the state language of Maharashtra state. Translation of Dr.
Low's most important book, "Mental Health Through Will
Training" is in process.
At Pune
we now have separate groups for Shubharthis who are comfortable
with English and another one for Marathi.
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What
Types of problems does Recovery help manage? |
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The
Recovery method offers techniques to help manage a wide variety
of problems such as anger, stress, anxiety, depression, exaggerated
fears, compulsions, obsessions, phobias, etc. Members learn
how to observe and cope with nervous symptoms such as palpitation,
dizziness, shortness of breath, sweating, fatigue, headache,
numbness, chest pressure, and lack of sleep. |
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How
will Recovery help me solve my problems? |
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Members
learn specific strategies for coping with the stress and strain
of everyday life. There are no hopeless cases. Recovery does
not deal directly with past problems or analyze the causes
of problems. Simple day-to-day experiences, as they arise
are dealt with. This has a beautiful utility. You see, it
is these small trivial issues, when not dealt with at the
very moment, that build up over a time. They start forming
layer over layer and end up as a huge problem which we describe
as anger, fear etc. The Recovery method encourages you to
deal with these issues then and there. |
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What
do I do if I have a major problem? |
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Members
with a major problem and wanting additional help are encouraged
to seek advice from appropriate professionals. |
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Is
there any time when one stops coming to the Recovery group
meetings? If yes, what are the reasons? |
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This
does happen sometime. Generally to avoid embarrassment, we
do not ask a member the reason. His freedom of choice is respected.
As we have emphasized time and again, we want to create a
free and secure environment. Many times the member himself
confesses he regrets that he missed the last meeting! |
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How
long does one need to attend these weekly meetings? |
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This
depends on the person, the nature and severity of his condition.
The goal is for members to attend until they learn the Method
well enough to function independently and efficiently. Let
us remember that it takes more than a few weeks to master
new skills and change old habits. After you have achieved
mastery over the method, you may still choose to attend the
meetings for purposes like socialization, support, endorsement,
friendship and to motivate new comers. |
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When
can one expect improvement his/her condition? |
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As
one starts using the Recovery stress management tools on a
daily basis, one begins to experience improvement. But, the
extent and quality of improvement will vary from person to
person. Only understanding the method is not enough, it's
application in daily life is what is more important. |
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Are
there any books on Recovery? And where can one find them? |
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The
main textbook "Mental Health Through Will Training'~
written by Dr. Low, Recovery's founder, is available in our
library. Audiotapes and other books are available for use
at the SAA premises, during office hours. Sometime you may
find extra copies available against payment.One can also order
them through the official website. |
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Does
the shubharthi stop using medication when he starts feeling
better using the Recovery method? |
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No.
It is solely the doctor's prerogative whether to increase,
reduce or stop medication after assessing the progress being
made by his patient. |
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If
one takes part in the Recovery group meetings, can one stop
seeing his/her health-care provider? |
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It
is advised that one continues to see his/her professional.
Group members, who are lay persons, do not diagnose illnesses
or symptoms. When ones not sure if a symptom is caused from
tension, strain or a physical ailment, it is necessary one
sees a doctor for diagnosis. |
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Does
the use of the word 'recovery' create unrealistic expectations
about the method when it is widely believed that schizophrenia
is life-long? |
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Schizophrenia
may no doubt last life long in some cases, but that doesn't
mean the person needs to suffer life long. Just as we learn
to live as comfortably as we can with other ailments like
diabetes or hypertension there's nothing much different in
case of mental illness. As long as you take necessary treatment
and precautions and also strengthen your physical/mental self,
there's nothing stopping you from feeling and being 'recovered.'
The
word 'recovery' indicates progress on the path of improvement.
A gradual positive change. Hence this word is applicable
for a person at any level of his well being.
In fact
persons who have attended Recovery groups have not only
recovered but they also serve as facilitators or motivators.
Some members of our groups can be said to be role models.
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Is
there no risk in using the word 'recovery' as it is likely
to give rise to false hope and consequent disappointment? |
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The
philosophy we follow says, "There are no hopeless cases!"
It is only when we believe and strive do our dreams turn into
reality. We don't promise miracles when you start attending
group meetings and follow the Recovery method. Another point
to remember is, once you've internalized the method, even
if there is a relapse, you will never return to square one.
You will remain a few points higher. The power of the method
lies in steady progress. And this is the experience of hundreds
of shubharthis who have been using this method.
We thus don't believe the word 'recovery' is in any way misleading.
In fact, it points to the true path every person with a mental
illness must undertake.
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Do
shubharthis feel the absence of professionals at the weekly
meetings? |
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None
has experienced it so far. In the non-judgmental and empathetic
atmosphere of our group meetings, the need for a professional
is unlikely to be felt. It is possible that the shubharthi
is already in touch with his doctor or counselor. Further
it is not that professionals never visit our SHSG. They lecture
or guide, once in a while, at our invitation. |
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As
sharing consists of personal details, are they treated confidential? |
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Confidentiality
is definitely maintained. Members may choose to share their
experiences, their own successful efforts using the Recovery
method. Recovery support group meetings provide a safe place
for members to express their feelings, what upsets or frightens
them. Yet there is no compulsion to share, because you may
attend the meetings and not share anything until you feel
safe and ready. This helps many who find it difficult to open
out quickly. Supportive atmosphere here is created because
there is no judgment passed. Plus, what is discussed
remains within the group.
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What
if my shared experience is leaked out by members to outsiders
as that could increase my suffering? |
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We
have noticed that when persons newly join the group and are
yet to get familiar with members their fear of confidentiality
is high. As one becomes acquainted, comfortable and trusting
of group members, gradually the fear subsides. The very basis
of such a group is mutual trust. Everyone shares his/her personal
problems and experiences, and thus all have equal stake. Further,
as members gradually get over fear of stigma also, confidentiality
will not be an issue. |
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Special
Recovery phrases and words are usedin these meetings. Why
is this so? |
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Recovery
vocabulary allows members to objectively report and discuss
their feelings, fears, experiences and symptoms. The simple
but specific expressions of the tools comprise of the Recovery
language. These pre-determined phrases are easy to learn and
to use in daily life. At all of the Recovery meetings, members
use the same format and terms. This makes it easier for a
member to attend Recovery group meetings anywhere in the world.
Uniformity of Recovery language eliminates chances of ambiguity. |
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How
do I learn to share experience in a structured way? |
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The
facilitator will help you as you give your first example about
something that upset you. You will also learn by listening
to others as they share their experience. It is quite normal
initially to be nervous about participating in the group.
As you realize that there is no criticism or judging, you
will feel comfortable to share without hesitation.
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When
does one start to comment on another member's example? |
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When
one has learned a couple of simple Recovery tools from either
listening to others at the meetings or reading Recovery books,
one will feel confident to do this. As part of a disciplined
group one is expected tol wait for ones turn to comment, as
one does for sharing ones experience. |
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Does
the Recovery method work for shubharthis? |
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The
Recovery method works not only for persons with mental disorders,
but also for anyone else who needs some help in facing day-to-day
situations. But to answer your specific question why, when
trivial issues are dealt with ineffectively they build over
time causing intense anger, frustration, fear, insecurity
and so on. These in time go on to develop into symptoms. What
Recovery method does is to nip these symptoms in the bud,
so to say, so that there's no scope for an unhealthy manifestation.
In brief Recovery method works effectively because it has
all the essential components:
- Shubharthi learns to identify distressing symptoms.
- Learns to act by selecting appropriate tool.
- Learns to endorse/appreciate whatever little success he
has achieved or effort he has made.
- Non-judgmental atmosphere provides right encouragement,
which is needed.
I would
like to clarify one thing here though. This method is purely
psychological and so it does not address the biological
cause of mental illnesses. Recovery helps deal with its
symptoms. Thus, a shubharthi cannot substitute psychiatric
care with this method. In fact to derive maximum benefit
both have to be undertaken simultaneously.
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Does
the Recovery method work equally well for all the participants?
If not, why so? |
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Like
it applies to all other facets of life, benefits and effects
of this method too may vary from shubharthi to shubharthi.
There could be many factors which affect the outcome. For
example, the individual level of motivation, persistence in
effort, intensity and duration of illness, personality, faith
in the method, shubhankars' encouragement etc. |
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Why
is the Recovery meeting limited to once a week only? As benefit
depends on one's skill in using the method, why not more often? |
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|
Everyone
has time constraints. To attend support group meetings more
than once a week for an hour and half could be difficult and
it may actually lead to some dropouts.
On the
other hand, with sufficient trained manpower two groups
may decide to meet on two different days, say, on Thursdays
and Saturdays. Those who want to participate more than once
a week will be able to do so. Perhaps, for those for whom
Saturdays are not suitable can attend on Thursdays rather
than not participate at all. Today manpower is our primary
constraint.
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Do
the benefits of Recovery method have lasting effects or not?
If not, why not? |
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As
long as the shubharthi attends the Recovery group, practises
the method meticulously and experiences it's lasting effects.
Quite obviously, if the person stops practising the method,
whatever be the reasons, he will be unable to experience it's
benefits. We have heard shubharthis tell us that once they
have internalised and use the Recovery method habitually it
has significantly changed their lives for the better. |
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Do
I have to come alone to the meetings? |
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No,
one is welcome to bring supportive adult family members or
friends with him/her. In fact, many shubharthis attend the
Recovery meetings while their shubhankars attend the parallel
support group meetings meant for them. Shubhankars do not
attend these Recovery meetings. |
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Why
is the Recovery method, developed more than 65 years' ago,
valid today also? Have there not been any changes effected
to better serve the purpose? |
|
|
The
method is old, no doubt; but it deals with human mind. And
the basic principles of working of the mind are the same even
after years. They are also applicable universally. This method
was developed by Dr. Abraham Low after years of studying and
experimenting with numerous patients. Hundreds of Recovery
support groups are in existence all over the world and popularity
continues to grow. |
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Apart
from practice of the Recovery method, don't you have some
other daily activities, which can keep shubharthis usefully
and gainfully occupied? |
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Recovery
method gives shubharthis coping strategies and through their
repeated use, brings about a longer lasting change in them.
They feel encouraged to participate in social activities just
like other members of the society do. Families also find ways
and means to keep their shubharthis engaged.
A new
activity started on experimental basis is yielding remarkably
positive changes in them. This consists of indoor/outdoor
light physical exercises plus breathing and relaxation techniques.
Encouragement
for practice and performance of variety entertainment before
a large and appreciative audience has also suddenly boosted
their self-worth, ability to communicate and develop relationship
with the outside world. They are a few steps closer than
ever before to reintegration into the community.
In a
couple of months, SAA will also have a 5000 sq. ft. facility
for shubharthis' vocational and recreational activity center
at Dhayari, Pune. Skills gained here are expected to help
about fifty shubharthis to generate some income of their
own and thus boost their self-esteem and confidence!
Meanwhile at Kamala Nehru Hospital we have already started
day-care activities in which about ten shubharthis participate.
Drawing, painting, singing, story-telling, games, discussion
of news items etc. keep them interestingly occupied.
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