Abstract

In this article, we explore which configurations of risk and protective factors explain recovery in a sample of 60 forensic psychiatric patients 6 months after they have been discharged from a psychiatric institution. In line with the recovery-oriented paradigm that emerged in psychiatry, we focus on the role dynamic risk factors and dynamic protective factors play in recovery. Using fuzzy set qualitative comparative analysis, we explore which configurations of conditions explain recovery in conjunction with each other. This entails that the configurations of conditions are codependent sets of conditions, in the sense that the conditions in the configuration explain recovery only in the presence of the other conditions in the configuration, with important implications for research and practice. Our results suggest that the absence of dynamic risk factors is a necessary condition for recovery, and that both the absence of dynamic risk factors and the presence of dynamic protective factors play a pivotal role in recovery, often in combination with other factors, such as absence of symptoms, absence of historical risk factors, and absence of alcohol dependence. We conclude by stressing the important role dynamic risk and protective factors play in recovery, and underline their co-dependence on other factors.

摘要

在这篇文章中，我们探讨了 60 名法医精神病患者样本在从精神病院出院后 6 个月后的恢复情况，其中的风险和保护因素的配置。根据精神病学中出现的以康复为导向的范式，我们关注动态风险因素和动态保护因素在康复中的作用。使用模糊集定性比较分析，我们探索了哪些条件配置可以相互结合解释恢复。这意味着条件的配置是相互依赖的条件集，从某种意义上说，配置中的条件仅在配置中存在其他条件的情况下才能解释恢复，这对研究和实践具有重要意义。我们的结果表明，动态风险因素的缺失是恢复的必要条件，动态风险因素的缺失和动态保护因素的存在在恢复中起着关键作用，通常与其他因素结合，如缺失症状，没有历史危险因素，没有酒精依赖。最后，我们强调动态风险和保护因素在恢复中发挥的重要作用，并强调它们与其他因素的相互依赖性。