CBT and recovery from psychosis in the ISREP trial: Mediating effects of hope and positive beliefs on activity

In recent years, a move away from traditional conceptualizations of recovery from severe mental illness has been observed. This has resulted in a more dimensional approach to recovery, with a broader focus on psychological well-being and functional outcomes, as opposed to a sole emphasis on symptom reduction. Much of this development has been stimulated by the recovery movement, a service user-led approach that supports each individual's potential for recovery and emphasizes the importance of hope, meaningful outcomes, and personal experience ( 1 ). The importance of social outcomes is also highlighted in the position statement on recovery by the American Psychiatric Association ( 2 ), which states that "the concept of recovery emphasizes a person's capacity to have hope and lead a meaningful life" and suggests that treatment should be guided by "attention to life goals and ambitions."