Psychodynamic accessibility: a testable framework for supported agency in social psychiatry and psychiatric rehabilitation (opens in new tab)

Recovery-oriented social psychiatry and psychiatric rehabilitation increasingly emphasize rights, participation, community-based care, supported decision-making, supported employment, and prevention-oriented early intervention. Yet formal access to services, information, rehabilitation, legal-administrative procedures, or participation formats does not by itself ensure that people can use these resources when shame, mistrust, affective overload, fatigue, cognitive narrowing, or structural vul...