{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T08:13:38Z","timestamp":1788250418106,"version":"build-2803163510"},"reference-count":58,"publisher":"Springer Science and Business Media LLC","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Community Ment Health J"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Recovery-oriented practice emphasizes collaborative, person-centered relationships. However, culturally grounded frameworks describing how therapeutic relationships support recovery in Japan remain limited. This study explored the perspectives of Japanese community mental health service users to identify relational components that facilitate recovery and develop a culturally responsive conceptual framework. Using a phenomenological-qualitative design, semi-structured interviews were conducted with ten service users receiving community-based care. The data were analyzed through reflexive thematic analysis. Seven components were identified and organized into a two-stage structure. The listening, individuality, friendliness, and empowerment (LIFE) stage describes relational processes that build psychological safety through respectful communication, personal identity recognition, approachable interpersonal interaction, and self-determined decision-making support. The awareness, commitment, and exposure (ACE) stage captures subsequent processes that promote recovery-oriented action, including gaining new perspectives, setting and pursuing personally meaningful goals, and engaging in social roles and group interactions. Together, the LIFE-ACE framework illustrates the transformation of therapeutic relationships from trust-building to fostering social participation. It aligns with recovery principles while reflecting Japanese cultural values such as interpersonal harmony, empathy, and relational subtlety. The findings highlight the importance of approachable communication, recognition of individuality, and supportive opportunities for social engagement in cultivating recovery-oriented practice. The framework offers practical guidance for mental health professionals seeking to create culturally responsive therapeutic relationships that enhance psychological safety, autonomy, and meaningful participation in community life.<\/jats:p>","DOI":"10.1007\/s10597-026-01667-w","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T07:19:39Z","timestamp":1788247179000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The LIFE-ACE Framework of Building Therapeutic Relationships that Support Recovery in Japanese Community Mental Health: A Qualitative Study"],"prefix":"10.1007","author":[{"given":"Satoshi","family":"Okumura","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fujika","family":"Katsuki","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rintaro","family":"Imafuku","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"issue":"1","key":"1667_CR1","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1177\/02537176241252363","volume":"47","author":"MH Alva","year":"2024","unstructured":"Alva, M. H., Antony, S. P., & Kataria, K. (2024). Exploring the use of the therapist\u2019s self in therapy: A systematic review. Indian Journal of Psychological Medicine, 47(1), 17\u201324. https:\/\/doi.org\/10.1177\/02537176241252363","journal-title":"Indian Journal of Psychological Medicine"},{"issue":"7","key":"1667_CR2","doi-asserted-by":"publisher","first-page":"471","DOI":"10.1111\/pcn.12086","volume":"67","author":"S Ando","year":"2013","unstructured":"Ando, S., Yamaguchi, S., Aoki, Y., & Thornicroft, G. (2013). Review of mental-health-related stigma in Japan. Psychiatry and Clinical Neurosciences, 67(7), 471\u2013482. https:\/\/doi.org\/10.1111\/pcn.12086","journal-title":"Psychiatry and Clinical Neurosciences"},{"issue":"4","key":"1667_CR3","doi-asserted-by":"publisher","first-page":"11","DOI":"10.1037\/h0095655","volume":"16","author":"WA Anthony","year":"1993","unstructured":"Anthony, W. A. (1993). Recovery from mental illness: The guiding vision of the mental health service system in the 1990s. Psychosocial Rehabilitation Journal, 16(4), 11\u201323. https:\/\/doi.org\/10.1037\/h0095655","journal-title":"Psychosocial Rehabilitation Journal"},{"issue":"4","key":"1667_CR4","doi-asserted-by":"publisher","first-page":"e12365","DOI":"10.1111\/jjns.12365","volume":"17","author":"Y Aoki","year":"2020","unstructured":"Aoki, Y. (2020). Shared decision making for adults with severe mental illness: A concept analysis. Japan Journal of Nursing Science: JJNS, 17(4), e12365. https:\/\/doi.org\/10.1111\/jjns.12365","journal-title":"Japan Journal of Nursing Science: JJNS"},{"key":"1667_CR5","doi-asserted-by":"publisher","first-page":"270","DOI":"10.3389\/fpsyg.2011.00270","volume":"2","author":"RB Ardito","year":"2011","unstructured":"Ardito, R. B., & Rabellino, D. (2011). Therapeutic alliance and outcome of psychotherapy: Historical excursus, measurements, and prospects for research. Frontiers in Psychology, 2, 270. https:\/\/doi.org\/10.3389\/fpsyg.2011.00270","journal-title":"Frontiers in Psychology"},{"issue":"638","key":"1667_CR6","doi-asserted-by":"publisher","first-page":"e609","DOI":"10.3399\/bjgp15X686533","volume":"65","author":"B Arroll","year":"2015","unstructured":"Arroll, B., & Allen, E. C. F. (2015). To self-disclose or not self-disclose? A systematic review of clinical self-disclosure in primary care. The British Journal of General Practice: The Journal of the Royal College of General Practitioners, 65(638), e609\u2013e616. https:\/\/doi.org\/10.3399\/bjgp15X686533","journal-title":"The British Journal of General Practice: The Journal of the Royal College of General Practitioners"},{"key":"1667_CR7","doi-asserted-by":"publisher","first-page":"193","DOI":"10.1007\/s11135-014-0144-2","volume":"50","author":"K Bell","year":"2016","unstructured":"Bell, K., Fahmy, E., & Gordon, D. (2016). Quantitative conversations: The importance of developing rapport in standardised interviewing. Quality & Quantity, 50, 193\u2013212. https:\/\/doi.org\/10.1007\/s11135-014-0144-2","journal-title":"Quality & Quantity"},{"key":"1667_CR8","doi-asserted-by":"publisher","first-page":"572","DOI":"10.1016\/j.jad.2023.01.047","volume":"325","author":"S Bhattacharya","year":"2023","unstructured":"Bhattacharya, S., Kennedy, M., Miguel, C., Tr\u00f6ger, A., Hofmann, S. G., & Cuijpers, P. (2023). Effect of psychotherapy for adult depression on self-esteem: A systematic review and meta-analysis. Journal of Affective Disorders, 325, 572\u2013581. https:\/\/doi.org\/10.1016\/j.jad.2023.01.047","journal-title":"Journal of Affective Disorders"},{"issue":"1","key":"1667_CR9","doi-asserted-by":"publisher","first-page":"660","DOI":"10.1186\/s12888-022-04303-5","volume":"22","author":"A Boerkoel","year":"2022","unstructured":"Boerkoel, A., & Brommels, M. (2022). The processes involved in the establishment of user-provider partnerships in severe psychiatric illnesses: A scoping review. Bmc Psychiatry, 22(1), 660. https:\/\/doi.org\/10.1186\/s12888-022-04303-5","journal-title":"Bmc Psychiatry"},{"key":"1667_CR10","doi-asserted-by":"publisher","first-page":"965","DOI":"10.3389\/fpsyt.2019.00965","volume":"10","author":"J Bolsinger","year":"2020","unstructured":"Bolsinger, J., Jaeger, M., Hoff, P., & Theodoridou, A. (2020). Challenges and opportunities in building and maintaining a good therapeutic relationship in acute psychiatric settings: A narrative review. Frontiers in Psychiatry, 10, 965. https:\/\/doi.org\/10.3389\/fpsyt.2019.00965","journal-title":"Frontiers in Psychiatry"},{"issue":"4","key":"1667_CR12","doi-asserted-by":"publisher","first-page":"589","DOI":"10.1080\/2159676X.2019.1628806","volume":"11","author":"V Braun","year":"2019","unstructured":"Braun, V., & Clarke, V. (2019). Reflecting on reflexive thematic analysis. Qualitative Research in Sport Exercise and Health, 11(4), 589\u2013597. https:\/\/doi.org\/10.1080\/2159676X.2019.1628806","journal-title":"Qualitative Research in Sport Exercise and Health"},{"issue":"2","key":"1667_CR11","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1191\/1478088706qp063oa","volume":"3","author":"V Braun","year":"2006","unstructured":"Braun, V., & Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology, 3(2), 77\u2013101. https:\/\/doi.org\/10.1191\/1478088706qp063oa","journal-title":"Qualitative Research in Psychology"},{"issue":"4","key":"1667_CR13","doi-asserted-by":"publisher","first-page":"270","DOI":"10.1111\/inm.12241","volume":"25","author":"P Chester","year":"2016","unstructured":"Chester, P., Ehrlich, C., Warburton, L., Baker, D., Kendall, E., & Crompton, D. (2016). What is the work of recovery oriented practice? A systematic literature review. International Journal of Mental Health Nursing, 25(4), 270\u2013285. https:\/\/doi.org\/10.1111\/inm.12241","journal-title":"International Journal of Mental Health Nursing"},{"issue":"2","key":"1667_CR14","doi-asserted-by":"publisher","first-page":"e12295","DOI":"10.1111\/jjns.12295","volume":"17","author":"R Chiba","year":"2020","unstructured":"Chiba, R., Umeda, M., Goto, K., Miyamoto, Y., & Yamaguchi, S. (2020). Factors related to recovery knowledge and attitudes among professionals in mental health in Japan. Japan Journal of Nursing Science: JJNS, 17(2), e12295. https:\/\/doi.org\/10.1111\/jjns.12295","journal-title":"Japan Journal of Nursing Science: JJNS"},{"issue":"6","key":"1667_CR15","doi-asserted-by":"publisher","first-page":"715","DOI":"10.1007\/s00127-018-1635-6","volume":"54","author":"M Coffey","year":"2019","unstructured":"Coffey, M., Hannigan, B., Meudell, A., Jones, M., Hunt, J., & Fitzsimmons, D. (2019). Quality of life, recovery and decision-making: A mixed methods study of mental health recovery in social care. Social Psychiatry and Psychiatric Epidemiology, 54(6), 715\u2013723. https:\/\/doi.org\/10.1007\/s00127-018-1635-6","journal-title":"Social Psychiatry and Psychiatric Epidemiology"},{"issue":"2","key":"1667_CR16","doi-asserted-by":"publisher","first-page":"309","DOI":"10.1093\/schbul\/sbaa124","volume":"47","author":"M Conneely","year":"2021","unstructured":"Conneely, M., McNamee, P., Gupta, V., Richardson, J., Priebe, S., Jones, J. M., & Giacco, D. (2021). Understanding identity changes in psychosis: A systematic review and narrative synthesis. Schizophrenia Bulletin, 47(2), 309\u2013322. https:\/\/doi.org\/10.1093\/schbul\/sbaa124","journal-title":"Schizophrenia Bulletin"},{"issue":"3","key":"1667_CR17","doi-asserted-by":"publisher","first-page":"537","DOI":"10.1007\/s13311-017-0549-4","volume":"14","author":"SC Cook","year":"2017","unstructured":"Cook, S. C., Schwartz, A. C., & Kaslow, N. J. (2017). Evidence-based psychotherapy: Advantages and challenges. Neurotherapeutics: The Journal of the American Society for Experimental NeuroTherapeutics, 14(3), 537\u2013545. https:\/\/doi.org\/10.1007\/s13311-017-0549-4","journal-title":"Neurotherapeutics: The Journal of the American Society for Experimental NeuroTherapeutics"},{"issue":"5","key":"1667_CR18","doi-asserted-by":"publisher","first-page":"236","DOI":"10.1177\/070674371405900502","volume":"59","author":"RE Drake","year":"2014","unstructured":"Drake, R. E., & Whitley, R. (2014). Recovery and severe mental illness: Description and analysis. Canadian Journal of Psychiatry, 59(5), 236\u2013242. https:\/\/doi.org\/10.1177\/070674371405900502","journal-title":"Canadian Journal of Psychiatry"},{"issue":"5","key":"1667_CR19","doi-asserted-by":"publisher","first-page":"1261","DOI":"10.1093\/schbul\/sbaa181","volume":"47","author":"J Dubreucq","year":"2021","unstructured":"Dubreucq, J., Plasse, J., & Franck, N. (2021). Self-stigma in serious mental illness: A systematic review of frequency, correlates, and consequences. Schizophrenia Bulletin, 47(5), 1261\u20131287. https:\/\/doi.org\/10.1093\/schbul\/sbaa181","journal-title":"Schizophrenia Bulletin"},{"issue":"2","key":"1667_CR20","doi-asserted-by":"publisher","first-page":"350","DOI":"10.2307\/2666999","volume":"44","author":"A Edmondson","year":"1999","unstructured":"Edmondson, A. (1999). Psychological safety and learning behavior in work teams. Administrative Science Quarterly, 44(2), 350\u2013383. https:\/\/doi.org\/10.2307\/2666999","journal-title":"Administrative Science Quarterly"},{"issue":"5","key":"1667_CR21","doi-asserted-by":"publisher","first-page":"e0232076","DOI":"10.1371\/journal.pone.0232076","volume":"15","author":"G Guest","year":"2020","unstructured":"Guest, G., Namey, E., & Chen, M. (2020). A simple method to assess and report thematic saturation in qualitative research. PLOS One, 15(5), e0232076. https:\/\/doi.org\/10.1371\/journal.pone.0232076","journal-title":"PLOS One"},{"issue":"4","key":"1667_CR22","doi-asserted-by":"publisher","first-page":"573","DOI":"10.1007\/s11019-021-10033-4","volume":"24","author":"C Guidi","year":"2021","unstructured":"Guidi, C., & Traversa, C. (2021). Empathy in patient care: From clinical empathy to empathic concern. Medicine Health Care and Philosophy, 24(4), 573\u2013585. https:\/\/doi.org\/10.1007\/s11019-021-10033-4","journal-title":"Medicine Health Care and Philosophy"},{"key":"1667_CR23","doi-asserted-by":"publisher","first-page":"103490","DOI":"10.1016\/j.ijnurstu.2019.103490","volume":"102","author":"S Hartley","year":"2020","unstructured":"Hartley, S., Raphael, J., Lovell, K., & Berry, K. (2020). Effective nurse-patient relationships in mental health care: A systematic review of interventions to improve the therapeutic alliance. International Journal of Nursing Studies, 102, 103490. https:\/\/doi.org\/10.1016\/j.ijnurstu.2019.103490","journal-title":"International Journal of Nursing Studies"},{"issue":"5","key":"1667_CR24","doi-asserted-by":"publisher","first-page":"561","DOI":"10.1111\/j.1365-2648.2005.03623.x","volume":"52","author":"J Hewitt","year":"2005","unstructured":"Hewitt, J., & Coffey, M. (2005). Therapeutic working relationships with people with schizophrenia: Literature review. Journal of Advanced Nursing, 52(5), 561\u2013570. https:\/\/doi.org\/10.1111\/j.1365-2648.2005.03623.x","journal-title":"Journal of Advanced Nursing"},{"key":"1667_CR25","doi-asserted-by":"publisher","first-page":"704790","DOI":"10.3389\/fpsyg.2021.704790","volume":"12","author":"J H\u00f6pfner","year":"2021","unstructured":"H\u00f6pfner, J., & Keith, N. (2021). Goal missed, self hit: Goal-setting, goal-failure, and their affective, motivational, and behavioral consequences. Frontiers in Psychology, 12, 704790. https:\/\/doi.org\/10.3389\/fpsyg.2021.704790","journal-title":"Frontiers in Psychology"},{"key":"1667_CR26","doi-asserted-by":"publisher","first-page":"586230","DOI":"10.3389\/fpsyt.2020.586230","volume":"11","author":"A Jaiswal","year":"2020","unstructured":"Jaiswal, A., Carmichael, K., Gupta, S., Siemens, T., Crowley, P., Carlsson, A., Unsworth, G., Landry, T., & Brown, N. (2020). Essential elements that contribute to the recovery of persons with severe mental illness: A systematic scoping study. Frontiers in Psychiatry, 11, 586230. https:\/\/doi.org\/10.3389\/fpsyt.2020.586230","journal-title":"Frontiers in Psychiatry"},{"issue":"1","key":"1667_CR27","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1186\/s12888-022-03750-4","volume":"22","author":"A Kanehara","year":"2022","unstructured":"Kanehara, A., Koike, H., Fujieda, Y., Yajima, S., Kabumoto, A., Kumakura, Y., Morita, K., Miyamoto, Y., Nochi, M., & Kasai, K. (2022). Culture-dependent and universal constructs and promoting factors for the process of personal recovery in users of mental health services: Qualitative findings from Japan. Bmc Psychiatry, 22(1), 105. https:\/\/doi.org\/10.1186\/s12888-022-03750-4","journal-title":"Bmc Psychiatry"},{"key":"1667_CR28","doi-asserted-by":"publisher","first-page":"55","DOI":"10.1016\/j.ajp.2018.05.021","volume":"35","author":"M Kasahara-Kiritani","year":"2018","unstructured":"Kasahara-Kiritani, M., Matoba, T., Kikuzawa, S., Sakano, J., Sugiyama, K., Yamaki, C., Mochizuki, M., & Yamazaki, Y. (2018). Public perceptions toward mental illness in Japan. Asian Journal of Psychiatry, 35, 55\u201360. https:\/\/doi.org\/10.1016\/j.ajp.2018.05.021","journal-title":"Asian Journal of Psychiatry"},{"issue":"2","key":"1667_CR29","doi-asserted-by":"publisher","first-page":"107","DOI":"10.3390\/healthcare9020107","volume":"9","author":"Y Kato","year":"2021","unstructured":"Kato, Y., Chiba, R., Yamaguchi, S., Goto, K., Umeda, M., & Miyamoto, Y. (2021). Association between work environments and stigma towards people with schizophrenia among mental health professionals in Japan. Healthcare, 9(2), 107. https:\/\/doi.org\/10.3390\/healthcare9020107","journal-title":"Healthcare"},{"issue":"2","key":"1667_CR30","doi-asserted-by":"publisher","first-page":"295","DOI":"10.1007\/s10869-023-09897-5","volume":"39","author":"AN Kluger","year":"2024","unstructured":"Kluger, A. N., Lehmann, M., Aguinis, H., Itzchakov, G., Gordoni, G., Zyberaj, J., & Baka\u00e7, C. (2024). A meta-analytic systematic review and theory of the effects of perceived listening on work outcomes. Journal of Business and Psychology, 39(2), 295\u2013344. https:\/\/doi.org\/10.1007\/s10869-023-09897-5","journal-title":"Journal of Business and Psychology"},{"key":"1667_CR31","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1186\/s13012-015-0275-4","volume":"10","author":"C Le Boutillier","year":"2015","unstructured":"Le Boutillier, C., Chevalier, A., Lawrence, V., Leamy, M., Bird, V. J., Macpherson, R., Williams, J., & Slade, M. (2015). Staff understanding of recovery-orientated mental health practice: A systematic review and narrative synthesis. Implementation Science: IS, 10, 87. https:\/\/doi.org\/10.1186\/s13012-015-0275-4","journal-title":"Implementation Science: IS"},{"issue":"6","key":"1667_CR32","doi-asserted-by":"publisher","first-page":"445","DOI":"10.1192\/bjp.bp.110.083733","volume":"199","author":"M Leamy","year":"2011","unstructured":"Leamy, M., Bird, V., Le Boutillier, C., Williams, J., & Slade, M. (2011). Conceptual framework for personal recovery in mental health: Systematic review and narrative synthesis. The British Journal of Psychiatry: The Journal of Mental Science, 199(6), 445\u2013452. https:\/\/doi.org\/10.1192\/bjp.bp.110.083733","journal-title":"The British Journal of Psychiatry: The Journal of Mental Science"},{"issue":"2","key":"1667_CR33","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1111\/inm.12822","volume":"30","author":"S Matsuoka","year":"2021","unstructured":"Matsuoka, S. (2021). Recovery-oriented nursing care based on cultural sensitivity in community psychiatric nursing. International Journal of Mental Health Nursing, 30(2), 563\u2013573. https:\/\/doi.org\/10.1111\/inm.12822","journal-title":"International Journal of Mental Health Nursing"},{"issue":"2","key":"1667_CR34","doi-asserted-by":"publisher","first-page":"161","DOI":"10.1007\/s00127-017-1467-9","volume":"53","author":"MJ Metz","year":"2018","unstructured":"Metz, M. J., Veerbeek, M. A., van der Feltz-Cornelis, C. M., de Beurs, E., & Beekman, A. T. F. (2018). Decisional conflict in mental health care: A cross-sectional study. Social Psychiatry and Psychiatric Epidemiology, 53(2), 161\u2013169. https:\/\/doi.org\/10.1007\/s00127-017-1467-9","journal-title":"Social Psychiatry and Psychiatric Epidemiology"},{"key":"1667_CR36","unstructured":"Ministry of Health, Labour and Welfare. (2017). A report of the discussion group on the future of the mental health care system. https:\/\/www.mhlw.go.jp\/file\/05-Shingikai-12201000-Shakaiengokyokushougaihokenfukushibu-Kikakuka\/0000152026.pdf"},{"key":"1667_CR35","unstructured":"Ministry of Health, Labour and Welfare. (2004). A vision for reform of the mental health care system. https:\/\/www.mhlw.go.jp\/topics\/2004\/09\/dl\/tp0902-1a.pdf"},{"issue":"3","key":"1667_CR37","doi-asserted-by":"publisher","first-page":"332","DOI":"10.18502\/ijps.v18i3.13013","volume":"18","author":"SN Mousavizadeh","year":"2023","unstructured":"Mousavizadeh, S. N., & Jandaghian Bidgoli, M. A. (2023). Recovery-oriented practices in community-based mental health services: A systematic review. Iranian Journal of Psychiatry, 18(3), 332\u2013351. https:\/\/doi.org\/10.18502\/ijps.v18i3.13013","journal-title":"Iranian Journal of Psychiatry"},{"issue":"1","key":"1667_CR38","doi-asserted-by":"publisher","first-page":"e25","DOI":"10.1192\/bjo.2020.156","volume":"7","author":"M Nakanishi","year":"2021","unstructured":"Nakanishi, M., Kurokawa, G., Niimura, J., Nishida, A., Shepherd, G., & Yamasaki, S. (2021). System-level barriers to personal recovery in mental health: Qualitative analysis of co-productive narrative dialogues between users and professionals. BJPsych Open, 7(1), e25. https:\/\/doi.org\/10.1192\/bjo.2020.156","journal-title":"BJPsych Open"},{"issue":"9","key":"1667_CR39","doi-asserted-by":"publisher","first-page":"1245","DOI":"10.1097\/ACM.0000000000000388","volume":"89","author":"BC O\u2019Brien","year":"2014","unstructured":"O\u2019Brien, B. C., Harris, I. B., Beckman, T. J., Reed, D. A., & Cook, D. A. (2014). Standards for reporting qualitative research: A synthesis of recommendations. Academic Medicine, 89(9), 1245\u20131251. https:\/\/doi.org\/10.1097\/ACM.0000000000000388","journal-title":"Academic Medicine"},{"issue":"1","key":"1667_CR40","doi-asserted-by":"publisher","first-page":"522","DOI":"10.1186\/s12888-020-02927-z","volume":"20","author":"T Okayama","year":"2020","unstructured":"Okayama, T., Usuda, K., Okazaki, E., & Yamanouchi, Y. (2020). Number of long-term inpatients in Japanese psychiatric care beds: Trend analysis from the patient survey and the 630 survey. Bmc Psychiatry, 20(1), 522. https:\/\/doi.org\/10.1186\/s12888-020-02927-z","journal-title":"Bmc Psychiatry"},{"issue":"6","key":"1667_CR41","doi-asserted-by":"publisher","first-page":"1164","DOI":"10.1111\/jpm.13078","volume":"31","author":"S Okumura","year":"2024","unstructured":"Okumura, S., & Katsuki, F. (2024). Effective provider communication for personal agency in mental health recovery: A cross-sectional study on Japanese users\u2019 perspectives. Journal of Psychiatric and Mental Health Nursing, 31(6), 1164\u20131174. https:\/\/doi.org\/10.1111\/jpm.13078","journal-title":"Journal of Psychiatric and Mental Health Nursing"},{"issue":"1","key":"1667_CR42","doi-asserted-by":"publisher","first-page":"134","DOI":"10.1186\/s13643-021-01646-0","volume":"10","author":"M Piat","year":"2021","unstructured":"Piat, M., Wainwright, M., Sofouli, E., Vachon, B., Deslauriers, T., Pr\u00e9fontaine, C., & Frati, F. (2021). Factors influencing the implementation of mental health recovery into services: A systematic mixed studies review. Systematic Reviews, 10(1), 134. https:\/\/doi.org\/10.1186\/s13643-021-01646-0","journal-title":"Systematic Reviews"},{"issue":"2","key":"1667_CR43","doi-asserted-by":"publisher","first-page":"77","DOI":"10.1016\/S1836-9553(12)70087-5","volume":"58","author":"RZ Pinto","year":"2012","unstructured":"Pinto, R. Z., Ferreira, M. L., Oliveira, V. C., Franco, M. R., Adams, R., Maher, C. G., & Ferreira, P. H. (2012). Patient-centred communication is associated with positive therapeutic alliance: A systematic review. Journal of Physiotherapy, 58(2), 77\u201387. https:\/\/doi.org\/10.1016\/S1836-9553(12)70087-5","journal-title":"Journal of Physiotherapy"},{"issue":"11","key":"1667_CR44","doi-asserted-by":"publisher","first-page":"e0292865","DOI":"10.1371\/journal.pone.0292865","volume":"18","author":"CA Roos","year":"2023","unstructured":"Roos, C. A., Postmes, T., & Koudenburg, N. (2023). Feeling heard: Operationalizing a key concept for social relations. PLOS One, 18(11), e0292865. https:\/\/doi.org\/10.1371\/journal.pone.0292865","journal-title":"PLOS One"},{"issue":"13","key":"1667_CR45","doi-asserted-by":"publisher","first-page":"1292","DOI":"10.3390\/healthcare12131292","volume":"12","author":"B Santos","year":"2024","unstructured":"Santos, B., Pinho, L., Nogueira, M. J., Pires, R., Sequeira, C., & Montes\u00f3-Curto, P. (2024). Cognitive restructuring during depressive symptoms: A scoping review. Healthcare, 12(13), 1292. https:\/\/doi.org\/10.3390\/healthcare12131292","journal-title":"Healthcare"},{"issue":"1","key":"1667_CR47","doi-asserted-by":"publisher","first-page":"456","DOI":"10.1186\/s12913-019-4304-x","volume":"19","author":"A Scheffelaar","year":"2019","unstructured":"Scheffelaar, A., Bos, N., Hendriks, M., van Dulmen, S., & Luijkx, K. (2019). Correction to: Determinants of the quality of care relationships in long-term care\u2014A systematic review. BMC Health Services Research, 19(1), 456. https:\/\/doi.org\/10.1186\/s12913-019-4304-x","journal-title":"BMC Health Services Research"},{"issue":"1","key":"1667_CR46","doi-asserted-by":"publisher","first-page":"903","DOI":"10.1186\/s12913-018-3704-7","volume":"18","author":"A Scheffelaar","year":"2018","unstructured":"Scheffelaar, A., Bos, N., Hendriks, M., van Dulmen, S., & Luijkx, K. (2018). Determinants of the quality of care relationships in long-term care\u2014A systematic review. BMC Health Services Research, 18(1), 903. https:\/\/doi.org\/10.1186\/s12913-018-3704-7","journal-title":"BMC Health Services Research"},{"issue":"3","key":"1667_CR48","doi-asserted-by":"publisher","first-page":"291","DOI":"10.1080\/09638237.2016.1222056","volume":"26","author":"SR Stuart","year":"2016","unstructured":"Stuart, S. R., Tansey, L., & Quayle, E. (2016). What we talk about when we talk about recovery: A systematic review and best-fit framework synthesis of qualitative literature. Journal of Mental Health, 26(3), 291\u2013304. https:\/\/doi.org\/10.1080\/09638237.2016.1222056","journal-title":"Journal of Mental Health"},{"key":"1667_CR49","doi-asserted-by":"publisher","first-page":"915617","DOI":"10.3389\/fpsyt.2022.915617","volume":"13","author":"J Sun","year":"2022","unstructured":"Sun, J., Yin, X., Li, C., Liu, W., & Sun, H. (2022). Stigma and peer-led interventions: A systematic review and meta-analysis. Frontiers in Psychiatry, 13, 915617. https:\/\/doi.org\/10.3389\/fpsyt.2022.915617","journal-title":"Frontiers in Psychiatry"},{"key":"1667_CR50","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1186\/1471-244X-12-87","volume":"12","author":"L Thompson","year":"2012","unstructured":"Thompson, L., & McCabe, R. (2012). The effect of clinician-patient alliance and communication on treatment adherence in mental health care: A systematic review. Bmc Psychiatry, 12, 87. https:\/\/doi.org\/10.1186\/1471-244X-12-87","journal-title":"Bmc Psychiatry"},{"issue":"6","key":"1667_CR51","doi-asserted-by":"publisher","first-page":"1856","DOI":"10.1111\/hex.12251","volume":"18","author":"L Tlach","year":"2015","unstructured":"Tlach, L., W\u00fcsten, C., Daubmann, A., Liebherz, S., H\u00e4rter, M., & Dirmaier, J. (2015). Information and decision-making needs among people with mental disorders: A systematic review of the literature. Health Expectations: An International Journal of Public Participation in Health Care and Health Policy, 18(6), 1856\u20131872. https:\/\/doi.org\/10.1111\/hex.12251","journal-title":"Health Expectations: An International Journal of Public Participation in Health Care and Health Policy"},{"key":"1667_CR52","doi-asserted-by":"publisher","first-page":"712026","DOI":"10.3389\/fpsyt.2021.712026","volume":"12","author":"N Vera San Juan","year":"2021","unstructured":"Vera San Juan, N., Gronholm, P. C., Heslin, M., Lawrence, V., Bain, M., Okuma, A., & Evans-Lacko, S. (2021). Recovery from severe mental health problems: A systematic review of service user and informal caregiver perspectives. Frontiers in Psychiatry, 12, 712026. https:\/\/doi.org\/10.3389\/fpsyt.2021.712026","journal-title":"Frontiers in Psychiatry"},{"key":"1667_CR53","doi-asserted-by":"publisher","unstructured":"Vogel-Scibilia, S. E., McNulty, K. C., Baxter, B., Miller, S., Dine, M., & Frese, F. J. 3rd (2009). The recovery process utilizing Erikson\u2019s stages of human development. Community Mental Health Journal, 45(6), 405\u2013414. https:\/\/doi.org\/10.1007\/s10597-009-9189-4","DOI":"10.1007\/s10597-009-9189-4"},{"issue":"1","key":"1667_CR54","doi-asserted-by":"publisher","first-page":"318","DOI":"10.1111\/inm.12537","volume":"28","author":"AK Waldemar","year":"2019","unstructured":"Waldemar, A. K., Esbensen, B. A., Korsbek, L., Petersen, L., & Arnfred, S. (2019). Recovery-oriented practice: Participant observations of the interactions between patients and health professionals in mental health inpatient settings. International Journal of Mental Health Nursing, 28(1), 318\u2013329. https:\/\/doi.org\/10.1111\/inm.12537","journal-title":"International Journal of Mental Health Nursing"},{"key":"1667_CR55","doi-asserted-by":"publisher","first-page":"101815","DOI":"10.1016\/j.cpr.2020.101815","volume":"76","author":"C Winsper","year":"2020","unstructured":"Winsper, C., Crawford-Docherty, A., Weich, S., Fenton, S. J., & Singh, S. P. (2020). How do recovery-oriented interventions contribute to personal mental health recovery? A systematic review and logic model. Clinical Psychology Review, 76, 101815. https:\/\/doi.org\/10.1016\/j.cpr.2020.101815","journal-title":"Clinical Psychology Review"},{"issue":"6","key":"1667_CR56","doi-asserted-by":"publisher","first-page":"793","DOI":"10.1007\/s10597-017-0185-9","volume":"54","author":"L Wood","year":"2018","unstructured":"Wood, L., & Alsawy, S. (2018). Recovery in psychosis from a service user perspective: A systematic review and thematic synthesis of current qualitative evidence. Community Mental Health Journal, 54(6), 793\u2013804. https:\/\/doi.org\/10.1007\/s10597-017-0185-9","journal-title":"Community Mental Health Journal"},{"key":"1667_CR57","unstructured":"World Health Organization. (2021). Comprehensive mental health action plan 2013\u20132030. World Health Organization. https:\/\/www.who.int\/publications\/i\/item\/9789240031029"},{"issue":"1","key":"1667_CR58","doi-asserted-by":"publisher","first-page":"280","DOI":"10.3390\/ijerph17010280","volume":"17","author":"Z Zhang","year":"2019","unstructured":"Zhang, Z., Sun, K., Jatchavala, C., Koh, J., Chia, Y., Bose, J., Li, Z., Tan, W., Wang, S., Chu, W., Wang, J., Tran, B., & Ho, R. (2019). Overview of stigma against psychiatric illnesses and advancements of anti-stigma activities in six Asian societies. International Journal of Environmental Research and Public Health, 17(1), 280. https:\/\/doi.org\/10.3390\/ijerph17010280","journal-title":"International Journal of Environmental Research and Public Health"}],"container-title":["Community Mental Health Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10597-026-01667-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s10597-026-01667-w","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s10597-026-01667-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T07:19:41Z","timestamp":1788247181000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s10597-026-01667-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,9,1]]},"references-count":58,"alternative-id":["1667"],"URL":"https:\/\/doi.org\/10.1007\/s10597-026-01667-w","relation":{},"ISSN":["0010-3853","1573-2789"],"issn-type":[{"value":"0010-3853","type":"print"},{"value":"1573-2789","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,9,1]]},"assertion":[{"value":"31 December 2025","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 May 2026","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 September 2026","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"The authors declare no competing interests.","order":1,"name":"Ethics","label":"Competing Interests","group":{"name":"EthicsHeading","label":"Declarations"}}]}}