2025 年 21 巻 1 号 p. 138-143
Introduction: Illness Management and Recovery (IMR) is expected to be an effective strategy to support the recovery of clients with personality disorders, but its effective implementation for clients with avoidant personality disorder (AvPD) is unknown. In this study, we outlined the IMR modules combined with interviews focused on occupational dysfunction to facilitate recovery.
Methods: The study consisted of two courses of IMR with a client with AvPD who was reluctant to participate in treatment. The recovery process was assessed using the Recovery Assessment Scale (RAS), and interviews were conducted to share difficulties in daily life using the Classification and Assessment of Occupational Dysfunction (CAOD). In this study, only two IMR modules were performed on the following themes: “Recovery Strategies” and “Coping with Stress.”
Results: RAS scores increased throughout the study, indicating his recovery process was facilitated. The CAOD scores increased during the interview before the overnight stay. However, they improved at the end of the occupational therapy intervention, when the patient was anxious but hopeful toward discharge and maintained a recovery orientation.
Conclusion: The IMR modules combined with interviews focused on occupational dysfunction for the client with AvPD led to increased recovery orientation and hope for life after discharge. The IMR module support for this client provided basic information for considering support strategies for recovery and improving occupational dysfunction in clients with AvPD.
