Personal recovery and rights-based approaches are now central to psychiatric services, but assumptions about entitlement to support may not be culturally neutral. This column introduces worth orientations as a cultural dimension shaping how service users interpret quality of life. In countries with a dignity-based worth orientation, support is more readily framed as grounded in inherent human value. In countries with an effort-based worth orientation, support is more linked to contribution, endurance, or deservingness. Recognising these differences can help psychiatric services communicate recovery goals more sensitively and develop culturally responsive practices.
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Kotera et al. (2026) studied this question.
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