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• W2283932110 abstract "Social and recovery models, central in current mental health policy, provide the mandate for todays mental health education across a range of disciplines. Social work values of empowerment and anti-discriminatory practice have been influential. They share the concern of these models with citizenship rights, strengths, and control over ones life and symptoms, and with social discrimination as a primary cause of mental distress, in contrast to the vulnerabilities, biological causation and lack of control associated with traditional disease discourses. Significantly, however, these developments resonate sometimes explicitly - with moral treatment in the Enlightenment period, which sought to reconstruct the person as a sober, self determining citizen??? (Scull 1983). Understandings in that period viewed the normal person as completely autonomous, seeing vulnerability to the impact of social and biological adversity upon mind as indicating a lack of human status. These understandings were then codified into early genetic deficiency models of mental illness thus suggesting the stigma these carry owes more to societal constructs than to the notion of disease. However, Enlightenment values of control have been recognised as still dominant in wider health and social care policies today. They have also been identified with the values of western culture and of more advantaged socio-economic groups, and this raises the question of how far they are in accord with the lived experience of other social groups. This paper seeks to review research relating to these experiences notably amongst people with serious mental health concerns, whose backgrounds disproportionately feature disadvantage and inequalities. These experiences suggest that although service users seek recognition of their personhood and rights, they also have major concerns with suffering and damage resulting from the impact of adversity, including not only social discrimination but also biological symptoms, which they experience as full human beings and as hard for anyone to control. The paper would further explore how disease models in mental health have at certain times moved away from deficiency understandings towards the recognition of these experiences correspondingly bringing more rights, entitlements and valuation to people experiencing mental distress. Simultaneously, emancipatory social theories called for social justice responses to the impact of social inequalities. The paper will then explore the implications of these experiences and responses for education and practice in the field of mental health. Important in these are approaches which recognise personhood, and equally, the devastating impact of both the social justice and the health concerns of service users." @default.
• W2283932110 created "2016-06-24" @default.
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• W2283932110 date "2010-01-01" @default.
• W2283932110 modified "2023-09-27" @default.
• W2283932110 title "Does mental illness have a place alongside social and recovery models of mental health, in service users' lived experiences?" @default.
• W2283932110 hasPublicationYear "2010" @default.
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