Doing Fence Sitting

Lofgren, Axel; Hewitt, Vanessa; Nair, Roshan das

doi:10.1177/1049732314549479

Cited by 9 publications

(3 citation statements)

References 44 publications

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“…Our findings are consistent with developments in mental health practice and service provision including the personal recovery paradigm that emphasizes connectedness, hope, identity, meaning, and empowerment as cornerstones of recovery (Leamy, Bird, Le Boutillier, Williams, & Slade, 2011), and the related increased use of advance statements, joint crisis planning, and wellness recovery action plans (WRAPs; Henderson, Swanson, Szmukler, Thornicroft, & Zinkler, 2008). Lofgren, Hewitt, and das Nair (2015) suggest that clinicians need to be mindful of the impact of their language on people experiencing mental distress. Moreover, positive interpersonal encounters in health care settings, as Moran and Russo-Netzer (2016) argue, can enhance agency and meaning-making, thereby facilitating service users' personal recovery.…”

Section: Discussion and Implications For Practicesupporting

confidence: 81%

Supported Decision-Making: The Expectations Held by People With Experience of Mental Illness

et al. 2018

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Supported decision-making (SDM) is a principle guiding mental health service provision, which aims to improve people's ability to make informed decisions about their care. Understanding diverse individual needs is vital to its success. Based on 29 narrative interviews with people diagnosed with mental illness in Australia, we examine how participants reflected on their own experiences of SDM. We find that participants' conceptualization of mental health expertise, their own experiences and sense of agency, and their varying needs for dependence and independence influenced their relationships with mental health practitioners. These factors in turn shaped their expectations about SDM. Four narrative positions emerged: the "Inward Expert," the "Outward Entrustor," the "Self-Aware Observer," and the "Social Integrator." These positionings influenced the type or style of support that participants expected and considered most useful. Our findings are relevant to developing effective approaches to SDM that take into account service users' needs and preferences.

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Section: Discussion and Implications For Practicesupporting

confidence: 81%

Supported Decision-Making: The Expectations Held by People With Experience of Mental Illness

et al. 2018

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“…There are important methodological challenges for researchers seeking to understand how people who use psychological support services make sense of their mental health problems. In part, these challenges occur because mental health and illness are contested terms, and used to represent a range of concepts from psychological states to dimensions of health (Lofgren, Hewitt, & das Nair, 2015). In turn, these different concepts are underpinned by different epistemological and ontological frameworks, such as medical naturalism and social constructionism (Cromby, 2016).…”

Section: Introductionmentioning

confidence: 99%

“… 1. We use the term “service users” to describe people who use mental health support services. And we use the term “mental health problems” as an inclusive term to include the range of issues experienced by people who might use such services, people who may or may not have clinical diagnoses, for example, situated within a literature in which a range of terms are used in contested ways (see Lofgren et al, 2015). …”

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confidence: 99%

Presenting Critical Realist Discourse Analysis as a Tool for Making Sense of Service Users’ Accounts of Their Mental Health Problems

Sims‐Schouten

Riley

2018

Qual Health Res

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Making sense of service users' accounts of their mental health problems requires a method able to deal with complexity. Yet the different underlying epistemological and ontological positions of the methods researchers use, based for example on biomedicine or social constructionism, produce highly partial analyses. Addressing this problem, this article offers a method of Critical Realist Discourse Analysis (CRDA) that employs a synthesised discourse analysis, informed by critical realism, to examine the discursive, material, embodied and institutional factors that might inform how mental health service users make sense of their mental health problems and associated service use. The article describes the epistemological/ontological underpinnings of CRDA and its three phase methodology, before showcasing the method using, as examples, two data sets from care leavers and mothers. With our CRDA we demonstrate a method for analysing the complexity of interacting factors informing service users' understanding of their mental health problems.

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The rhetorical complexity of competitive and common victimhood in conversational discourse

McNeill

Pehrson

Stevenson

2017

Euro J Social Psych

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Much current research on collective victimhood acknowledges the role of rhetoric but does not fully address the implications for micro‐level variation in personal expressions of victimhood. The focus has tended to be on individual differences in collective victimhood construals where people may either see their group as the sole possessor of victim status or may incorporate other groups into an inclusive category. Although recent research sees a strategic element in some ‘inclusivity’, we argue that all claims of victimhood are strategic. By using a discursive approach, we show variability in the expression of victimhood and how this accomplishes different activities in conversations. Several focus groups consisting of victims from Northern Ireland were analysed to identify presentations of victimhood and their relation to the unfolding dynamics of the conversation. We demonstrate that presentation of victimhood is an interactional concern, link this to the concept of ‘needs’ and suggest implications this might have.

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Doing Fence Sitting

Cited by 9 publications

References 44 publications

Supported Decision-Making: The Expectations Held by People With Experience of Mental Illness

Supported Decision-Making: The Expectations Held by People With Experience of Mental Illness

Presenting Critical Realist Discourse Analysis as a Tool for Making Sense of Service Users’ Accounts of Their Mental Health Problems

The rhetorical complexity of competitive and common victimhood in conversational discourse

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