Taking Over the Asylum: Empowerment and Mental Health

Cover......Page 1
Contents......Page 8
Preface......Page 11
What is the problem?......Page 14
Capacity, competence and rationality: the personal and interpersonal impacts of psychological distress......Page 16
Managing madness......Page 22
Can mental patients be citizens too?......Page 26
Stigma, poverty and social exclusion......Page 29
Dimensions and definitions of empowerment......Page 30
Conclusion......Page 37
2 From lunatics to survivors......Page 39
Psychiatry and the welfare state......Page 42
Proliferation and diversification......Page 48
Developments within the state......Page 54
3 Strategies for empowerment......Page 59
Sites of action among mental health service users in the UK: implications and dilemmas......Page 60
The policy context......Page 69
Diverse objectives and strategies......Page 76
Strategies and concepts of empowerment......Page 79
4 Diversity, difference and empowerment......Page 81
Crazy women......Page 82
Women organising......Page 88
Fighting mad......Page 89
Hospital admission and incidence rates of distress......Page 93
Different colour, different treatment......Page 95
Explanations of ethnic difference......Page 96
Diagnosis, mis-diagnosis and racism......Page 99
Black service users and the user movement......Page 103
Evaluating the impact of involvement strategies......Page 107
Consultation and participation – therapeutic or democratic goals?......Page 109
Consultation and participation within service establishments and their influence on service users......Page 110
The effect of wider consultation and participation strategies......Page 112
Fit for the purpose......Page 115
Self-help, autonomous action and benefits for service users......Page 118
The \'helper-therapy principle\'......Page 121
Joint working......Page 125
Changing the professionals and the public......Page 126
6 Changing the system......Page 130
Surveys, focus groups and consultation exercises......Page 131
Following through......Page 133
Achievements in partnership......Page 134
Advantages of independence......Page 136
Resistance and representation......Page 137
Conflicting demands, contrasting discourses......Page 140
Different expectations and limited structures......Page 143
The broader context......Page 144
What are new social movements?......Page 147
User and survivor movements as contemporary social movements......Page 151
Contested identities......Page 153
Making links......Page 156
Social movements and social change strategies......Page 157
Self-interest or social change?......Page 161
Conclusion......Page 165
The evidence so far......Page 166
Rediscovering inequality and community......Page 169
Enabling participation......Page 175
Broader decision-making within service organisations......Page 176
Training and education......Page 177
Involvement strategies and movement goals......Page 178
References......Page 180
B......Page 195
C......Page 196
D......Page 197
E......Page 198
H......Page 199
L......Page 200
M......Page 201
P......Page 203
R......Page 205
S......Page 206
V......Page 208
Z......Page 209