31 results on '"Larsen, Inger Beate"'
Search Results
2. 'It's Not Just about the Activity, It's Also about How the Activity Is Facilitated': Investigating Students' Experiences in Two Competitive Situations in Physical Education
- Author
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Hovdal, Dag Ove G., Haugen, Tommy, Larsen, Inger Beate, and Johansen, Bjørn Tore
- Abstract
Research in the Scandinavian school context has indicated that physical education (PE) is dominated by activities and values from a sports discourse. The main aim of this study was to explore students' experiences of two competitive activities provided by the teacher. The participants were 49 students (13-15 years old) and their two teachers from two secondary schools in Norway. Methods included written narratives, interviews, observation, and video recordings of PE lessons. Data were thematically analysed. Results showed that the teacher-facilitated one competitive activity with the aim of winning and another activity with the aim of educating the students. The teacher's facilitation of the activities influenced the students' experiences, goals, and effort in these activities. The study shows that it is important that teachers have clear learning outcomes for lessons and make students aware of those learning outcomes, and that students find the lessons useful in their everyday lives.
- Published
- 2023
- Full Text
- View/download PDF
3. Students' Experiences and Learning of Social Inclusion in Team Activities in Physical Education
- Author
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Hovdal, Dag Ove G., Haugen, Tommy, Larsen, Inger Beate, and Johansen, Bjørn Tore
- Abstract
Physical education (PE) can be a context in which students are 'educated through the physical', which includes the possibility to learn social inclusion as an important life skill and contributor to the greater good of society. A key goal in the Norwegian educational system is that such positive life skills become internalised in students. The aims of this study were to understand students' experiences of and behaviour towards social inclusion -- such as passing the ball -- in team activities and how the teacher facilitated the learning of social inclusion. We use Dewey's pedagogical perspective on education, and Johnson and Johnson's cooperative learning model to discuss possible consequences and implications of our findings. The participants consisted of two secondary classes from two state schools in Norway, where one class was investigated in depth. Methods comprised written narratives, interviews, observation and video recordings of PE lessons. Data creation was triangulated, and thematic analysis was conducted. The results highlighted a paradox between students' experiences of and behaviour towards social inclusion in team activities. Students disliked socially exclusive behaviours, but they often provided positive feedback when the behaviour was seen as successful in the context of a game; furthermore, students could themselves behave in a socially exclusive manner. Although the teacher could 'teach by telling' the students to pass the ball or by having rules, passing the ball did not become internalised in students. We discuss a model of 'learning through experiences and reflections', according to which students may learn to become socially inclusive beings.
- Published
- 2021
- Full Text
- View/download PDF
4. Understanding Disruptive Situations in Physical Education: Teaching Style and Didactic Implications
- Author
-
Hovdal, Dag Ove G., Larsen, Inger Beate, Haugen, Tommy, and Johansen, Bjørn Tore
- Abstract
Several studies have emphasized the importance of handling disruptive situations in the physical education (PE) learning environment; however, few have investigated complex disruptive situations in PE and included both teacher and student perspectives. The aims of this study, which discusses an alternative teaching style for reducing disruptive situations, were to gain a better understanding of student and teacher experiences of complex disruptive situations in PE, and to explore how the teacher handled these situations. The philosophical perspective used in this study was Rorty's philosophical pragmatism. Methods included written narratives, interviews, observation, and video recordings of PE lessons. Data were thematically analysed. The results showed the complexity of teacher and student experiences in disruptive situations in PE. Disruptive situations occurred when there were environmental opportunities for them, such as during periods of waiting and situations in which the teacher spoke too much, did not pay attention to the whole class, or did not intervene. The teacher used an instructional teaching style for handling disruptive situations, including being very clear, nagging, yelling, waiting them out, making eye contact, and talking to them later. The instructional teaching style provided fewer opportunities for the teacher to understand the students' behaviour, fewer opportunities for students to learn self-control and personal and social responsibility, and did not lead to a reduction of disruptive situations over the data creation period. The practical consequence of this teaching style seemed to be the frequent use of behaviour corrections for reducing disruptive situations.
- Published
- 2021
- Full Text
- View/download PDF
5. Studies regarding supported housing and the built environment for people with mental health problems: A mixed-methods literature review
- Author
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Friesinger, Jan Georg, Topor, Alain, Bøe, Tore Dag, and Larsen, Inger Beate
- Published
- 2019
- Full Text
- View/download PDF
6. Small Things, Micro-Affirmations and Helpful Professionals Everyday Recovery-Orientated Practices According to Persons with Mental Health Problems
- Author
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Topor, Alain, Bøe, Tore Dag, and Larsen, Inger Beate
- Published
- 2018
- Full Text
- View/download PDF
7. A place for the heart: A journey in the post-asylum landscape. Metaphors and materiality
- Author
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Larsen, Inger Beate and Topor, Alain
- Published
- 2017
- Full Text
- View/download PDF
8. Patients' negative experiences with health care settings brought to light by formal complaints: A qualitative metasynthesis.
- Author
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Eriksen, Alison Axisa, Fegran, Liv, Fredwall, Terje Emil, and Larsen, Inger Beate
- Subjects
META-synthesis ,CINAHL database ,PSYCHOLOGY information storage & retrieval systems ,MEDICAL quality control ,THERAPEUTICS ,HEALTH facilities ,HEALTH services accessibility ,PATIENT participation ,SYSTEMATIC reviews ,ATTITUDE (Psychology) ,MEDICAL care ,PATIENTS' attitudes ,EXPERIENCE ,QUALITATIVE research ,HEALTH ,INFORMATION resources ,ACCESS to information ,MEDLINE ,PATIENT-professional relations ,MEDICAL practice ,TRUST ,REFLECTION (Philosophy) - Abstract
Introduction: Narratives of negative patient experiences expressed in complaints can help health care professionals reflect on their practices. Aims: To synthesise evidence from qualitative primary studies on patients' negative experiences with different health care settings and to obtain a detailed picture of what patients find problematic while receiving health care. Design: Metasynthesis inspired by Sandelowski and Barroso. Methods: A protocol was published in the International Prospective Register of Systematic Reviews (PROSPERO). A systematic search was conducted in CINAHL (EBSCOhost), MEDLINE (EBSCOhost), PsycInfo (Ovid) and Scopus, on 20.04.2021. Backward and forward citations of included reports were searched for relevant studies and the search was completed in March 2022. Two researchers independently screened and appraised the included reports. A metasynthesis using reflexive thematic analysis and a metasummary were conducted. Results: Twenty‐four reports were included, and four main themes were extracted from the metasynthesis: (1) problems with access to health care services; (2) failure to acquire information about diagnosis, treatment and the expected patient role; (3) experiencing inappropriate care and bad treatment; (4) problems with trusting health care service providers. Conclusions: Negative patient experiences impact patients' physical and psychological health, leading to suffering and hampering patients from involving themselves in their health care. Relevance to clinical practice: Narratives of negative patient experiences aggregated from the findings provide knowledge about what patients need and expect from health care providers. These narratives can help health care professionals reflect on the way they interact with patients and improve their practice. Health care organisations need to prioritise patient participation. Reporting method: Preferred Reporting Items for Systematic Reviews and Meta‐Analyses (PRISMA) guidelines were followed. Patient or public contribution: Findings were presented and discussed in a meeting with a reference group representing patients, health care professionals and the public. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
9. The ambiguous influences of fire safety on people with mental health problems in supported housing
- Author
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Friesinger, Jan Georg, Topor, Alain, Bøe, Tore Dag, and Larsen, Inger Beate
- Published
- 2019
- Full Text
- View/download PDF
10. A qualitative fallacy: Life trapped in interpretations and stories.
- Author
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Bøe, Tore Dag, Bertelsen, Bård, Larsen, Inger Beate, and Topor, Alain
- Subjects
PROFESSIONAL practice ,PSYCHIATRY ,EVALUATION ,CONVALESCENCE ,MENTAL health ,NARRATIVES ,LANGUAGE & languages ,UNCERTAINTY ,QUALITATIVE research ,CONTENT mining ,PHENOMENOLOGY ,PATIENTS' attitudes ,WRITTEN communication ,STORYTELLING ,READING ,MENTAL illness ,CONSCIOUSNESS - Abstract
This paper points out some problematic aspects of qualitative research based on interviews and uses examples from mental health. The narrative approach is explored while inquiring if the reality of life here is forced into the formula of a chronological story. The hermeneutic approach, in general, is also examined, and we ask if the reality of life in this scenario becomes caught up in a web of interpretations. Inspired by ideas from Bakhtin and phenomenology, we argue for interview-based research that stays with unresolvedness and constantly question the web of interpretations and narratives that determine our experiences. This also chimes with certain dialogical practices in mental health in which tolerance of uncertainty is the guiding principle. Concludingly, we suggest that interview-based research could be a practice of 'un-resolving' in which researchers, together with the participants, look for cracks, contradictions, and complexities to prevent the qualitative fallacies of well-organized meanings and well-composed stories. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
11. "It's Not Just About the Activity, It's Also About How the Activity is Facilitated": Investigating Students' Experiences in Two Competitive Situations in Physical Education.
- Author
-
Hovdal, Dag Ove G., Haugen, Tommy, Larsen, Inger Beate, and Johansen, Bjørn Tore
- Subjects
PHYSICAL education ,STUDENT development ,TEACHING ,ADULTS ,HIGHER education - Abstract
Research in the Scandinavian school context has indicated that physical education (PE) is dominated by activities and values from a sports discourse. The main aim of this study was to explore students' experiences of two competitive activities provided by the teacher. The participants were 49 students (13–15 years old) and their two teachers from two secondary schools in Norway. Methods included written narratives, interviews, observation, and video recordings of PE lessons. Data were thematically analysed. Results showed that the teacher-facilitated one competitive activity with the aim of winning and another activity with the aim of educating the students. The teacher's facilitation of the activities influenced the students' experiences, goals, and effort in these activities. The study shows that it is important that teachers have clear learning outcomes for lessons and make students aware of those learning outcomes, and that students find the lessons useful in their everyday lives. [ABSTRACT FROM AUTHOR]
- Published
- 2023
- Full Text
- View/download PDF
12. Generating Dialogical Practices in Mental Health: Experiences from Southern Norway, 1998–2008
- Author
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Ulland, Dagfinn, Andersen, Anders Johan W., Larsen, Inger Beate, and Seikkula, Jaakko
- Published
- 2014
- Full Text
- View/download PDF
13. Fear, danger and aggression in a Norwegian locked psychiatric ward: Dialogue and ethics of care as contributions to combating difficult situations
- Author
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Terkelsen, Toril Borch and Larsen, Inger Beate
- Published
- 2016
- Full Text
- View/download PDF
14. Before Recovery - A Blind Spot in Recovery Research?: Users’ Narratives About the Origins and Development of their Mental Health and/or Addiction Problems
- Author
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Topor, Alain Pierre, Fredwall, Terje Emil, Hodøl, Elin Kristin Svoren, and Larsen, Inger Beate
- Subjects
VDP::Medisinske Fag: 700::Helsefag: 800 ,VDP::Samfunnsvitenskap: 200::Psykologi: 260 ,VDP::Medisinske Fag: 700 - Abstract
Objective: Recently, the position of persons with mental health and drug problems has evolved from victim of an illness to holder of an experience-based knowledge (EBK). Studies about recovery are often based on recovery narratives. However, focusing on components of the recovery process—parts of this EBK concerned with the causes, onset, and journey before the proper recovery process—risks forming a blind spot. In this study, we aim to analyze service users’ EBK about recovery, the backgrounds and causes of the problems, and how they related these conditions to their recovery journey. Research Design and Methods: We interviewed 29 persons in recovery. Data were analyzed by using thematic analysis. Results: We found that a childhood characterized by violence and abuse reoccurred in the stories. The child’s situation was not addressed by schools, social agencies, or neighbours, creating an experience of social isolation and invisibility. Mental health distress and drug abuse were described as ways of managing these situations, until these became problems in themselves. The recovery journey started in a situation of despair and with a decision to stop using the developed threat response. For many, this meant going back to a situation of loneliness and invisibility before finding places and people and allowing experiences of being part of a positive context where they could also contribute. Conclusions: There is a risk of a blind spot in recovery research. EBK should be used to develop recovery-oriented services and also preventive interventions directed toward the social and psychological conditions in which children are raised.
- Published
- 2021
15. General support versus individual work support: a qualitative study of social workers and therapists in collaboration meetings within individual placement and support.
- Author
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Moen, Ellen Ånestad, Larsen, Inger Beate, and Walseth, Liv Tveit
- Subjects
MEETINGS ,SOCIAL support ,SOCIAL workers ,CLINICS ,PHENOMENOLOGY ,INTERPROFESSIONAL relations ,SOUND recordings ,RESEARCH funding ,EMPLOYMENT ,THEMATIC analysis ,SUPPORTED employment - Abstract
Copyright of European Journal of Social Work is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
16. 'It's not just a lot of words'. A qualitative exploration of residents' descriptions of helpful relationships in supportive housing.
- Author
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Lindvig, Gunnhild Ruud, Larsen, Inger Beate, Topor, Alain, and Bøe, Tore Dag
- Subjects
FRIENDSHIP ,WELL-being ,HOSPITAL medical staff ,LEADERSHIP ,MENTAL health ,INTERVIEWING ,NURSING care facilities ,EXPERIENCE ,PHENOMENOLOGY ,QUALITATIVE research ,HEALTH literacy ,SELF-efficacy ,INTERPROFESSIONAL relations ,RESEARCH funding ,THEMATIC analysis ,MEDICAL needs assessment ,HEALTH self-care - Abstract
Copyright of European Journal of Social Work is the property of Routledge and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2022
- Full Text
- View/download PDF
17. Students' experiences and learning of social inclusion in team activities in physical education.
- Author
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Hovdal, Dag Ove G, Haugen, Tommy, Larsen, Inger Beate, and Johansen, Bjørn Tore
- Subjects
TEAMWORK (Sports) ,SOCIAL integration ,PHYSICAL education for children ,SOCIAL learning ,DIDACTIC method (Teaching method) - Abstract
Physical education (PE) can be a context in which students are 'educated through the physical', which includes the possibility to learn social inclusion as an important life skill and contributor to the greater good of society. A key goal in the Norwegian educational system is that such positive life skills become internalised in students. The aims of this study were to understand students' experiences of and behaviour towards social inclusion – such as passing the ball – in team activities and how the teacher facilitated the learning of social inclusion. We use Dewey's pedagogical perspective on education, and Johnson and Johnson's cooperative learning model to discuss possible consequences and implications of our findings. The participants consisted of two secondary classes from two state schools in Norway, where one class was investigated in depth. Methods comprised written narratives, interviews, observation and video recordings of PE lessons. Data creation was triangulated, and thematic analysis was conducted. The results highlighted a paradox between students' experiences of and behaviour towards social inclusion in team activities. Students disliked socially exclusive behaviours, but they often provided positive feedback when the behaviour was seen as successful in the context of a game; furthermore, students could themselves behave in a socially exclusive manner. Although the teacher could 'teach by telling' the students to pass the ball or by having rules, passing the ball did not become internalised in students. We discuss a model of 'learning through experiences and reflections', according to which students may learn to become socially inclusive beings. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
18. Understanding disruptive situations in physical education: Teaching style and didactic implications.
- Author
-
Hovdal, Dag Ove G., Larsen, Inger Beate, Haugen, Tommy, and Johansen, Bjørn Tore
- Subjects
- *
PHYSICAL education , *TEACHING methods , *PRAGMATISM , *EYE contact , *SOCIAL responsibility , *SELF-control - Abstract
Several studies have emphasized the importance of handling disruptive situations in the physical education (PE) learning environment; however, few have investigated complex disruptive situations in PE and included both teacher and student perspectives. The aims of this study, which discusses an alternative teaching style for reducing disruptive situations, were to gain a better understanding of student and teacher experiences of complex disruptive situations in PE, and to explore how the teacher handled these situations. The philosophical perspective used in this study was Rorty's philosophical pragmatism. Methods included written narratives, interviews, observation, and video recordings of PE lessons. Data were thematically analysed. The results showed the complexity of teacher and student experiences in disruptive situations in PE. Disruptive situations occurred when there were environmental opportunities for them, such as during periods of waiting and situations in which the teacher spoke too much, did not pay attention to the whole class, or did not intervene. The teacher used an instructional teaching style for handling disruptive situations, including being very clear, nagging, yelling, waiting them out, making eye contact, and talking to them later. The instructional teaching style provided fewer opportunities for the teacher to understand the students' behaviour, fewer opportunities for students to learn self-control and personal and social responsibility, and did not lead to a reduction of disruptive situations over the data creation period. The practical consequence of this teaching style seemed to be the frequent use of behaviour corrections for reducing disruptive situations. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
19. Before Recovery: A Blind Spot in Recovery Research? Users' Narratives about the Origins and Development of their Mental Health and/or Addiction Problems.
- Author
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Topor, Alain, Fredwall, Terje Emil, Hodoel, Elin Kristin Svoren, and Larsen, Inger Beate
- Subjects
MENTAL health ,ADDICTIONS ,NARRATIVES ,EXPERIMENTAL design ,CHILD abuse - Abstract
Objective: Recently, the position of persons with mental health and drug problems has evolved from victim of an illness to holder of an experience-based knowledge (EBK). Studies about recovery are often based on recovery narratives. However, focusing on components of the recovery process--parts of this EBK concerned with the causes, onset, and journey before the proper recovery process--risks forming a blind spot. In this study, we aim to analyze service users' EBK about recovery, the backgrounds and causes of the problems, and how they related these conditions to their recovery journey. Research Design and Methods: We interviewed 29 persons in recovery. Data were analyzed by using thematic analysis. Results: We found that a childhood characterized by violence and abuse reoccurred in the stories. The child's situation was not addressed by schools, social agencies, or neighbours, creating an experience of social isolation and invisibility. Mental health distress and drug abuse were described as ways of managing these situations, until these became problems in themselves. The recovery journey started in a situation of despair and with a decision to stop using the developed threat response. For many, this meant going back to a situation of loneliness and invisibility before finding places and people and allowing experiences of being part of a positive context where they could also contribute. Conclusions: There is a risk of a blind spot in recovery research. EBK should be used to develop recovery-oriented services and also preventive interventions directed toward the social and psychological conditions in which children are raised. [ABSTRACT FROM AUTHOR]
- Published
- 2021
20. "I will never forget him". A qualitative exploration of staff descriptions of helpful relationships in supportive housing.
- Author
-
Lindvig, Gunnhild Ruud, Topor, Alain, Bøe, Tore Dag, and Larsen, Inger Beate
- Subjects
TREATMENT of drug addiction ,SOCIAL support ,NURSES' attitudes ,ATTITUDE (Psychology) ,RESEARCH methodology ,MEDICAL personnel ,INTERVIEWING ,PEER relations ,QUALITATIVE research ,PHENOMENOLOGY ,RESIDENTIAL care ,HEALTH care teams ,RESEARCH funding ,DESCRIPTIVE statistics ,SOCIAL worker attitudes ,PATIENT-professional relations ,THEMATIC analysis ,HOUSING - Abstract
Accessible Summary: What is known on the subject?: Recovery‐oriented studies show that the quality of the professional relationship plays an essential role in the recovery from mental illness. Within mental health care in general, previous studies show that helpful professional relationships are characterized by several reciprocal aspects, such as friendship resemblance and self‐disclosure.The literature is scarce on in‐depth explorations of professional relationships within the often long‐lasting and intimate help context of institutional supportive housing. Explorations of staff members' experiences are absent. The scientific rationale of this study was to expand the current knowledge about professional relationships in mental health care by exploring staff members' descriptions of helpful professional relationships in supportive housing institutions. What this paper adds to existing knowledge: The study shows that helpful relationships may involve staff experiences of reciprocity in terms of both a two‐way influence between staff and residents and a reciprocal gain from being part of the helpful relationships.A conceptualization of reciprocity that complements existing concepts is suggested and connected to a "good match" between staff and residents. What are the implications for practice?: When support and care are intended to be provided within a dyadic relationship, both parties' preferences should be considered when pairing service users and professionals.Practitioners should get involved in ways that open up for being influenced and inspired by the service user's characteristics, such as personality and attitude. Furthermore, they should dare to enjoy and make use of the company of the service user in ways that promote multifaceted reciprocity. Introduction: In the aftermath of the deinstitutionalization in western countries, new community‐based mental health services have been established. An essential object of studies in this new institutional landscape has been helpful professional relationships, but we still lack knowledge about helpful relationships in community‐based institutional supportive housing. Aim: To explore how staff members describe their relationships with residents who have identified them as helpful. Methods: Qualitative interviews with nine staff members were analysed using thematic analysis. Results: "Reciprocity" was identified as the main theme, and two subthemes were developed: "Something influential about the resident" and "Value for the staff member." Discussion: The findings are discussed and related to existing conceptualizations of reciprocity in professional relationships, and an additional conceptualization is suggested. Implications for practice: To promote reciprocity, managers should consider both parties' personal preferences when matching professionals and service users. Further, professionals should get involved in ways that open up for being influenced and inspired by several of the service user's characteristics. They should allow themselves to enjoy the company of the service user in ways that promote multifaceted reciprocity. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
21. Experiences of participating in individual placement and support: a meta‐ethnographic review and synthesis of qualitative studies.
- Author
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Moen, Ellen Å., Walseth, Liv T., and Larsen, Inger Beate
- Subjects
META-synthesis ,THOUGHT & thinking ,CINAHL database ,PSYCHOLOGY information storage & retrieval systems ,WORK environment ,TEAMS in the workplace ,PATIENT participation ,PROFESSIONS ,MEDICAL information storage & retrieval systems ,INDIVIDUAL development ,FRUSTRATION ,SOCIAL workers ,CONVALESCENCE ,UNCERTAINTY ,ETHNOLOGY research ,METAPHOR ,CONFLICT (Psychology) ,HEALTH ,BUSINESS ,QUALITY assurance ,INTERPROFESSIONAL relations ,PHYSICIANS ,VOCATIONAL rehabilitation ,PUBLIC welfare ,MEDLINE ,PSYCHOLOGICAL adaptation ,SUPPORTED employment ,INDUSTRIAL relations - Abstract
Aim: To provide increased understanding about how work applicants, employment specialists, social workers in the welfare service and clinicians in mental healthcare service experience participating in individual placement and support (IPS). Methods: We searched in several databases and identified 17 studies published from 2007 to 2017 in Sweden, USA, Canada, UK, Australia and Denmark, and applied meta‐ethnographic reinterpretation and synthesis. Results: The employment specialists followed the core ideas of IPS, where work is seen as a way to recover. They saw the work applicants' preferences and needs as important for health and well‐being, and crucial for successful work rehabilitation. In order to reach these goals, they offered a personal relationship to the work applicants. Work applicants clearly appreciated this personalised recovery‐oriented mindset. Furthermore, work applicants needed the employment specialists as culture brokers between health‐related questions and the expectations met in the labour market. Social workers lacked resources to such personalised support, and they were under demand of welfare regulations made for a 'train then place' model, which conflicts with the view that work leads to recovery as IPS sees it in their 'place then train' model. The scarce knowledge of the clinicians' experiences in the present study suggests that they are sceptical to work as a way to recover, which is in conflict with IPS. Conclusions: The work applicants highlighted the significance of the individualised support they received. Social workers and some clinicians found it difficult to provide this important personalised support towards work. Conflicting mindsets between the traditional gradual work rehabilitation paradigm and the IPS approach as a way of recovering might explain these frustrations and distance. Recommendations for practice. An improvement of IPS may depend on more cooperation based on an acceptance of the recovery‐oriented mindset, which for some will mean an acceptance of new knowledge. [ABSTRACT FROM AUTHOR]
- Published
- 2021
- Full Text
- View/download PDF
22. Things matter: about materiality and recovery from mental health difficulties.
- Author
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Larsen, Inger Beate, Bøe, Tore Dag, and Topor, Alain
- Subjects
- *
CONVALESCENCE , *EMOTIONS , *INTERVIEWING , *PHENOMENOLOGY , *MENTAL health , *MENTAL illness , *PARTICIPANT observation , *EMPIRICAL research , *RESEARCH methodology evaluation , *FIELD notes (Science) - Abstract
The aim of this study is to explore how material things might become involved in the recovery process of people with mental health difficulties. Empirical material from three different studies on various aspects concerning mental health issues that each of the authors had conducted was reanalysed through a phenomenological item analysis. We discovered that mundane objects such as a mobile phone, a bench, a door and a key have agency to contribute to peoples' recovery and wellbeing. Things became agents that created contexts that initiated physical, social and emotional movements. By giving attention to materiality we might become aware of the importance of things as agents in living in general and in recovery processes for people with mental health difficulties in particular. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
23. Materialities in supported housing for people with mental health problems: a blurry picture of the tenants.
- Author
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Friesinger, Jan G., Topor, Alain, Bøe, Tore Dag, and Larsen, Inger Beate
- Subjects
MENTAL illness treatment ,FIELDWORK (Educational method) ,HEALTH services accessibility ,INTERIOR decoration ,INTERVIEWING ,MENTAL health services ,PHOTOGRAPHY ,PSYCHOTHERAPY patients ,PUBLIC housing ,ETHNOLOGY research ,PSYCHOSOCIAL factors ,FIELD notes (Science) - Abstract
Our daily lives and sense of self are partly formed by material surroundings that are often taken for granted. This materiality is also important for people with mental health problems living in supported housing with surroundings consisting of different healthcare services, neighbourhoods, buildings or furniture. In this study, we explored how understandings of tenants are expressed in the materialities of supported housing. We conducted ethnographic fieldwork in seven different supported accommodations in Norway and analysed the resultant field notes, interviews, photographs and documents using Situational Analysis. The analysis showed that supported housing materialities expressed a blurry picture comprising widening and narrowing understandings of tenants, both by others and by themselves. Widening understandings concerned how tenants were living their lives in their own ways in private rooms while maintaining a social life in common areas. Narrowing understandings pertained to understand the tenants based solely on their diagnosis and need for care and control in hospital‐like buildings. The following discussion focusses on the ideas that underlie narrowing materialities and on the importance of striving for atmospheres that entail a sense of belonging. [ABSTRACT FROM AUTHOR]
- Published
- 2020
- Full Text
- View/download PDF
24. Nothing matters: the significance of the unidentifiable, the superficial and nonsense.
- Author
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Bøe, Tore Dag, Larsen, Inger Beate, and Topor, Alain
- Subjects
- *
ATTITUDE (Psychology) , *CONVALESCENCE , *INTERVIEWING , *LIFE , *PHENOMENOLOGY , *PSYCHOLOGY of people with intellectual disabilities , *PARTICIPANT observation , *PATIENTS' attitudes - Abstract
Purpose: The aim of this study is to explore the ways in which "small things" may be of importance for people with mental health difficulties. Method: Empirical material from three different studies was reanalysed through a phenomenological, dialogical, approach. Results: We discovered some paradoxical aspects of small things: i.e., they could be about "something" that was difficult or even impossible to identify. The unidentifiable could be about bodily, sensual experiences that are superficial (i.e., belonging to the surface). The interaction with others highlighted as significant could be about doing something fun, talking nonsense or kidding around, and hence not at all about making sense of something—a kind of important nonsense. We summarize these aspects in three themes: the importance of the unidentifiable, the superficial and nonsense. These aspects can be regarded as small things—even "nothings"—that make it possible "to stay in the world". Conclusion: We elaborate on the findings in relation to the following: Gumbrecht's critique of the prevailing hermeneutic world-view with its idea that "interpretation is humankind's exclusive way of relating to the world", Ingold's idea that social life is lived in relations of "interfacility" and hence a turn to surfaces is needed for a "restoration of social life", and Biesta's idea of existence as "coming into the world in the presence of others". [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
25. Textbook descriptions of people with psychosis – some ethical aspects.
- Author
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Fredwall, Terje Emil and Larsen, Inger Beate
- Subjects
- *
COMMUNICATION , *CONTENT analysis , *CONVALESCENCE , *EMPATHY , *ETHICS , *EXPERIENCE , *IMAGINATION , *PROFESSIONAL ethics , *PSYCHIATRIC nursing , *PSYCHIATRY , *PSYCHOSES , *TEXTBOOKS , *QUALITATIVE research , *COMPASSION , *PSYCHOLOGICAL factors - Abstract
Background: Textbooks are central for the education of professionals in the health field and a resource for practitioners already in the field. Objectives: This article focuses on how 12 textbooks in psychiatric nursing and psychiatry, published in Norway between 1877 and 2012, describe and present people with psychosis. Research design: We used qualitative content analysis. Ethical considerations: The topic is published textbooks, made available to be read by students, teachers and professionals, and no ethical approval was required. Findings: The analysis shows that all 12 textbooks describe and present people who are considered as psychotic from a 'perspective from above'. In this perspective, the readers are learning about psychosis in the professional's language and from the author's viewpoint. Most often the textbooks communicate a universal image of people with psychosis, a description that fits with the diagnostic criteria. The analysis also shows that two textbooks in psychiatric nursing combined this perspective with a 'perspective from within'. Here, the readers are learning about psychosis from the patients' own viewpoint. The authors communicate a personal, psychotic universe that differs from various people, even if they have the same diagnosis, and the descriptions are focusing on the patient as a whole person. Discussion and conclusion: Drawing partly on Rita Charon's writings about narrative knowledge in the health field, and partly on insights from Martha Nussbaum and her concept of narrative imagination, we argue that mental health professionals need to learn about, understand and fathom what patients go through by reading, listening to and acknowledging the patients' own stories and experiences. Cultivating the capacity for empathy and compassion are at the very heart of moral performance in the mental health field. A valuable moral resource in that regard is leading textbooks and how they describe and present people with severe mental illness. [ABSTRACT FROM AUTHOR]
- Published
- 2019
- Full Text
- View/download PDF
26. 'Det sitter i veggene'. Materialitet og mennesker i distriktspsykiatriske sentra
- Author
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Larsen, Inger Beate
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sosial ,Distriktspsykiatrisk senter ,sosiale rom ,ergoterapi ,VDP::Medical disciplines: 700::Clinical medical disciplines: 750::Psychiatry, child psychiatry: 757 ,materialitet ,erfaring ,pasient ,fysiske rom ,institusjon ,VDP::Medical disciplines: 700::Health sciences: 800::Nursing science: 808 ,brukererfaring ,brukerkunnskap ,bruker ,brukerperspektiv ,Medisinske Fag: 700::Helsefag: 800::Sykepleievitenskap: 808 [VDP] ,DPS - Abstract
This dissertation examines the impact that the materiality of institutions has on patients and staff. Fieldwork has been carried out at five district psychiatric centres (Distriktspsykiatriske sentra, DPS) that were originally built as tuberculosis institutions. The patients’ and employees’ experiences of being present in the physical and social space of these institutions has been examined, interpreted and reflected upon. The paper provides knowledge about the significance institutions’ materiality and inner life has on the informants, and how the informants influence the materiality. Background Mental health care has moved away from institutions and towards the local community. The treatment district psychiatric centres offer is limited to short term stays. Norwegian health policy stresses the user’s perspective and the coping perspective as necessary preconditions for undergoing change. At the same time the need for specialist training is emphasized. On the one hand there is a wish for a transformation that requires change in the understanding, recognition and treatment of persons with mental health problems. On the other hand the wish for further specialization and closer commitment to existing medical standards is highlighted. This implies an ambiguity that is both distancing itself from the belief that specialists know the patients’ needs best, parallel with maintaining the role and importance of the expert. The role of today’s institutions for the mentally ill within this ambiguous picture is thus an underlying issue in my discussion. The primary aim of the dissertation is to contribute to building knowledge of the reciprocity and interaction between materiality and people within mental health care. At the same time the research will show that an institution does not exist independently of its history, including the health policies and knowledge that prevailed when the institutions were formed. Theory The theoretical starting point of the dissertation is the work of the Norwegian architect Christian Norberg-Schulz, and that of the French historian, philosopher and epistemologist Michel Foucault. The former represents a phenomenological approach to the link between the importance of public places and people’s self-awareness. Foucault looks at different institutions’ material, mental and social space as representational of the power- and knowledge relationship. This relationship makes patients and employees both disciplined by others and self-disciplined. Methodology The dissertation is grounded in a reflective research tradition referred to as ‘multisited fieldwork’. Data has been gathered through participant observation in five DPS. The observations led to different approaches and sources like interviews, photography and documentary analysis. These sources provided information about today’s practice within mental health care, in addition to insights into the practices of tuberculosis treatment in the first half of the 20th century. The analysis of the data involves repetitive text analysis. This resulted in identification of the following key themes addressing the relation between people and materiality, here entitled: 1) “To get away to recover,” 2) “To feel at home on the way home,” 3) “History in novelty,” and 4) “The obvious medication.” The interpretation has moved from looking closely at phenomena to abstraction. This demonstrates that DPS’ are parts of an extended context relating to history and politics. Findings The research confirms that institutions affect people’s lived experiences to a considerable extent. In relation to the patients, institutions become places attracting them when they are ill. Location and materiality shield and protect them from the outside world. This research demonstrates that patients think rest is an important part of their recovery process. Small rooms and homelike atmospheres contribute to relaxation and recovering. Conditions relating to consideration and caring comprise what encourages health. In relation to the employees, institutions become places where they can adjust to a new and active treatment ideology. ‘New’ is interpreted as a further specialization within the medical perspective. The employees use the rooms as a way of distinguishing themselves from the patients. They work towards disposing of the traditions from the era of tuberculosis. The research shows that employees’ understanding of ‘active treatment’ is in conflict with the patients’ need for rest in homelike atmospheres. Other key findings show that the institutions represent an authoritarian understanding of mental problems as illnesses. This understanding of illness is related to the view of contagious illnesses in the early 20th century. This view seems to be ingrained in today’s institutions. Remote locations, guardrooms, and medicine dosage systems are important elements that support this view. This shows that the understanding, recognition and treatment of tuberculosis can be regarded as a general medical way of thinking that is still present in today’s practice. The findings demonstrate that medicine as a discipline has great influence on patients, employees and the local community. The discipline protests against trends toward decentralisation, user perspectives and the coping perspective. Discussion The theoretical basis of the dissertation is merged with a discussion of the empirical findings. The findings are examined using Norberg-Schulz’ reflections on the meaning of places, and Foucault’s power-knowledge perspective. I show how institutions become places where patients can live when illness alienates them from their homes and local communities. To dwell in an institution becomes an important way to promote health. However, I also question whether patients are bond to the institutions because of their illness, and whether the institutions’ role in a powerknowledge network traps them into an understanding of illness that prevents recovery. Furthermore I examine the significance of tradition. I look at how practices relating to tuberculosis can provide places, hence people, with a more distinctive identity that can result in patients more readily finding their own place in society. In this respect I show how a lack of tradition on the other hand can cause poor health. Through a power-knowledge perspective I discuss how the history of tuberculosis can construct understandings of mental problems involving disciplined and self-disciplined strategies and techniques. In addition I question whether the history of tuberculosis is ingrained in the walls of the institutions and may prevent new ways of understanding mental health. Avhandlingen gir kunnskap om den betydning institusjonens materialitet og indre liv har for informantene og hvordan de påvirker det bygde sted. Ved å gjøre feltarbeid i fem distriktspsykiatriske sentra (DPS), som opprinnelig var bygget som tuberkulosehjem, har pasienters og ansattes erfaringer med å være til stede i institusjonenes fysiske og sosiale rom blitt utforsket, tolket og reflektert over. Bakgrunn Psykisk helsevern har beveget seg bort fra institusjonene og ut i lokalsamfunnet. Døgnbehandling i DPS’ene er begrenset til korttidsopphold. Norsk helsepolitikk fremmer mestringsperspektivet og brukerperspektivet som vesentlige elementer i de endringer som finner sted og på samme tid understrekes behovet for spesialiserte tjenester. På den ene side ønskes en kulturell snuoperasjon som innebærer et skifte i hvordan forstå, beskrive og behandle mennesker med psykiske lidelser, på den andre siden understrekes ønsket om en ytterligere spesialisering og tettere tilknytning til det eksisterende medisinske fagområdet. Dette innebærer en tvetydighet som både tar avstand fra en tenkning hvor fagfolk vet best hva pasientene trenger, men som samtidig opprettholder ekspertens rolle. Den plass dagens institusjoner for psykisk lidende har i dette tvetydige bildet er derfor et underliggende poeng. Studiens hovedhensikt er å bidra til kunnskapsutvikling om gjensidigheten mellom materialitet og mennesker i psykisk helsevern, og på samme tid vise at den enkelte institusjon ikke eksisterer uavhengig av historien og den helsepolitikk og kunnskap som førte til at bygningene ble reist. Teori Studiens teoretiske utgangspunkt er utvalgte tekster av den norske arkitekten Christian Norberg-Schulz og den franske idéhistoriker og epistemolog Michel Foucault. Førstnevntes arbeider representerer en fenomenologisk tenkning om steders allmennmenneskelige betydning for menneskers selvforståelse. I Foucaults arbeider er det spesielt maktforhold i institusjoner og hvordan mennesker disiplineres og selvdisiplineres som er omdreiningspunktet. Metode Avhandlingen tar utgangspunkt i en reflekterende forskningstradisjon hvor data er samlet inn gjennom deltakende observasjonsstudier i fem DPS’er – såkalt ”multisited fieldwork”. Observasjonsstudiene ledet til flere metoder og kilder som intervju, fotografering, og dokumentanalyse. Kildene gir informasjon om dagens praksis innen psykisk helsevern og tuberkulosepraksisen i første halvdel av 1900-tallet. Bearbeiding av datamaterialet har handlet om gjentatte tekstlesninger som resulterte i følgende hovedtemaer knyttet til forholdet mellom mennesker og materialitet: 1) Å komme bort for å få det bedre, 2) Å føle seg hjemme på vei hjem, 3) Historien i det nye og 4) De selvfølgelige medikamentene. Tolkningen har beveget seg fra det fenomennære til en samfunnskontekst, og tydeliggjør at DPS’ene inngår i en utvidet sammenheng knyttet til historie og politikk. Funn Arbeidet dokumenterer at institusjonene preger personenes liv på en gjennomgripende måte selv om pasientene kun er der på korttidsopphold (maksimum tre måneder). For pasientene innebærer det at de tiltrekkes av stedene når de føler seg syke, og at stedenes beliggenhet og materialitet verner og beskytter dem fra omverdenen. Det dokumenteres at pasientene mener at hvile er et viktig ledd i behandlingsprosessen, og at små rom og en hjemlig atmosfære bidrar til at de slapper av og kommer seg. Forhold som kan knyttes til nestekjærlighetstanken inngår i det som fremmer helse. For de ansatte får institusjonen betydning som et sted hvor de skal tilpasse seg en ny og aktiv behandlingsideologi. Det nye tolkes som ytterligere spesialisering innen det medisinske perspektivet og de ansatte bruker rommene på en måte som opprettholder skillene mellom dem og pasientene. Arbeidet viser at ansattes forståelse av ”aktiv behandling” er på kollisjonskurs med pasientenes behov for hvile i en hjemlig atmosfære. Derfor arbeider de ansatte også med å kvitte seg med tradisjoner fra tuberkulosens tid. Sentrale funn viser at institusjonene representerer en overordnet forståelse av psykiske lidelser som sykdommer. Sykdomsforståelsen har sitt slektskap med hvordan man forsto smittsomme sykdommer tidlig på 1900-tallet og synes å sitte i veggene i dagens institusjoner. Beliggenheten utenfor allfarvei, vaktrommene og medisindosetten får betydning som understøttende faktorer i denne tenkningen. På den måten representerer forståelse, beskrivelse og behandling av tuberkuløse en generell, medisinsk tenkning som er gjenkjennelig i dagens praksis. Funnene viser at den medisinske fagdisiplin har stor makt over pasienter, ansatte og nabolag og vanskeliggjør gjennomføringen av det politiske idégrunnlaget som handler om desentralisering, brukermedvirkning og mestring. Diskusjon Avhandlingens teoretiske utgangspunkt bringes inn i en diskusjon med empirien. Funnene drøftes med Norberg-Schulz’ tenkning om steders allmennmenneskelige betydning og med Foucaults kunnskaps- og maktperspektiv. Her viser jeg hvordan disse korttidsinstitusjonene blir steder hvor pasientene kan bo når de ved sykdom føler seg fremmede i sine egne hjem og nabolag. Å bo i institusjoner blir betydningsfullt og vil fremme helse. Men jeg stiller også spørsmål om pasienter knytter seg til institusjoner nettopp fordi de er syke, og om institusjonene inngår i et kunnskaps- og maktnettverk som holder pasientene fast i en sykdomsforståelse og dermed hindrer dem i å komme seg. Videre diskuterer jeg tradisjoners allmennmenneskelige betydning. Jeg drøfter hvordan praksisen i tuberkulosetiden kan gi stedene, og dermed menneskene, en tydeligere identitet som gjør at pasientene finner fotfeste. På den måten viser jeg derved at tradisjonsløshet i motsatt fall kan gi dårlig helse. I et kunnskaps- og maktperspektiv diskuterer jeg hvordan tuberkulosehistorien kan konstruere forståelser av psykisk lidende på bakgrunn av disiplinerende og selvdisiplinerende strategier og teknikker. Jeg stiller også spørsmål ved om tuberkulosehistorien kan sitte i veggene og protestere mot nye måter å forstå psykiske lidelser på.
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- 2009
27. Places as language and text.
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Larsen, Inger Beate and Hohl, Michael
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- 2015
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28. The locked psychiatric ward: Hotel or detention camp for people with dual diagnosis.
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Terkelsen, Toril Borch and Larsen, Inger Beate
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DUAL diagnosis , *INTERVIEWING , *PATIENT-professional relations , *MENTAL illness , *PATIENT safety , *PSYCHIATRIC hospitals , *PSYCHOTHERAPY patients , *SUBSTANCE abuse , *ETHNOLOGY research , *QUALITATIVE research , *DRUG abusers , *INVOLUNTARY hospitalization , *PATIENTS' attitudes - Abstract
The concepts of autonomy and liberty are established goals in mental health care; however, involuntary commitment is used towards people with mental health and substance abuse problems (dual diagnosis). To explore how patients and staff act in the context of involuntary commitment, how interactions are described and how they might be interpreted. Ethnographic methodology in a locked psychiatric ward in Norway. Two parallel images emerged: (a) The ward as a hotel. Several patients wanted a locked ward for rest and safety, even when admission was classified as involuntary. The staff was concerned about using the ward for real treatment of motivated people, rather than merely as a comfortable hotel for the unmotivated. (b) The ward as a detention camp. Other patients found involuntary commitment and restrictions in the ward as a kind of punishment, offending them as individuals. Contrary, the staff understood people with dual diagnoses more like a generalized group in need of their control and care. Patients and staff have different perceptions of involuntary commitment. Based on the patients' points of view, mental health care ought to be characterized by inclusion and recognition, treating patients as equal citizens comparable to guests in a hotel. [ABSTRACT FROM AUTHOR]
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- 2013
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29. “Heaven and Hell on Earth” A critical discourse analysis of religious terms in Norwegian autobiographies describing personal experience of mental health problems.
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Andersen, Anders J.W., Hasund, Ingrid Kristine, and Larsen, Inger Beate
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This article explores the use of religious terms in six Norwegian autobiographies written between 1925 and 2005 by people who themselves have been patients in the mental health services. Through a critical discourse analysis, we discuss the functions of religious discourse in the texts and its position in contrast to the medical discourse predominant in today's mental health services. It was found that religious (predominantly Christian) terms were used to varying degrees in all autobiographies as a means to capture the immensity and inherent ambivalence characteristic of mental health problems. Despite the “medical turn” in professional mental health discourse, there is no clear evidence of a decrease in the use of religious terms from the oldest to the most recent text. We propose that professional mental health workers to a larger extent take into account the religious dimension in therapy, and reflect on its larger historical and sociocultural context. [ABSTRACT FROM AUTHOR]
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- 2013
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30. Hell on earth: Textual reflections on the experience of mental illness.
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Andersen, Anders Johan W. and Larsen, Inger Beate
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MENTAL illness , *AUTHORS , *AUTOBIOGRAPHY , *EXPERIENCE , *PHENOMENOLOGY , *SHAME , *ATTITUDES toward mental illness - Abstract
Some people who by themselves or by others are understood as having mental health problems have written autobiographies about their experiences. The aim of this study is to explore how people write about their experiences of being mentally ill. Twelve Scandinavian autobiographies were studied using content analysis based on phenomenology and hermeneutics. Three themes were identified: feeling like a stranger in life and places, the transformation of life experiences into questions of disease and feeling ashamed. People's experiences of being mentally ill might be understood as the result of medical constructions unsuitable for the persons themselves. We could instead say that mental problems are not diseases, but severe and painful phenomena in people's lives. [ABSTRACT FROM AUTHOR]
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- 2012
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31. The Lost Social Context of Recovery Psychiatrization of a Social Process.
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Topor A, Boe TD, and Larsen IB
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From being a concept questioning the core of psychiatric knowledge and practice, recovery has been adopted as a guiding vison for mental health policy and practice by different local, national, and international organizations. The aim of this article is to contextualize the different understandings of recovery and its psychiatrization through the emergence of an individualizing and de-contextualized definition which have gained a dominant position. It ends with an attempt to formulate a new definition of recovery which integrates people in their social context. Research results from various follow-up studies showing the possibility of recovery from severe mental distress have stressed the importance of societal, social and relational factors as well of the person's own agency when facing their distress and reactions from their environment. These researches were published in the 1970s and 80s; a period of struggle for liberation from colonialism, of struggle by women and black people for their civil rights, and a time of de-institutionalization of services directed toward the poor, elderly, handicapped, prisoners, and people with mental health problems. Recovery research pointed at the central role of individuals in their recovery journey and it was understood as a personal process in a social context. However, with neo-liberal political agenda, the personal role of individuals and their own responsibility for their well-being was stressed, and contextual understandings and the role of social, material and cultural changes to promote recovery faded away. Thus, during recent decades recovery has been mostly defined as an individualistic journey of changing the persons and their perception of their situation, but not of changing this situation. Contextual aspects are almost absent. The most quoted definition accepts the limits posed by an illness-based model. This kind of definition might be a reason for the wide acceptance of a phenomenon that was initially experienced as a break with the bio-medical paradigm. Recently, this dominant individualized understanding of recovery has been criticized by service users, clinicians and researchers, making possible a redefinition of recovery as a social process in material and cultural contexts., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2022 Topor, Boe and Larsen.)
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- 2022
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