Beyond Clinical Dehumanisation Towards The Other In Community Mental Health Care

Beyond Clinical Dehumanisation Toward the Other in Community Mental Health Care offers a rare and intimate portrayal of the moral process of a mental health clinician that interrogates the intractable problem of systemic dehumanisation in community mental health care and looks to the notion of "wonder" and the visionary relational ethics of Emmanuel Levinas for a possible cure. An interdisciplinary study with transdisciplinary aspirations, this book contributes an original and compelling voice to the emerging therapeutic conversation attempting to re-imagine and transcend the objectifying constraints of the dominant discourse and the reductive world view that drives it. Chapters bring into dialogue the fields of community mental health care, psychology, psychology and the Other, the philosophy of wonder, Levinasian ethics, clinical ethics, the moral research of autoethnography and the medical humanities, to consider the defilement of the vulnerable help seeker, the moral injury of the clinician and look for answers beyond. This book is an ethical primer for mental health professionals, researchers, educators, advocates and service users working to re-imagine and heal a broken system by challenging the underpinnings of entrenched dehumanisation and standing with those they "serve".

Fanon, Phenomenology, and Psychology is the first edited collection dedicated to exploring the explicitly phenomenological foundations underlying Frantz Fanon’s most important insights. Featuring contributions from many of the world’s leading scholars on Fanon, this volume foregrounds a series of crucial phenomenological topics – inclusive of the domains of experience, structure, embodiment, and temporality – pertaining to the analysis and interrogation of racism and anti-Blackness. Chapters highlight and expand Fanon’s ongoing importance to the discipline of psychology while opening compelling new perspectives on psychopathology, decolonial praxis, racialized time, whiteness, Black subjectivity, the "racial ontologizing of the body," systematic structures of racism and resulting forms of trauma, Black Consciousness, and Africana phenomenology. In an era characterized by resurgent forms of anti-Blackness and racism, this book is essential reading for students, scholars, and activists who remain inspired by Fanon’s legacy.

This interdisciplinary text brings together perspectives from leading psychoanalysts and modern Jewish philosophers to offer a unique investigation into the dynamic between the fundamental trust in the self, other persons, and the world, and the devastating force of emotional trauma. Chapters examine the challenges of witnessing and acknowledging suffering; trust in God; and the traumatic effects of the Holocaust. The result is a deeper understanding of the fundamental relationality of humans, the imperative of responsibility for the Other, the fragility of meaning, and the metaphorical powers of religious language. Authors representing two standpoints, the psychological/ psychoanalytic and the religious/ philosophical, provide key insights. Erik Erikson, Jessica Benjamin, Judith Herman, and Bessel van der Kolk support the psychological discourse, while Franz Rosenzweig, Martin Buber, and Abraham Joshua Heschel present the Jewish philosophical discourse. This book is written for professionals and advanced students in psychoanalysis, philosophy, and Jewish and religious studies. Its accessible and engaging style will also appeal to general readers with an interest in philosophical, psychological, and religious perspectives on some of the most elemental human concerns.

Autoethnography is generating increasing levels of interest in research circles, gaining popularity as an innovative and inciting qualitative approach. Drawing on the vast diversity of researchers' opinions on autoethnographic praxes, this book presents a cogent analysis of the ongoing debates in the field before moving on to the discussion of a new approach to both theorizing about and 'doing' autoethnography: a 'symbiotic autoethnography'. This approach synthesizes central aspects from the diversity of existing arguments into one adaptable 'framework' that combines key characteristic features of autoethnographic research. The author uses the concept of 'symbiosis' in its broader sense to denote close interdependence and interrelation between its suggested seven attributes, including temporality, researcher's omnipresence, evocative storytelling, interpretative analysis, political (transformative) focus, reflexivity and polyvocality. The book offers both experienced and novice researchers a theoretically informed multi-functional and multi-disciplinary methodological tool that can accommodate the dynamics of diverse personal experiences within a topography of specific professional, cultural and socio-political contexts.

The use of coercion is one of the defining issues of mental health care. Since the earliest attempts to contain and treat the mentally ill, power imbalances have been evident and a cause of controversy. There has always been a delicate balance between respecting autonomy and ensuring that those who most need treatment and support are provided with it. Coercion in Community Mental Health Care: International Perspectives is an essential guide to the current coercive practices worldwide, both those founded in law and those 'informal' processes whose coerciveness remains contested. It does so from a variety of perspectives, drawing on diverse disciplines such as history, law, sociology, anthropology and medicine to provide a comprehensive summary of the current debates in the field. Edited by leading researchers in the field, Coercion in Community Mental Health Care: International Perspectives provides a unique discussion of this prominent issue in mental health. Divided into five sections covering origins and extent, evidence, experiences, context and international perspectives this is ideal for mental health practitioners, social scientists, ethicists and legal professionals wishing to expand their knowledge of the subject area.

An innovative, multi-perspective and international approach to the issues which normalisation entails. Carrying on from the concept of community care, normalisation or integration is about creating the conditions in the individual and society for leading as autonomous and acceptable a life as possible. Based on the right of people with disabilities to an ordinary life, it has extensive implications not just for professionals in the mental health field but for all of us.

Examining the issues of treatment, organizational planning, and research, this multidimensional study offers a critique of both the theoretical and programmatic aspects of providing mental health services to traditionally underserved populations. Focusing on minority groups, the book uses the case of Hispanics to illustrate the largely unaddressed need for services that are relevant to social groups with diverse cultural and linguistic backgrounds. Vega and Murphy maintain that the present service system is socially insensitive, that mental health services in the United States were never designed to serve a multicultural population, and that, in general, those who dominate the current mental health system from administrator-clinicians to bureaucrats and politicians do not know how to direct their services to minority groups. Calling for fundamental reconceptualization and change, the book argues for community-based planning and intervention as an enlightened and necessary alternative, and provides a detailed description of such a program in terms of both philosophy and method. The eight chapters offer a reassessment based on understanding not only the rationale for these necessary services, but also the important philosophical and pragmatic issues that have resulted in the current, inadequate system; they provide the new thinking necessary to reframe the objectives of mental health services for cultural minorities. The early chapters explore some of the critical junctures in the community mental health movement between 1946 and 1981, the development of theory in the movement's early days, and the thrust of community-based intervention--the culture-specific methodology that has not been well-understood or implemented. Chapters 4 and 5 focus on the relationship between medicalization and the degradation of culture and on the reconceptualization of knowledge, order, illness, and intervention. The last three chapters analyze an example of community-based intervention in operation, and citizen involvement and the political aspects of community-based policies are reviewed. This timely discussion of the requirements for a socially responsible and community-based services delivery program lays the theoretical foundation for a future public mental health system. As such, it will prove invaluable and important reading for advanced undergraduate and graduate students in the health and human services areas, including social work, clinical psychology, and medical sociology; it also has much to offer professional administrators and planners. Culture and the Restructuring of Community Mental Health has been designed to meet the needs of both academics and practitioners.

Ties that Enable is written for students, providers, and advocates seeking to understand how best to improve mental health care – be it for themselves, their loved ones, their clients, or for the wider community. The authors integrate their knowledge of mental health care as researchers, teachers, and advocates and rely on the experiences of people living with severe mental health problems to help understand the sources of community solidarity. Communities are the primary source of social solidarity, and given the diversity of communities, solutions to the problems faced by individuals living with severe mental health problems must start with community level initiatives. “Ties that Enable” examines the role of a faith-based community group in providing a sense of place and belonging as well as reinforcing a valued social identity. The authors argue that mental health reform efforts need to move beyond a focus on individual recovery to more complex understandings of the meaning of community care. In addition, mental health care needs to move from a medical model to a social model which sees the roots of mental illness and recovery as lying in society, not the individual. It is our society’s inability to provide inclusive supportive environments which restrict the ability of individuals to recover. This book provides insights into how communities and system level reforms can promote justice and the higher ideals we aspire to as a society.

Based on a recently completed project of cultural consultation in Montreal, Cultural Consultation presents a model of multicultural and applicable health care. This model used clinicians and consultants to provide in-depth assessment, treatment planning, and limited interventions in consultation with frontline primary care and mental health practitioners working with immigrants, refugees, and members of indigenous and ethnocultural communities. Evaluation of the service has demonstrated that focused interventions by consultants familiar with patients’ cultural backgrounds could improve the relationship between the patient and the primary clinician. This volume presents models for intercultural work in psychiatry and psychology in primary care, general hospital and specialty mental health settings. The editors highlight crucial topics such as: - Discussing the social context of intercultural mental health care, conceptual models of the role of culture in psychopathology and healing, and the development of a cultural consultation service and a specialized cultural psychiatric service - Examining the process of intercultural work more closely with particular emphasis oto strategies of consultation, the identity of the clinician, the ways in which gender and culture position the clinician, and interaction of the consultant with family systems and larger institutions - Highlighting special situations that may place specific demands on the clinician: working with refugees and survivors of torture or political violence, with separated families, and with patients with psychotic episodes This book is of valuable use to mental health practitioners who are working in multidisciplinary settings who seek to understand cultural difference in complex cases. Psychiatrists, psychologists, social workers, nurse practitioners, primary care providers and trainees in these disciplines will make thorough use of the material covered in this text.

This book analyses the use and abuse of social welfare as a means of border control for asylum seekers and refugees in Australia. Offering an unparalleled critique of the regulation and deterrence of protection seekers via the denial or depletion of social welfare supports, the book includes contributions from legal scholars, social scientists, behavioural scientists, and philosophers, in tandem with the critical insights and knowledge supplied by refugees. It is organised in three parts, each framed by a commentary that serves as an introduction, as well as offering pertinent comparative perspectives from Europe. Part One comprises three chapters: a rights-based analysis of Australia’s ‘hostile environment’ for protection seekers; a searing critique of welfare policing of asylum seekers as ‘necropolitics’; and a unique philosophical perspective that grounds scrutiny of Australia’s policing of asylum seekers. Part Two contains five chapters that uncover and explore the lived experiences and adverse impacts of different social welfare restrictions for refugee protection seekers. Finally, the chapters in Part Three offer distinct views on human rights advocacy movements and methods, and the scope for resistance and change to the status quo. This book will appeal to an international, as well as an Australian, readership with interests in the areas of human rights, immigration and refugee law, social welfare law/policy, social work, and public health.