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Service user involvement in Swedish mental health and social care

An analysis of ideological dilemmas and subject positions in a collaboration context

Bibliographic Data

ID12606172
AuthorsLinda Mossberg (0000-0002-8501-1088, University of Gothenburg, corresponding author)
Year2015
Volume19
Issue5
Pages716-730
Publication date2015-09-07
Open AccessNo
TypeARTICLE
VenueEuropean Journal of Social Work (JOURNAL)
Journal identifiersISSN: 1369-1457 • E-ISSN: 1468-2664
PublisherTaylor & Francis (PUBLISHER • GB)
DOI10.1080/13691457.2015.1081586
OpenAlexW1879968259
LanguageEN
Citations received2
References cited6

Service user involvement is steadily on the rise, bringing questions of tokenism and power imbalance. This article studies service user organisation representatives (URs) and human service organisation representatives (HSORs) in mental health and social care strategic collaboration councils through qualitative interviews and participant observations. Talk on service user involvement through UR is studied through the discourse analytical concepts of ideological dilemmas and subject positions. The participants' constructions, actions, and rhetoric therein are considered. Findings show participants' oscillation between standpoints within two main themes: the ideal vs. the inadequate UR and balancing power positions. The first theme discusses the missing perspective brought by UR narrations in terms of expected conduct and awareness of organisational conditions. This also concerns service users' positions as being simultaneously dependent and independent. The second theme concerns the implicit UR influence and the explicit HSOR influence. User involvement through URs is construed as a needed narration told by citizens with rights and responsibilities, while conditioned, as the UR is a layperson with mental health problems. The actions accompanying such constructions cause HSORs to balance between paternalism and professionalism and URs between adaptation and using their voice. In this, the URs have a stronger influence than acknowledged

Context (archaeology · Ideology · Mental health · Paternalism · Political science · Politics · Power (physics · Public relations · Sociology · Healthcare innovation and challenges · Mental Health and Patient Involvement · Psychology · Social Psychology · Social Work Education and Practice

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    Open Access•David Matscheck, Katarina Piuva•Health & Social Care in the…•2021

  • Recognising children’s involvement in child and family therapy sessions

    Open Access•Kristina Edman, Anna W Gustafsson et al.•The British Journal of Social Work•2022

  • Participation, discourse and power

    Open Access•Suzanne Hodge•Critical Social Policy•2005

  • Patients or partners? Case studies of user involvement in the planning and delivery of adult mental health services in London

    Open Access•Deborah Rutter, Cole Manley et al.•Social Science & Medicine•2004

Citations per year0.4
Citation span2021 - 2022 (2)
Highly citedNo

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