Engaging with discursive complexities in mental health accessibility
Implications for acquired brain injury
Bibliographic Data
| ID | 2250435 |
|---|---|
| Authors | Nancy Lin (0000-0002-8092-9797, School of Social Work The University of British Columbia Vancouver British Columbia Canada, corresponding author) |
| Year | 2025 |
| Volume | 47 |
| Issue | 2 |
| Pages | e13856-e13856 |
| Publication date | 2025-02-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Sociology of Health & Illness (JOURNAL) |
| Journal identifiers | ISSN: 0141-9889 • E-ISSN: 1467-9566 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/1467-9566.13856 |
| PMID | 39403031 |
| OpenAlex | W4403435996 |
| Language | EN |
| References cited | 45 |
The psychosocial needs of people with acquired brain injury (ABI) have been neglected based on ableist assumptions of incapability to participate in mental health treatment. Although people without disabilities benefit from evidence-based mental health supports, these treatments remain inaccessible for those with disabilities after ABI. Discursive simplifications used in dominant conceptualisations of health and disability may maintain this inaccessibility. This paper examines the role of discursive constraints in concealing the complexities of ABI recovery, undermining the gradients of mental health exclusion among different ABI subpopulations, and muddying possibilities for enhancing mental health accessibility. An alternate discourse that challenges disabling societies in service of centring the whole person is proposed. Discursive opportunities are thus created by conceptualising the objective and subjective dimensions of disability as intermeshed, providing both the motivation to incentivise mental health inclusion, as well as a method to achieve it. By recognising the unavoidable impact of bodily impairments on social participation, participatory ideals can be actualised by accommodating ABI-related disabilities in mental health treatments. The possibilities for transformative research and practice are illuminated through examples of mental health treatments that have been preliminarily adapted using accommodations, and a research agenda for realising these possibilities is proposed
Acquired brain injury · Citizen journalism · Developmental psychology · Inclusion (mineral · Mental health · Political science · Psychiatry · Psychosocial · Psychotherapist · Public relations · Social model of disability · Sociology · Transformative learning · Cerebral Palsy and Movement Disorders · Mental Health and Patient Involvement · Psychology · Traumatic Brain Injury Research · Rehabilitation · Social Psychology
| Citation velocity | historical |
|---|---|
| Highly cited | No |