Not talking about illness at meeting places in Norwegian community mental health care
A discourse analysis of silence concerning illness-talk
Bibliographic Data
| ID | 5161995 |
|---|---|
| Authors | Lill Susann Ynnesdal Haugen (corresponding author), Vegard Haugland, Andreas Envy (University of Bergen), Marit Borg (0000-0002-1300-8007, University of South-Eastern Norway), Tor-Johan Ekeland (Volda University College), Tor‐johan Ekeland (Volda University College), Norman Anderssen (0000-0003-3526-9459, University of Bergen, Norway; Uni Research Health, Norway) |
| Year | 2020 |
| Volume | 24 |
| Issue | 1 |
| Pages | 59-78 |
| Publication date | 2020-01-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Health An Interdisciplinary Journal for the Social Study of Health Illness and Medicine (JOURNAL) |
| Journal identifiers | ISSN: 1363-4593 • E-ISSN: 1461-7196 |
| Publisher | SAGE Publications Inc (PUBLISHER) |
| DOI | 10.1177/1363459318785712 |
| PMID | 29978756 |
| OpenAlex | W2848341647 |
| Language | EN |
| Citations received | 4 |
| References cited | 27 |
Research on the topic of not talking about psychosocial hardships describes the presence of 'house rules' against illness-talk in common areas in 'meeting places' ('day centres') in community mental health care. The aim of this article was to explore the complexity of not talking about psychosocial hardships ('silence') in meeting places in Norwegian community mental health care. The research team consisted of first-hand and academic knowers of community mental health care (participatory research team). We performed two series of focus group discussions with service users and staff of meeting places. The focus group interviews were analysed within a discourse analytic framework, and five discursive constructions were identified: (1) biomedical colonization of illness-talk, (2) restricted access for biomedical psychiatry and problem-talk in the common spaces of meeting places, (3) censorship of service users' civil and human rights to freedom of speech, (4) protection from exploitation and burdens and (5) silent knowledge of the peer community. Based on the analysis, we suggest that not talking about illness (silence) entails a complexity ranging from under-privileging implications to promoting the interests of people who 'use' meeting places. For instance, restricting biomedical psychiatry may imply the unintended implication of further silencing service users, while silently shared understandings of hardships among peers may imply resistance against demands to speak to legitimize one's situation. The discussion illuminates dilemmas related to silence that require critical reflexive discussions and continuous negotiations among service users, staff and policymakers in community mental health care
Aesthetics · Discourse analysis · Health care · Linguistics · Mental health · Mental illness · Norwegian · Political science · Psychiatry · Silence · Sociology · Sociology of health and illness · Education, Healthcare and Sociology Research · Health, psychology, and well-being · Medicine · Mental Health and Patient Involvement · Nursing · Psychology
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| Unique citing works | 4 |
|---|---|
| Citations per year | 2 |
| Citation span | 2024 - 2026 (3) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 3 |