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Symbolic Interaction: A Theoretical Approach to Understanding Stigma & Recovery. Jim Roe. Overview. How Symbolic Interaction can be used as a contemporary method to identify ways in which Mental Health Practices inadvertently contribute towards the disabled self. Background: The Medical Model
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Symbolic Interaction: A Theoretical Approach to Understanding Stigma & Recovery Jim Roe
Overview • How Symbolic Interaction can be used as a contemporary method to identify ways in which Mental Health Practices inadvertently contribute towards the disabled self. • Background: The Medical Model • Changes in recent policy & practice • Stigma • Symbolic Interaction
The Medical Model • Medical Model • Diagnosable symptoms • Expert/specialist to diagnose • Biological framework as an explanation • Expert/specialist to repair • Implications - Maddux (2008) • Causes lie within the individual not environment • Understanding comes from the individual not interactions
However... • Maddux: Illness ideology • Emphasis on weakness and sickness • Dichotomy of normal and abnormal behaviours • ‘Patient’ as a passive victim • No control – require expert attention & care • Neglect for the meaning of illness • Individual • Social group
Focus of NHS Policy Reducing & controlling symptoms Optimal levels of autonomy & citizenship (Recovery)
Stigma & Labelling • Significant impact on recovery • Diagnostic labelling • The abnormal individual • Perceptions of dangerousness • Social disruption • Relationship troubles • Self-stigmatisation • Perceived personal responsibility • Self worth, aspirations and capabilities
Symbolic Interactionism • Origins in Pragmatist thought (Mead) • Blumer (1969) • Individuals act towards things based on meaning • Meanings derived from social interaction • Meanings modified through social interaction • Little recent research • Implicit in early sociological work by Goffman, Szasz & Rosenhan
The Implications • Individuals’ actions, reactions and interactions central to analysis • First person accounts • Reflective process • Observations of the processes of social interactions
The Benefits • Focus on micro-processes • Service Users and Professional Staff • First person accounts • Meanings • Patterns of behaviour and communication • Reconstruction of subjective worlds
The Questions • What are the underlying meanings of service users’ needs, risks and potential? • How are therapeutic interactions governed by these meanings? • What are the effects of these interactions on the recovery process in terms of stigma and harm? • What are the sources of this underlying harm?
In Summary • Symbolic Interaction is a way to understand how the self is created and therefore understand how contemporary practices & conventions inadvertently contribute towards the disabled self.
Symbolic Interaction: A Theoretical Approach to Understanding Stigma & Recovery Jim Roe