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Resistance and challenge: competing accounts in aftercare monitoring / Michael Coffey

Sociology of Health & Illness, Volume: 33, Issue: 5, Pages: 748 - 760

Swansea University Author: Michael Coffey

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Abstract

This paper presents an example of how patient and worker accounts differ and provide competing versions of events. The data is derived from a study based on 59 interviews with workers and patients in forensic mental health settings. It shows how nascent identity work by patients is attempted in the...

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Published in: Sociology of Health & Illness
ISSN: 0141-9889
Published: 2011
Online Access: Check full text

URI: https://cronfa.swan.ac.uk/Record/cronfa6572
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Abstract: This paper presents an example of how patient and worker accounts differ and provide competing versions of events. The data is derived from a study based on 59 interviews with workers and patients in forensic mental health settings. It shows how nascent identity work by patients is attempted in the face of on-going aftercare monitoring and supervision. This aftercare is in part a response to discourses surrounding mental illness and risk behaviours towards others. Patients work to show development of new identities and independence from the psychiatric system. Workers however use occupational knowledge of risk as a rationale for their work of providing 'safe' aftercare. This knowledge works as a form of normalising ideology of what is to be understood as good mental health and non-risk oriented behaviours. Risk is therefore an ever-present concern for both parties in establishing aftercare arrangements and also for patients in attempting to formulate and put into action new identities for continued community living.
Keywords: mental health, forensic, accounts
College: College of Human and Health Sciences
Issue: 5
Start Page: 748
End Page: 760