demands for recognition & the psychiatric user/survivor movement
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DEMANDS FOR RECOGNITION & THE PSYCHIATRIC USER/SURVIVOR MOVEMENT. Laura Guidry-Grimes, M.A. Georgetown University Philosophy Doctoral Candidate. NEH Colloquium Hood College 6 March 2014. Outline of Talk. Background on the psychiatric user/survivor (u/s) movement - PowerPoint PPT PresentationTRANSCRIPT
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Laura Guidry-Grimes, M.A.Georgetown University
Philosophy Doctoral Candidate
DEMANDS FOR RECOGNITION & THE PSYCHIATRIC
USER/SURVIVOR MOVEMENT
NEH Colloquium Hood College 6 March 2014
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Outline of Talk
Background on the psychiatric user/survivor (u/s) movement
Demands for recognition: institutional & interpersonal dimensions Nancy Fraser’s status model Peter Strawson’s reactive attitude framework Similarities, dissimilarities with the disability rights
movement (DRM)
Barriers to recognition for u/s Not insurmountable
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U/S Movement
Began in the 1970s
Inspired by other civil rights groups
Global
Thousands of members
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U/S Groups“allow people’s experiences to become more important
than the diagnoses, validate the person and their
experience, and encourage the person to come up with
their own answers”
Celebrate ”unusual (some call them
‘spectacular’) ways of processing
information and emotion”
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U/S Groups
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“dangerous gifts needing cultivation and care,
rather than diseases or disorders”
“extreme states of consciousness”
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U/S
Grou
ps
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“show that hearing voices is a normal though unusual
variation in human behaviour”
“the problem is not hearing voices but
the inability to cope with the experience”
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U/S Movement
Unifying goals Right to self-definition
Increase inclusion of u/s in policy, treatment decisions
Abolish interventions that violate human rights
Eliminate stigmas & social/political/economic barriers
Rethink traditional biomedical modeling allow for flourishing in virtue of psychiatric disability
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Demands for Recognition
More than the mere acknowledgement of difference Positive accommodations based on their own POV
Respect with restorative potential for marginalized groups
Extension of justice: “should provide mechanisms for the effective
recognition and representation of the distinct voices and perspectives of those […] that are oppressed or disadvantaged” –Iris Marion Young
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Institutional Recognition
Demand for participatory parity Misrecognition occurs when “institutionalized
patterns of cultural value constitute some actors as inferior, excluded, wholly other or simply invisible, hence as less than full partners in social interaction” – Nancy Fraser
Assert freedoms to self-define, pursue distinctive conception of the good life Requires institutional support
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Interpersonal Recognition
Demand for others’ respectful stance toward their self-defined interests and needs
Reactive attitudes (RA) as part of relationships, holding each other accountable and in esteem Diminished agency suspend RA
Objective vs. participant vs. mixed attitudes Is the individual entirely incapacitated? Does
he/she not have ordinary interpersonal standing?
Importance of correctly identifying who deserves participant attitude
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Recognition: DRM
Disability Rights Movement Not being reduced to impairment
Not to be treated as dysfunctional agents
Trust subjective reports of well-being
Opportunities for, uptake of self-definition Diverse modes of being
Greater inclusion
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Nothing about us without us!
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DRM & U/S 12
“voices of disabled people demand recognition, and fair recognition
cannot take the form of hearing but immediately discounting their
position” –Sarah Goering
“no one else, no matter how well trained or qualified, can possibly have had the same experience of the onset of mental
illness, the same initial contact with services, or the same journey through the mental health system” –Lynda Tait & Helen
Lester
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Recognition: U/S
Psychiatric User/Survivor MovementGreater inclusion
Trust subjective reports of well-being
Opportunities for, uptake of self-definition Psychiatric diversity
Not to be treated as dysfunctional agents Often deserve participant attitude
Worry about diagnostic label stripping someone of interpersonal standing
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ALL THEY SEE IS THE DIAGNOSIS
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Recognition Barriers for U/S
Agential standing Minimally functional or
autonomous?
Too fragmented?
Epistemic standing Stigma, stereotyping
Lack of clinical insight?
Psychiatric diversity Dubious value
Beneficence trumps
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Avoid blanket dismissal Spectrum of fragmentation Decision-specific
Combat misperceptions Challenge “poor insight” labels Identify testimonial injustice
Question why it is devalued Raise awareness Critically analyze traditional
accounts of flourishing
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Thank You!Questions?
Comments?
Laura Guidry-Grimes
Presentation avai lable at
www.lauragg.com