how we feel about, experience & interpret our lives

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‘It’s a hearts & minds thing’ Mental health & the psychologising of social justice in Scotland Lynne Friedli Centre for Human Ecology Glasgow 23 rd April 2014

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‘It’s a hearts & minds thing’ Mental health & the psychologising of social justice in Scotland Lynne Friedli Centre for Human Ecology Glasgow 23 rd April 2014. (Mental )... Wellbeing . how we feel about, experience & interpret our lives. It’s a hearts and minds thing. Framing and erasure. - PowerPoint PPT Presentation

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Page 1: how we feel about, experience & interpret our lives

‘It’s a hearts & minds thing’Mental health & the psychologising of

social justice in Scotland

Lynne Friedli

Centre for Human EcologyGlasgow

23rd April 2014

Page 2: how we feel about, experience & interpret our lives

how we feel about, experience & interpret

our lives

Social justice: it’s a hearts and minds thing

[email protected]

It’s a hearts and minds thing....

(Mental)... Wellbeing......

Page 3: how we feel about, experience & interpret our lives

Framing and erasure

• Construction of psychological ideal• Poor outcomes are a result of psychological

deficit• Erasure of economic realities & social

determinants• Compulsory positive affect & psychological

coercion

Social justice? It's a hearts and minds thing...

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solutions to the widening gap in health inequalities will need to take into account early life & personality, as well as the more the classically recognised factors such as smoking, diet, cholesterol & blood pressure if we are to stand a chance of narrowing the gap in health by improving the health of those most in need.

GCPH ‘assets’ 2014

Page 4: how we feel about, experience & interpret our lives

Strengths based lexicon

Assets/Resilience/Recovery;

• agency; efficacy; aspiration

• self-reliance, discipline, entrepreneurial, optimistic

• Sense of coherence (strengths not deficits); hope;

• well note replaces sick note; self-care

Social justice? It's a hearts and minds thing...

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‘...the development of their own capabilities to manage their way out of poverty’

Scottish Government 2011 New dictionary

Class Struggle co-productionFight for your rights count your assetsRage sense of coherenceSocial security conditionalitySolidarity recoil from dependencyJustice survival of fittest

Page 5: how we feel about, experience & interpret our lives

‘Recovery journey’ extended to all citizens

Social justice? It's a hearts and minds thing...

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‘.’

Rooting out dependency and need

Building psychological resilience and wellbeing for those who are still claiming after 8 weeks through expressive writing & strengths identification.‘failure to comply may result in loss of benefits’(Psychometric testing for JSA claimants)

‘who matters and who does not, who is disposable and who is not’

Achille Mbembe 

Page 6: how we feel about, experience & interpret our lives

Social justice? It's a hearts and minds thing...

[email protected]

Is recovery about being well enough to be thrown into the world of sharks?  Where is the recovery model for the society of sharks?

Dolly Sen

Source: http://mentalhealthrecovery.omeka.net/exhibits/show/dollysen/isrecoverytherightword

Page 7: how we feel about, experience & interpret our lives

Social justice? It's a hearts and minds thing...

[email protected]

Picture source: Dolly Sen My story is on my skin

As material inequalities grow,

so the pursuit of non material explanations

proliferates

a paradox....

‘Grace beats karma’

http://mentalhealthrecovery.omeka.net/items/show/90

Page 8: how we feel about, experience & interpret our lives

Social justice? It's a hearts and minds thing...

[email protected]

Source: Banksy– graffiti, London, England

I own, therefore I am....

Page 9: how we feel about, experience & interpret our lives

Social justice? It's a hearts and minds thing...

Life Bodily healthBodily integrity Sense,

imagination, thought

Emotions Practical reasonAffiliation Other speciesPlay Control over

environment:a) Politicalb) MaterialSource: Nussbaum

2011

Capabilities & fundamental entitlementsThey speak to the resistance of deprived communities to being pathologised, criminalised, ostracised; to being described in public health reports in terms of multiple deficits and disorders: ‘chaotic, unengaged, and disaffected’

Friedli 2013

Page 10: how we feel about, experience & interpret our lives

The holy grail of positive affect

Many Americans cannot stand to be unhappy, cannot stand to grieve and cannot stand to look at poverty or the real damages of war. One could argue that this is a larger problem than the problem of excessive unhappiness.

Martha Nussbaum

Social justice? It's a hearts and minds thing...

[email protected]

Page 11: how we feel about, experience & interpret our lives

Personality and health in Glasgow

'the identification of individuals whose personality styles render them vulnerable to particular health risks‘ Millar et al 2013 p.8

‘to establish if those who need to take on board lifestyle messages (weight loss, physical activity) are in a position affectively and intellectually to receive them.’ Velupillai et al 2008 p2

‘(brain) that is less robust and less efficient in information processing ... some evidence of the relationship between socioeconomic deprivation and brain network topology.’

Krishnadas et al 2013

 

GCPH pSoBid Study http://www.gcph.co.uk/assets/0000/4244/pSoBid_FINAL_REPORT_2013_update_February2014.pdf

Page 12: how we feel about, experience & interpret our lives

Social justice? It's a hearts and minds thing...

[email protected]

Page 13: how we feel about, experience & interpret our lives

A4e Engage Module

• assertiveness, confidence, benefits of work, motivation, enhance your mood

Social justice? It's a hearts and minds thing...

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‘to appreciate the importance of mindset to employers’ - students will learn how to develop the right mindset which will appeal to employers’My Journey ‘job goal’ – e.g. to work in a retail shop as an assistant, full time, for a wage of £11,000

Picture source: Johnny Void

Page 14: how we feel about, experience & interpret our lives

Substitution of outcomes

‘Evidence from this evaluation suggests that while there was no significant difference in job outcomes …. the OCM & CAP trailblazer strands were successful in achieving soft outcomes such as increases in motivation, confidence, job-seeking behaviour and a positive change in attitudes to work. These softer impacts may yet translate into job outcomes and sign off from JSA.’

Rahim et al (2012) Evaluation of SVLTU DWP Research Summary (emphasis added)

Social justice? It's a hearts and minds thing...

[email protected]

Page 15: how we feel about, experience & interpret our lives

Social justice? It's a hearts and minds thing...

[email protected]

The flexible labour market

Page 16: how we feel about, experience & interpret our lives

What we all need....

To be:• Heard• Believed• Understood• Respected

Social justice? It's a hearts and minds thing...

[email protected]

Picture Source: http://sarahdrummond.wordpress.com/2010/12/13/an-assets-alliance-scotland/

Page 17: how we feel about, experience & interpret our lives

Social justice? It's a hearts and minds thing...

[email protected]

holding onto radical roots..

Welcoming the spectres of disability....Robert McRuer Desiring Disability: Queer Theory Meets Disability Studies

Negativity enacts the dissent without which politics disappears.

Berlant & Edelman 2014

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Declaration of Intent of the Mental Patients Union • We proclaim the dignity of society's so-called mental

patients. • We challenge repressive psychiatric practice &its ill-

defined concepts of 'mental illness'• We state that the present appalling situation in

'mental health' primarily arises from acute problems in housing, unemployment & social inequality

• Mental patients in our society are treated as people with no human rights

To respect strength, never power

Arundhati Roy

Page 19: how we feel about, experience & interpret our lives

Social justice? It's a hearts and minds thing...

[email protected]

Page 20: how we feel about, experience & interpret our lives

So many times will you be killedso many will you reviveso many years will you spenddespairing.And at that moment of shipwreckand of darknesssomeone will rescue youto go on singing.Singing in the sunlike the Cicada....https://www.youtube.com/watch?v=wv_-kUkP998María Elena Walsh: Como la cigarra /Like the Cicada

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[email protected] Image: Barbara Ehrenreich

https://t.co/SB2gQlrMVX

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Select bibliography – reading, influences, acknowledgements

http://www.boycottworkfare.org/; Robert Stearn, Warren Clark, Johnny VoidImogen Tyler Revolting subjects:Social AbjectionBerlant Lauren Cruel Optimism Differences 17, 5 (2006): 21-36; and New Formations (2008; longer version) Slow Death in Critical Inquiry 33 (Summer 2007): 754-780Mel Y Chen AnimaciesKrieger, N. 2011. Epidemiology and the People’s Health: Theory and Context. Oxford: Oxford University Press.Nussbaum, M. 2011. Creating Capabilities – The Human Development Approach Cambridge Massachussets: Harvard University PressShildrick T et al Poverty and Insecurity: Life in low-pay, No-pay Britain (Studies in Poverty, Inequality & Social Exclusion Series... Howell A & Veronka J The Politics of Resilience & recovery in mental health care http://www.academia.edu/3366809/Introduction_The_Politics_of_Resilience_and_Recovery_in_Mental_Health_CareAnne-Emanuelle, Birn. 2009. “Making it Politic(al): Closing the Gap in a Generation: Health Equity Through Action on the Social Determinants of Health.” Social Medicine 4: 166–182.

Social justice? It's a hearts and minds thing...

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