Seeking fluid possibility and solid ground: Space and movement in mental health service users' experiences of 'crisis'.

Article


McGrath, L. and Reavey, P. 2015. Seeking fluid possibility and solid ground: Space and movement in mental health service users' experiences of 'crisis'. Social Science & Medicine. 128, pp. 115-125.
AuthorsMcGrath, L. and Reavey, P.
Abstract

Since the closure of the UK asylums, ‘the community’ has become short hand for describing a variety of disparate, and complex spaces, in which service users manage their experiences of distress. An examination of such spaces here forms the basis of an analysis of the way in which service users move through and within space, to establish agency and dis/order while distressed. Seventeen participants, with various experiences of mental distress took part in a qualitative study, and a further textual analysis was conducted on eight published autobiographies. In the context of the interviews, participants presented drawings of the spaces they occupy during times of crisis, wellbeing and recovery. All texts were analysed using a thematic approach, informed by theories of embodiment and relational space. In this paper, two key patterns of movement have been focused on, in order to ex-plore ways in which participants experiencing various forms of mental health crisis used space in order to maintain and manage feelings of agency. Firstly, incidents where participants described moving towards fluid, outside spaces have been explored, with agency being established through seeking, and utilising, greater possibilities for action and engaging others. In addition, the opposite pattern of movement has also been explored, using incidents where participants described moving indoors, in these cases tending to use the private space of the home to establish order and restore feelings of agency and strength, in contrast to overwhelming experiences in public space. Connections between these patterns of movement and particular forms of distress are discussed. It is argued that community and private spaces are integral to the ways in which selfhood, agency and action is experienced in mental distress, which in turn has implications for policy, treatment and community action.

KeywordsPsychology; Mental Health; Mobility
JournalSocial Science & Medicine
Journal citation128, pp. 115-125
ISSN0277-9536
Year2015
PublisherElsevier
Accepted author manuscript
License
CC BY-NC-ND
Digital Object Identifier (DOI)doi:10.1016/j.socscimed.2015.01.017
Publication dates
Print14 Jan 2015
Publication process dates
Deposited17 Sep 2015
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https://repository.uel.ac.uk/item/85779

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