Good Intentions OverRuled : A Critique of Empowerment in the Routine Organization of Mental Health Services.
- 1st ed.
- 1 online resource (234 pages)
Intro -- CONTENTS -- LIST OF FIGURES -- FOREWORD -- PREFACE -- 1 Exploring Empowerment -- Enabling Participation versus Caregiving -- Studying Empowerment from Points of Tension -- What Is Known about Empowerment? -- Why Explore Empowerment in Mental Health Services? -- Disability and Mental Health Problems -- Mental Health Professionals -- Occupational Therapy -- How Does an Institutional Ethnography Explore Empowerment? -- Beginning with a Disjuncture -- Describing the Everyday World -- Tracing Social Processes -- Displaying Ideology and Objectified Management -- Ethical Issues -- Ensuring Rigour -- Generalizability -- 2 Objectifying Participants -- Inviting Participation -- Inviting Participation in Everyday Practice -- Objectifying Cases -- 3 Individualizing Action -- Facilitating Interdependence -- Facilitating Individual and Collective Action -- Individualizing Case Management -- 4 Controlling Collaboration -- Encouraging Collaborative Decision Making -- Collaborating in Everyday Practice -- Controlling Decisions Hierarchically -- 5 Simulating Real Life -- Empowerment Education -- Guiding Critical Reflection and Experiential Learning -- Educating through Standardized Simulations -- Program Philosophies -- Funding -- 6 Risking Liability -- Enabling Risk Taking -- Supporting Risk Taking for Transformative Change -- Managing Safety and Liability -- 7 Promoting Marginal Inclusiveness -- A Spirituality of Inclusiveness -- Promoting Inclusiveness -- Preserving Exclusion -- Exclusion through Special Considerations -- 8 Challenging the Routine Organization of Power -- Present Challenges: Discovering the Disjuncture -- A Profile of Empowerment: Enabling Participation -- A Profile of Dependence: Caregiving -- Good Intentions Over Ruled -- Future Challenges: Changing the Routine Organization of Power -- Everyday Practice -- Organization. Reflections on Taking a Critical Perspective -- NOTES -- REFERENCES -- INDEX -- A -- B -- C -- D -- E -- F -- G -- H -- I -- J -- K -- L -- M -- N -- O -- P -- Q -- R -- S -- T -- W -- Y.
Townsend illustrates how attempts by occupational therapists to enable empowerment in everyday practice are thwarted by the institutional processes of admission, accountability, decision making, budgeting, risk management, and discharge.