Making the subjects of mental health care: a cross‐cultural comparison of mental health policy in Hong Kong, China and New South Wales, Australia.

Constituting 'social problems' in particular ways has a range of effects, including for how subjects are positioned within policy and discourse. Employing an approach grounded in poststructuralist and social constructionist thinking, this analysis interrogates how the subjects of mental health care...

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Publicado en:Sociology of Health & Illness Vol. 41; no. 4; pp. 740 - 755
Autores principales: Cui, Jialiang, Lancaster, Kari, Newman, Christy E.
Formato: Artículo
Publicado: Wiley-Blackwell May2019
Materias:
Acceso en línea:Ver este registro en EBSCOhost
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      dt: May2019
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        10.1111/1467-9566.12851
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        atl: Making the subjects of mental health care: a cross‐cultural comparison of mental health policy in Hong Kong, China and New South Wales, Australia.
      aug:
        au:
          Cui, Jialiang
          Lancaster, Kari
          Newman, Christy E.
        affil: Centre for Social Research in Health, UNSW Sydney, New South Wales, Australia
      su:
        Culture
        Health policy
        Mental health
        Cultural pluralism
        Policy sciences
        Sociology
        Human research subjects
      sug:
        subj:
          Culture
          Health policy
          Mental health
          Cultural pluralism
          Policy sciences
          Sociology
          Human research subjects
          Administration of Public Health Programs
          Offices of Mental Health Practitioners (except Physicians)
      keyword:
        comparative methods
        mental health services
        policy analysis
        comparative methods
        mental health services
        policy analysis
      ab: Constituting 'social problems' in particular ways has a range of effects, including for how subjects are positioned within policy and discourse. Employing an approach grounded in poststructuralist and social constructionist thinking, this analysis interrogates how the subjects of mental health care were constituted and problematised in mental health policies in two distinctive contexts, unsettling the taken‐for granted assumptions which underpin these problematisations. Two policies were selected for analysis as exemplar pieces of mental health policy reform in Hong Kong and New South Wales (NSW). Subjects were constituted as 'patientised' individuals (in Hong Kong) encouraged to depend on professionals who help them reintegrate into the 'normal' community, and as 'traumatised' individuals (in NSW) expected to take responsibility to guide the delivery of mental health care and respected as a part of diversity in community settings. While both policies constituted subjects as 'unwell individuals' and enacted 'dividing practices', subjectivities were shaped by distinctive cultural and socio‐political contexts. This analysis shifts our attention away from a focus on the effectiveness of policy solutions to the heterogeneity and contingency of policy 'problems' and 'subjects', opening up new possibilities for 'out‐of‐the‐box' policy responses to mental health.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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