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    Taking a position within powerful systems

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    Author
    Coles, Steven
    Keyword
    Psychological distress
    Clinical psychology
    Date
    2022
    
    Metadata
    Show full item record
    DOI
    10.1007/978-3-030-71190-0_5
    Publisher's URL
    https://link.springer.com/chapter/10.1007/978-3-030-71190-0_5
    Abstract
    Psychiatric diagnosis remains the dominant model for conceptualising mental health difficulties and psychological distress. Psychiatric discourses rooted in the biomedical and biopsychosocial models are structurally embedded within service design throughout the UK and determine service provision, access to help and support, research grants, and overwhelmingly shape policy and legislation. Within this socio-political context, clinical and community psychologists continue to develop alternative conceptual frameworks and practices to counter individualising and arguably pathologising constructs of disorder and mental illness. As practitioners become increasingly outwardly looking and focus efforts on changing the underlying socio-materialist conditions that shape psychological distress, the need to recalibrate clinical psychology to address inequality, discrimination and social injustice as a matter of course is irrevocable. For many psychologists working in organisations designed on the basis of diagnostic discourses, the question as to how one positions themselves in-line with pre-existing psychiatric practices is crucial. Does one integrate approaches or question and challenge these psychiatric practices more overtly? Alternatively, could clinical and community psychology achieve a more ethical and conceptually coherent practice through activism to protest against the dominance of psychiatric diagnosis? This chapter explores how clinical psychologists position themselves in contexts where psychiatric diagnosis is the prevailing mode of practice, and it then goes on to explore what lessons clinical psychology can learn from community psychology when it comes to questions of psychological distress and psychiatric disorder. (PsycInfo Database Record (c) 2022 APA, all rights reserved) (Source: book)
    Citation
    Randall, J., Gunn, S. & Coles, S. (2022). Taking a position within powerful systems. In: Walker, C., Zlotowitz, S. & Zoli, A. (eds.) The Palgrave handbook of innovative community and clinical psychologies. New York, NY: Palgrave Macmillan, pp. 69-99.
    Type
    Book chapter
    URI
    http://hdl.handle.net/20.500.12904/15729
    Collections
    Mental Health and Behavioural Conditions: General and Other

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