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Rethinking social recovery in schizophrenia: What a capabilities approach might offer

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  • Hopper, Kim

Abstract

Resurgent hopes for recovery from schizophrenia in the late 1980s had less to do with fresh empirical evidence than with focused political agitation. Recovery's promise was transformative: reworking traditional power relationships, conferring distinctive expertise on service users, rewriting the mandate of public mental health systems. Its institutional imprint has been considerably weaker. This article takes sympathetic measure of that outcome and provides an alternative framework for what recovery might mean, one drawn from disability studies and Sen's capabilities approach. By re-enfranchising agency, redressing material and symbolic disadvantage, raising the bar on fundamental entitlements and claiming institutional support for complex competencies, a capabilities approach could convert flaccid doctrine into useful guidelines and tools for public mental health.

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  • Hopper, Kim, 2007. "Rethinking social recovery in schizophrenia: What a capabilities approach might offer," Social Science & Medicine, Elsevier, vol. 65(5), pages 868-879, September.
    • Handle: RePEc:eee:socmed:v:65:y:2007:i:5:p:868-879
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    1. Amartya Sen, 2004. "Capabilities, Lists, And Public Reason: Continuing The Conversation," Feminist Economics, Taylor & Francis Journals, vol. 10(3), pages 77-80.
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    1. Metzl, Jonathan M. & Hansen, Helena, 2014. "Structural competency: Theorizing a new medical engagement with stigma and inequality," Social Science & Medicine, Elsevier, vol. 103(C), pages 126-133.
    2. Rose, Nikolas & Manning, Nick & Bentall, Richard & Bhui, Kamaldeep & Burgess, Rochelle & Carr, Sarah & Cornish, Flora & Devakumar, Delan & Dowd, Jennifer B. & Ecks, Stefan & Faulkner, Alison & Keene, , 2020. "The social underpinnings of mental distress in the time of COVID-19 - time for urgent action," LSE Research Online Documents on Economics 106146, London School of Economics and Political Science, LSE Library.
    3. Alexandra Devine & Marissa Shields & Stefanie Dimov & Helen Dickinson & Cathy Vaughan & Rebecca Bentley & Anthony D. LaMontagne & Anne Kavanagh, 2021. "Australia’s Disability Employment Services Program: Participant Perspectives on Factors Influencing Access to Work," IJERPH, MDPI, vol. 18(21), pages 1-20, October.
    4. Hansen, Helena, 2013. "Weighing the evidence: Risks and benefits of participatory documentary in corporatized clinics," Social Science & Medicine, Elsevier, vol. 99(C), pages 194-200.
    5. Paul Anand & Laurence S. J. Roope & Anthony J. Culyer & Ron Smith, 2020. "Disability and multidimensional quality of life: A capability approach to health status assessment," Health Economics, John Wiley & Sons, Ltd., vol. 29(7), pages 748-765, July.
    6. Snell-Rood, Claire & Carpenter-Song, Elizabeth, 2018. "Depression in a depressed area: Deservingness, mental illness, and treatment in the contemporary rural U.S," Social Science & Medicine, Elsevier, vol. 219(C), pages 78-86.
    7. Jharna Pathak & Mitali Upadhyay, 2021. "Improving social outcomes of mental distress survivors of domestic violence: using the capability approach," Journal of Social and Economic Development, Springer;Institute for Social and Economic Change, vol. 23(1), pages 212-227, June.
    8. Al-Janabi, Hareth & Keeley, Thomas & Mitchell, Paul & Coast, Joanna, 2013. "Can capabilities be self-reported? A think aloud study," Social Science & Medicine, Elsevier, vol. 87(C), pages 116-122.
    9. Brunner, Richard, 2017. "Why do people with mental distress have poor social outcomes? Four lessons from the capabilities approach," Social Science & Medicine, Elsevier, vol. 191(C), pages 160-167.
    10. Coast, Joanna & Smith, Richard D. & Lorgelly, Paula, 2008. "Welfarism, extra-welfarism and capability: The spread of ideas in health economics," Social Science & Medicine, Elsevier, vol. 67(7), pages 1190-1198, October.
    11. Fullagar, Simone & O'Brien, Wendy, 2014. "Social recovery and the move beyond deficit models of depression: A feminist analysis of mid-life women's self-care practices," Social Science & Medicine, Elsevier, vol. 117(C), pages 116-124.
    12. Brenda Gladstone & Silvia Exenberger & Bente Weimand & Vincci Lui & Nina Haid-Stecher & Monika Geretsegger, 2021. "The Capability Approach in Research about Children and Childhood: a Scoping Review," Child Indicators Research, Springer;The International Society of Child Indicators (ISCI), vol. 14(1), pages 453-475, February.
    13. Bromley, Elizabeth, 2012. "Building patient-centeredness: Hospital design as an interpretive act," Social Science & Medicine, Elsevier, vol. 75(6), pages 1057-1066.

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