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The conditions of possibilities for recovery: A critical discourse analysis in a Danish psychiatric context

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  • Kim Jørgensen
  • Jeanette Praestegaard
  • Mari Holen

Abstract

Aims and objectives This paper explores the conditions for the possibilities of recovery in a Danish mental healthcare practice, expressed from the perspective of nurses. The results and discussion of the study help to make visible and explore the muddle of conceptualisations of recovery in mental healthcare practice. Background Few studies examine the possibilities of recovery for inpatients and outpatients in mental health centres from a nursing perspective. Design A qualitative design using a critical social constructionist frame of understanding, in which the real world is considered as a series of social constructions. Method A Fairclough‐inspired critical discourse analysis was chosen as the analytical strategy. The analysis is comprised of ten interviews in mental health care and notes, written by nurses, in medical records of ten patients with a mental illness admitted to a mental healthcare centre in 2016–2017. The Consolidated Criteria for Reporting Qualitative Research checklist was used as a guideline to secure accurate and complete reporting of the study (See Appendix S1). Results From the findings of the textual analysis and the analysis of the discourse practice, it seems clear that the social relations and structures relating to recovery in Danish psychiatry are steered and controlled by discourses that reflect, in general terms, the essence of the core of neoliberal ideology. Conclusion Recovery is generally articulated from an overall discourse of neoliberalism with its embedded discourses of paternalism, biomedicine, self‐care and holism. All these discourses coexist in nursing practice, but the paternalistic discourse becomes the framework for the conditions for the possibility of how recovery is expressed in practice. Relevance to clinical practice Nurses need to be supported to seek clarity in the understanding and operationalisation of a recovery‐oriented approach, if the agenda is to be truly adopted and strengthened.

Suggested Citation

  • Kim Jørgensen & Jeanette Praestegaard & Mari Holen, 2020. "The conditions of possibilities for recovery: A critical discourse analysis in a Danish psychiatric context," Journal of Clinical Nursing, John Wiley & Sons, vol. 29(15-16), pages 3012-3024, August.
    • Handle: RePEc:wly:jocnur:v:29:y:2020:i:15-16:p:3012-3024
    DOI: 10.1111/jocn.15311
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    1. Trude Klevan & Rose-Marie Bank & Marit Borg & Bengt Karlsson & Vibeke Krane & Esther Ogundipe & Randi Semb & Mona Sommer & Rolf Sundet & Knut Tore Sælør & Siw Heidi Tønnessen & Hesook Suzie Kim, 2021. "Part I: Dynamics of Recovery: A Meta-Synthesis Exploring the Nature of Mental Health and Substance Abuse Recovery," IJERPH, MDPI, vol. 18(15), pages 1-24, July.
    2. Kim Jørgensen & Tonie Rasmussen & Morten Hansen & Kate Andreasson, 2021. "Recovery-oriented intersectoral care between mental health hospitals and community mental health services: An integrative review," International Journal of Social Psychiatry, , vol. 67(6), pages 788-800, September.
    3. Kim Jørgensen & Kate Andreasson & Tonie Rasmussen & Morten Hansen & Bengt Karlsson, 2022. "Recovery-Oriented Cross-Sectoral Network Meetings between Mental Health Hospital Professionals and Community Mental Health Professionals: A Critical Discourse Analysis," IJERPH, MDPI, vol. 19(6), pages 1-14, March.
    4. Kim Jørgensen & Tonie Rasmussen & Morten Hansen & Kate Andreasson & Bengt Karlsson, 2020. "Recovery-Oriented Intersectoral Care in Mental Health: As Perceived by Healthcare Professionals and Users," IJERPH, MDPI, vol. 17(23), pages 1-15, November.
    5. Kim Jørgensen & Tonie Rasmussen & Morten Hansen & Kate Andreasson & Bengt Karlsson, 2021. "User Involvement in the Handover between Mental Health Hospitals and Community Mental Health: A Critical Discourse Analysis," IJERPH, MDPI, vol. 18(7), pages 1-13, March.
    6. Kim Jørgensen & Mette Bonde Dahl & Jesper Frederiksen, 2020. "Healthcare Professionals’ and Users’ Experiences of Intersectoral Care between Hospital and Community Mental Healthcare," IJERPH, MDPI, vol. 17(18), pages 1-15, September.
    7. Kim Jørgensen & Mathias Hansen & Trine Groth Andersen & Morten Hansen & Bengt Karlsson, 2023. "Healthcare Professionals’ Experiences with Patient Participation in a Mental Healthcare Centre: A Qualitative Study," IJERPH, MDPI, vol. 20(3), pages 1-11, January.
    8. Kim Jørgensen & Morten Hansen & Bengt Karlsson, 2022. "Recovery-Oriented Practices in a Mental Health Centre for Citizens Experiencing Serious Mental Issues and Substance Use: As Perceived by Healthcare Professionals," IJERPH, MDPI, vol. 19(16), pages 1-12, August.
    9. Calvin Swords & Stan Houston, 2023. "Exploring the Evidence for the Paradigms of Recovery and Social Work Converging in Mental Health Service Delivery Worldwide: Reflections from an Irish Case Study," IJERPH, MDPI, vol. 20(15), pages 1-14, July.
    10. Jacob M. Nielsen & Niels Buus & Lene L. Berring, 2023. "Mental Health Recovery in Social Psychiatric Policies: A Reflexive Thematic Analysis," IJERPH, MDPI, vol. 20(12), pages 1-9, June.

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