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The Emergence of Recovery: A Genealogical Exploration of the Forces of Power Shaping New Zealand's Mental Health Services in the 21st Century

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thesis
posted on 2023-09-26, 23:56 authored by Mills, Darren

Recovery is a conceptual model that underpins New Zealand’s mental health service delivery in the 21st century. This thesis explores how recovery emerged historically as an influential philosophy and how representations of recovery have changed to meet the needs of different groups. An inquiry, based on Foucault’s genealogical method, investigates the historical and contemporary forces of power that have shaped the construction of mental illness, and the development of methods and techniques to support and manage persons labelled as mentally ill. The normalisation of knowledge developed during 19th century psychiatric practice provided a context for later critique and resistance from movements that highlighted the oppressive power of psychiatric discourse. Key to the critique were the antipsychiatry and service user movements, which provided the conditions for the possibility of the emergence of recovery as a dominant discourse. Since its emergence, recovery has moved through a number of representations as it was taken up by different groups. A significant shift in the 21st century has been the dominance of neo-liberal discourse based on consumerism, a rolling back of the state, and an emphasis on individual responsibility. The implications of this shift for users and providers of services and their effects on current representations of recovery conclude the inquiry.

History

Copyright Date

2017-01-01

Date of Award

2017-01-01

Publisher

Te Herenga Waka—Victoria University of Wellington

Rights License

CC BY-NC-ND 4.0

Degree Discipline

Health

Degree Grantor

Te Herenga Waka—Victoria University of Wellington

Degree Level

Masters

Degree Name

Master of Health Research

Victoria University of Wellington Unit

Health Services Research Centre

ANZSRC Type Of Activity code

1 PURE BASIC RESEARCH

Victoria University of Wellington Item Type

Awarded Research Masters Thesis

Language

en_NZ

Alternative Language

en

Victoria University of Wellington School

Graduate School of Nursing, Midwifery and Health

Advisors

Walton, Jo; Greenwood, Sallie