Good Intentions OverRuled : a Critique of Empowerment in the Routine Organization of Mental Health Services.
Townsend illustrates how attempts by occupational therapists to enable empowerment in everyday practice are thwarted by the institutional processes of admission, accountability, decision making, budgeting, risk management, and discharge.
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Main Author: | |
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Format: | Electronic eBook |
Language: | English |
Published: |
Toronto :
University of Toronto Press,
1998.
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Edition: | 2nd ed. |
Subjects: | |
Online Access: |
Full text (Emmanuel users only) |
Table of Contents:
- Intro
- CONTENTS
- LIST OF FIGURES
- FOREWORD
- PREFACE
- 1 Exploring Empowerment
- Enabling Participation versus Caregiving
- Studying Empowerment from Points of Tension
- What Is Known about Empowerment?
- Why Explore Empowerment in Mental Health Services?
- Disability and Mental Health Problems
- Mental Health Professionals
- Occupational Therapy
- How Does an Institutional Ethnography Explore Empowerment?
- Beginning with a Disjuncture
- Describing the Everyday World
- Tracing Social Processes
- Displaying Ideology and Objectified Management
- Ethical Issues
- Ensuring Rigour
- Generalizability
- 2 Objectifying Participants
- Inviting Participation
- Inviting Participation in Everyday Practice
- Objectifying Cases
- 3 Individualizing Action
- Facilitating Interdependence
- Facilitating Individual and Collective Action
- Individualizing Case Management
- 4 Controlling Collaboration
- Encouraging Collaborative Decision Making
- Collaborating in Everyday Practice
- Controlling Decisions Hierarchically
- 5 Simulating Real Life
- Empowerment Education
- Guiding Critical Reflection and Experiential Learning
- Educating through Standardized Simulations
- Program Philosophies
- Funding
- 6 Risking Liability
- Enabling Risk Taking
- Supporting Risk Taking for Transformative Change
- Managing Safety and Liability
- 7 Promoting Marginal Inclusiveness
- A Spirituality of Inclusiveness
- Promoting Inclusiveness
- Preserving Exclusion
- Exclusion through Special Considerations
- 8 Challenging the Routine Organization of Power
- Present Challenges: Discovering the Disjuncture
- A Profile of Empowerment: Enabling Participation
- A Profile of Dependence: Caregiving
- Good Intentions Over Ruled
- Future Challenges: Changing the Routine Organization of Power
- Everyday Practice
- Organization.
- Reflections on Taking a Critical Perspective
- NOTES
- REFERENCES
- INDEX
- A
- B
- C
- D
- E
- F
- G
- H
- I
- J
- K
- L
- M
- N
- O
- P
- Q
- R
- S
- T
- W
- Y.