An analysis of discourses shaping mental health practitioners

J Psychiatr Ment Health Nurs. 2011 Oct;18(8):712-20. doi: 10.1111/j.1365-2850.2011.01721.x. Epub 2011 Mar 17.

Abstract

A mental health practitioner (MHP) role was introduced to health services in southern England in 2003. The paper will discuss the initial phase within a longitudinal research study. A discursive approach will be adopted in order to understand how healthcare discourses constrain and provide possibilities for the emergence of a new worker role in mental health. The manner in which MHPs understand and talk about their work is socially constructed in interaction and constantly being modified by competing discourses. This paper will analyse three overarching health discourses, namely, the biomedical, person-centred and psychological discourses that have shaped MHP trainees. Discourses intersect to inform the role, where practices of nursing, psychology, medicine and occupational therapy are combined. Thus, the inclusion of physical, psychological and person-centred components of care serve as a multifaceted approach to care. This form of interprofessionalism leads MHPs one step closer in the advance towards an interdisciplinary discourse of holistic care.

MeSH terms

  • Attitude of Health Personnel*
  • Health Care Reform / organization & administration*
  • Health Services Accessibility / organization & administration*
  • Humans
  • Interprofessional Relations
  • Language
  • Longitudinal Studies
  • Mental Health Services / organization & administration*
  • Psychiatric Nursing / organization & administration*
  • United Kingdom