More responsibility, less control: psychiatric survivors and Welfare State restructuring
More responsibility, less control: psychiatric survivors and Welfare State restructuring
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更多责任，更少控制：精神病幸存者和福利国家重组
DOI：
10.1080/09687590410001689476
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发表时间：
2004
影响因子：
2.4
通讯作者：
R. Wilton
中科院分区：
文献类型：
--
作者：
R. Wilton
本文关注的是最近的福利国家重组精神病幸存者的公民身份的影响。以安大略省为例，本文探讨了最近的变化在精神卫生保健和社会援助计划的程度，以促进或限制幸存者的能力，行使控制自己的生活。尽管在20世纪80年代末认识到幸存者参与精神卫生保健系统的重要性，但近年来又回到了以专业控制为特征的更传统的治疗模式。与此同时，社会援助方案的调整导致收入支助的真实的价值下降，非正式支助网络的压力越来越大。因此，精神病幸存者越来越多地对自己的物质福利和公共行为负责，但在日常生活中行使控制权的能力较低。
This paper is concerned with the implications of recent Welfare State restructuring for psychiatric survivors' citizenship status. Using the Province of Ontario as a case study, the paper examines the extent to which recent change in mental health care and social assistance programs has worked to facilitate or constrain survivors' ability to exercise control over their lives. Despite recognition of the importance of survivors' participation in the mental health care system in the late 1980s, recent years have seen a return to a more traditional treatment paradigm characterized by professional control. Concurrently, restructuring of social assistance programs has led to a decline in the real value of income supports and growing pressure on informal support networks. As a result, psychiatric survivors are increasingly held responsible for their own material well‐being and public conduct, but are less able to exercise control within everyday life.