Distress or disability? Could a theoretical framework drawn from disability studies be a way forward when trying to understand experiences of oppression on the grounds of mental distress?

This article explores whether it is possible to use a theoretical framework drawn from disability studies to understand experiences of social oppression on the grounds of mental distress. Thomas’ extended social relational theoretisation of disablism was used in a PhD project concerned with experiences of mental distress. The tentative conclusion was that Thomas’ conceptualisation of disablism and impairment could offer a way of improving understanding of mental distress and oppression on the grounds of mental distress. However, Thomas and Reeve’s theorisation of the different forms of disablism was not readily transferred to the field of mental distress. Thus, tentative definitions of the different forms of disablism in relation to the field of mental distress were created. Perceived impairment type and disablism appear to be interconnected, and one has to acknowledge what kind of perceived impairment type one is focusing on when theorising disability and the different types of disablism.     

The study of mental distress and the (re)construction of identities in men and women with experience of long-term mental distress

This article explores the possibility of using a theoretical framework drawn from disability studies in the field of mental health, and the study of identity (re)construction in the recovery process. In this PhD project, 33 narratives were analysed using framework analysis. The analysis showed that disablism was present and powerful in the participants’ lives, and also showed how disablism shaped how the participants thought and felt about themselves. As Carol Thomas argues, when analysing disablism one should also focus on who we are and are prevented from being, as disabled people. The conclusion is that processes of oppression were central when it comes to understanding the (re)construction of identities. A disability studies perspective is thus relevant in the field of mental distress, and can be used to enhance the understanding of the process of identity (re)construction.     

Recovery: experiences of resistance to disablism?

This article explores whether it is fruitful to use a service user/survivor approach to recovery, by seeing recovery as survival of social invalidation. That is survival of the psychosocial forces that were the source of the experience of mental distress, and as survival of social oppression by the psychiatric services and/or wider society. It could be argued that the participants in this study in the United Kingdom and Sweden recovered, and reclaimed and (re)constructed positive identities. They actively resisted experiences of disablism and rebuilt their lives. By approaching recovery from a service user/survivor perspective, one is focusing on the social, structural and political aspects of the recovery process, and one is resisting biomedical, deviant and reductionist notions of recovery.