The "mutual support for people with mental illness" discourse in Japanese mental health : transition process through previous studies

Hayakawa Sayaka

doi:10.14988/0002000143

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日本の精神保健医療福祉における「当事者による支援」言説 : 先行研究を通してみた変遷過程
ニホンノセイシンホケンイリョウフクシニオケルトウジシャニヨルシエンゲンセツ : センコウケンキュウオトオシテミタヘンセンカテイ
日本の精神保健医療福祉における当事者による支援言説 : 先行研究を通してみた変遷過程

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Abstract

In recent years, importance has been placed not only on support for mental health services by mental health care professionals, but also on support for persons with mental disabilities, such as self-help and peer support. In this study, we attempted to clarify how support by persons with mental illnesses, such as peer support and self-help, has been discussed in the mental health professions, and how these changes have been structured. Therefore, we followed the changes in the discourse chronologically from the 1990s to the 2020s. From the 2000s to the 2010s, the term "peer support" became mainstream with the development of government-led projects, and the discourse on self-help, which had been central to support by persons concerned, declined. As the terminology changed, self-help, which had been a new type of support as resistance to professionals, was recognized as a type of support in the course of time, and peer support based on it also changed from a function to a role and a job. It became clear that self-help and peer support for mental disorders have been changing in relation to institutional policies, and that as peer support has shifted to work, the "experience" of the people involved has been emphasized, and the context of mutual work and movement has decreased. The discourse of the relationship with professionals as a collaborating entity has become mainstream, and it is necessary to pursue the kind of collaboration that preserves the autonomy of peer support.

Journal

評論・社会科学

評論・社会科学 (146), 99-126, 2023-09-30

The Association of Social Studies, Doshisha University

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