Open Journals at Memorial University
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Assessment of the horizontal integration of anesthesia in general surgery at Memorial University of Newfoundland - a pilot project
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Review of “Behind the Rhetoric: Mental Health Recovery in Ontario” (Jennifer Poole)
No full textThrough discussing how the recovery model has become popular within the mental health system in Ontario, Poole offers an outstanding critique of recovery’s rhetoric. Using Foucault’s concepts of “discursive formation”, Poole demonstrates that the recovery model borrows concepts from biomedical discourse, and therefore is not as new and empowering as people believe. She illustrates how the recovery model actually provides a very narrow definition of how one must “recover” from “mental illness” that serves to silence psychiatric survivors that may be critical of the recovery movement. Poole also illustrates how the recovery movement is influenced by neo-liberalism, as it has become a growing industry funded by the pharmaceutical industry. Further, she offers readers insight into the inherent ‘whiteness’ of the recovery movement, which emphasizes personal responsibility, and subscribes to western ideas of individualism and western definitions of what mental health is.
The Elephant in the Room: A Theoretical Examination of Power for Shared Decision Making in Psychiatric Medication Management.
No full textShared decision making (SDM) is an important tool for recovery-oriented practice in mental health services. It has been defined using narrow and broad conceptualizations. One overarching theme that merges the differing models is the emphasis on a rebalancing of power, with experiential knowledge holding equal weight in the encounter, alongside more traditional “medical” forms of knowledge. Nevertheless, the concept of power and how it is enacted and shared has received relatively little attention in the wider SDM literature. Yet, it is fundamental both to the principles and models of SDM more generally and to the recovery model within mental health services more specifically. This article explores the theoretical concept of power in the context of SDM for psychiatric medication management practice. It highlights the diverse structural components of the U.K. contemporary mental health system, their intersections, and the resultant opportunities for persons to take back control and enact their agency
Developing an on-line curriculum to teach culturally appropriate communication skills to international medical graduates
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