Self-casting and alter-casting: Healthcare professionals’ boundary work in response to peer workers
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Self-casting and alter-casting : Healthcare professionals’ boundary work in response to peer workers. / Järvinen, Margaretha; Kessing, Malene Lue.
In: Current Sociology, Vol. 71, No. 3, 2023, p. 414-431.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Self-casting and alter-casting
T2 - Healthcare professionals’ boundary work in response to peer workers
AU - Järvinen, Margaretha
AU - Kessing, Malene Lue
PY - 2023
Y1 - 2023
N2 - Abstract Within mental health services, the recovery model has been a guiding philosophy over the past decades. This model stresses ‘person-centred care’ and focuses on assisting service-users to live a meaningful and hopeful life even if their illness has not been cured. As part of the recovery orientation, ‘peer workers’ (PWs), i.e. people with lived experiences of mental illness, are increasingly employed within mental health services. In this paper, we explore how these changes open up frontiers and set in motion boundary work and identity discussions among healthcare professionals. Empirically, the paper draws on qualitative data – interviews with healthcare professionals and observations of meetings – collected in the mental healthcare services in Denmark. Theoretically, we combine literature on professional boundary work with theories on ‘self-casting’, ‘alter-casting’ and ‘othering’. Analysing two sets of demarcations – those between healthcare professionals and PWs, and those between professionals and patients – we show how the recovery model leads to defensive boundary work as well as an opening up of boundaries.
AB - Abstract Within mental health services, the recovery model has been a guiding philosophy over the past decades. This model stresses ‘person-centred care’ and focuses on assisting service-users to live a meaningful and hopeful life even if their illness has not been cured. As part of the recovery orientation, ‘peer workers’ (PWs), i.e. people with lived experiences of mental illness, are increasingly employed within mental health services. In this paper, we explore how these changes open up frontiers and set in motion boundary work and identity discussions among healthcare professionals. Empirically, the paper draws on qualitative data – interviews with healthcare professionals and observations of meetings – collected in the mental healthcare services in Denmark. Theoretically, we combine literature on professional boundary work with theories on ‘self-casting’, ‘alter-casting’ and ‘othering’. Analysing two sets of demarcations – those between healthcare professionals and PWs, and those between professionals and patients – we show how the recovery model leads to defensive boundary work as well as an opening up of boundaries.
KW - Faculty of Social Sciences
KW - Boundary work
KW - healthcare professionals
KW - othering
KW - peer workers
KW - psychiatry
KW - qualitative methods
KW - recovery
U2 - 10.1177/00113921211048532
DO - 10.1177/00113921211048532
M3 - Journal article
VL - 71
SP - 414
EP - 431
JO - Current Sociology
JF - Current Sociology
SN - 0011-3921
IS - 3
ER -
ID: 290105834