LEADER 04672nam 2200733 450 001 9910466368403321 005 20200520144314.0 010 $a1-4426-7541-1 024 7 $a10.3138/9781442675414 035 $a(CKB)3800000000070350 035 $a(EBL)4671561 035 $a(SSID)ssj0000297771 035 $a(PQKBManifestationID)11256349 035 $a(PQKBTitleCode)TC0000297771 035 $a(PQKBWorkID)10350587 035 $a(PQKB)11646894 035 $a(CaPaEBR)417769 035 $a(CaBNvSL)thg00600861 035 $a(MiAaPQ)EBC3251348 035 $a(MiAaPQ)EBC4671561 035 $a(DE-B1597)464512 035 $a(OCoLC)1013963667 035 $a(OCoLC)944178148 035 $a(DE-B1597)9781442675414 035 $a(Au-PeEL)EBL4671561 035 $a(CaPaEBR)ebr11257267 035 $a(OCoLC)958558775 035 $a(EXLCZ)993800000000070350 100 $a20160922h19981998 uy 0 101 0 $aeng 135 $aur|n|---||||| 181 $ctxt 182 $cc 183 $acr 200 10$aGood intentions overruled $ea critique of empowerment in the routine organization of mental health services /$fElizabeth Townsend 205 $a2nd ed. 210 1$aToronto, [Ontario] ;$aBuffalo, [New York] ;$aLondon, [England] :$cUniversity of Toronto Press,$d1998. 210 4$dİ1998 215 $a1 online resource (234 p.) 300 $aDescription based upon print version of record. 311 $a0-8020-7802-8 320 $aIncludes bibliographical references and index. 327 $tFrontmatter -- $tContents -- $tLIST OF FIGURES -- $tFOREWORD -- $tPREFACE -- $t1. Exploring Empowerment -- $t2. Objectifying Participants -- $t3. Individualizing Action -- $t4. Controlling Collaboration -- $t5. Simulating Real Life -- $t6. Risking Liability -- $t7. Promoting Marginal Inclusiveness -- $t8. Challenging the Routine Organization of Power -- $tNOTES -- $tREFERENCES -- $tINDEX 330 $aGood Intentions OverRuled is about empowerment; so it is also about power. This book shows how power is exerted in the routine organizational processes that determine what can be done in everyday life, since modern societies are controlled by regulations, policies, professional practice, legislation, budgets, and other forms of organization.Against the backdrop of an ideal vision of empowerment, this critique highlights both the Good Intentions of professionals and the organizational processes through which empowerment is OverRuled. Professionals who promote empowerment for those with little power, such as people with long-standing mental health problems, experience tension, a disjuncture between enabling participation in empowerment and engaging in caregiving processes that perpetuate dependence. Attempts to enable participation are undermined by processes of objectification, individualized accountability, hierarchical decision making, simulation-based education, risk management, and exclusion, which protect but also control people. The significance of this critique extends beyond mental health services because similar processes are used in the routine organization of power in education, employment insurance, transportation, and other sectors of society.Good Intentions OverRuled sparks debate about empowerment by using a method called institutional ethnography, developed by the Canadian sociologist Dorothy Smith. Mental health day programs are explored from the perspective of seven occupational therapists in Atlantic Canada. Described in this ethnography are the local, provincial, federal, and international processes used to organize power in Canada's mental health services. The aim is to inspire professional, lay, academic, and other persons (including those who use mental health services) to change the organization of power so that we promote rather than overrule empowerment. 606 $aMentally ill$xRehabilitation$xPolitical aspects 606 $aAutonomy (Psychology) 606 $aPatient participation 606 $aOccupational therapy$xPolitical aspects 606 $aPsychiatric day treatment$xPolitical aspects 608 $aElectronic books. 615 0$aMentally ill$xRehabilitation$xPolitical aspects. 615 0$aAutonomy (Psychology) 615 0$aPatient participation. 615 0$aOccupational therapy$xPolitical aspects. 615 0$aPsychiatric day treatment$xPolitical aspects. 676 $a362.2 700 $aTownsend$b Elizabeth A.$f1945-$01035971 801 0$bMiAaPQ 801 1$bMiAaPQ 801 2$bMiAaPQ 906 $aBOOK 912 $a9910466368403321 996 $aGood intentions overruled$92455984 997 $aUNINA