As the growing power of the user/survivor movement collides with pressures for increased social exclusion, we need robust, tested conceptual models to take the mental health world into a new phase of development. Otherwise, as cyclical analysts warn us (see Ch. 4), our latest idea will be just another in a long line of approaches — building asylums, closing them down again in favour of community care — that do not quite live up to their promise, if they take hold at all.
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