Abstract
Mental ill-health can be a very distressing experience for those with the condition, their families, and the wider community. Unpredictable and strange behaviours can lead to strains in the social fabric that make up the support network surrounding the individual. Many of these behaviours will have caused embarrassment to the individual and their families. Perhaps most significantly the response of the wider community to such behaviours (and confirmation of contact with mental health services) is often to reject the person or refrain from further contact. It is perhaps understandable then that many people with mental health problems are cautious about revealing information about their condition. In circumstances where the individual has engaged in serious criminal offences, which have the effect of confirming public misconceptions about mental illness, it is likely that the maintenance of privacy and decisions about disclosure are constant challenges. The social identity implications of stigma, discrimination and exclusion make the maintenance of privacy an area of particular sensitivity. In this chapter I will explore how privacy and disclosure were handled in the talk of people returning to community living following detention in forensic mental health facilities. Discursive practice among patients and workers is examined to show how risk is constructed and dealt with in accounts.
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References
Altman, I., & Taylor, D. A. (1973). Social Penetration: The Development of Interpersonal Relationships. New York: Holt.
Altman, I., Vinsel, A., & Brown, B. R. (1981). Dialectic conceptions in social psychology: An application to social penetration and privacy regulation. Advances in Experimental Social Psychology, 14, 107–160.
Anderson, J. M., Elfert, H., & Lai, M. (1989). Ideology in the clinical context: Chronic illness, ethnicity and the discourse on normalisation. Sociology of Health and Illness, 11(3), 253–278.
Antaki, C., Condor, S., & Levine, M. (1996). Social identities in talk: Speakers own orientations. British Journal of Social Psychology, 35(4), 473–492.
Brannen, J. (1988). The study of sensitive subjects. Sociological Review, 36, 552–563.
Coffey, M. (2013). Time and its uses in accounts of conditional discharge in forensic psychiatry. Sociology of Health and Illness, 35(8), 1181–1195.
Coffey, M. (2012a). A risk worth taking? Value differences and alternative risk constructions in accounts given by patients and their community workers following conditional discharge from forensic mental health services. Health Risk and Society, 14(5), 465–482.
Coffey, M. (2012b). Negotiating identity transition when leaving forensic hospitals. Health: An Interdisciplinary Journal for the Social Study of Health, Illness and Medicine, 16, 489–506.
Douglas, M. (1992). Risk and Blame: Essays in Cultural Theory. London: Routledge.
Edwards, D., & Potter, J. (1992). Discursive Psychology. London: Sage Publications.
Estroff, S. E. (1989). Self, identity, and subjective experiences of schizophrenia: In search of the subject. Schizophrenia Bulletin, 15(2), 189–196.
Fisher, D. V. (1984). A conceptual analysis of self-disclosure. Journal for the Theory of Social Behaviour, 14(3), 277–296.
Foddy, W. H., & Finnigan, W. R. (1980). The concept of privacy from a symbolic interaction perspective. Journal for the Theory of Social Behaviour, 10, 1–17.
Garfinkel, H. (1967). Studies in Ethnomethodology. Englewood Cliffs, New Jersey: Prentice-Hall.
Goffman, E. (1963). Stigma: Notes on the Management of Spoiled Identity. New Jersey: Prentice-Hall Inc.
Lee, R. M. (1993). Doing Research on Sensitive Topics. London: Sage Publications.
Margulis, S. T. (2003). On the status and contribution of Westin’s and Altman’s theories of privacy. Journal of Social Issues, 59(2), 411–429.
Radley, A., & Billig, M. (1996). Accounts of health and illness: Dilemmas and representations. Sociology of Health and Illness, 18(2), 220–240.
Roth, J. A. (1963). Timetables: Structuring the Passage of Time in Hospital Treatment and Other Careers. Indianapolis: Bobbs-Merrill.
Scott, M. B., & Lyman, S. M. (1968). Accounts. American Sociological Review, 33(1), 46–62.
Sieber, J. E., & Stanley, B. (1988). Ethical and professional dimensions of socially sensitive research. American Psychologist, 43(1), 49–55.
Swanson, J. (2008). Preventing the unpredicted: Managing violence risk in mental health care. Psychiatric Services, 59(2), 191–193.
Thornicroft, G. (2006). Shunned: Discrimination against People with Mental Illness. Oxford: Oxford University Press.
Townsend, J. M. (1976). Self-concept and the institutionalization of mental patients: An overview and critique. Journal of Health and Social Behavior, 17(3), 263–271.
Westin, A. F. (1967). Privacy and Freedom. New York: Anthenaeum.
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© 2016 Michael Coffey
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Coffey, M. (2016). ‘Being Diplomatic with the Truth’: The Discursive Management of Risk in Accounts of People Leaving Forensic Psychiatric Settings. In: Crichton, J., Candlin, C.N., Firkins, A.S. (eds) Communicating Risk. Communicating in Professions and Organizations. Palgrave Macmillan, London. https://doi.org/10.1057/9781137478788_3
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DOI: https://doi.org/10.1057/9781137478788_3
Publisher Name: Palgrave Macmillan, London
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