Skip to main content
Top
Published in: Community Mental Health Journal 1/2024

Open Access 17-11-2023 | Original Paper

Acting as a Mental Health Expert by Experience and Its Impact on Social Identity

Author: Kari Soronen

Published in: Community Mental Health Journal | Issue 1/2024

Login to get access

Abstract

This study was conducted to examine the construction of social identity among mental health experts by experience working in Finnish municipal mental healthcare services. The construction of social identity is approached as an ongoing lifelong process that is significantly affected by lived experiences with mental health problems and recovery from them. The research data consist of focus group discussions, and the analysis is based on a thematic design that is initially material-driven. As a result, four categories are formed to describe the effect of acting as an expert by experience on social identity and the importance of the issue. Experts by experience have to consider profound questions about their identity and future in their new life situation. The individual meanings of acting as an expert by experience are considered particularly important. The support provided by group members builds confidence in one’s chances of success and thereby supports the development of social identity. Social identities of experts by experience are partially built in encounters with professionals representing the mental health care system. This creates opportunities for new roles for those who act as experts by experience.
Literature
go back to reference Attygalle, L. (2017). The context experts: A white paper. Tamarack Institute. Attygalle, L. (2017). The context experts: A white paper. Tamarack Institute.
go back to reference Ayres, C. G. (2008). Mediators of the relationship between social support and positive health practices in middle adolecents. Journal of Pediatric Health Care 22(2), 94–102. Ayres, C. G. (2008). Mediators of the relationship between social support and positive health practices in middle adolecents. Journal of Pediatric Health Care 22(2), 94–102.
go back to reference Bauman, Z. (1990). Thinking sociologically: An introduction for everyone. B. Blackwell. Bauman, Z. (1990). Thinking sociologically: An introduction for everyone. B. Blackwell.
go back to reference Beresford, P., & Boxall, K. (2015). Where do service users’ knowledge sit in relation to professional and academic understandings of knowledge. In P. Staddon (Ed.), Mental Health Service Users in Research. Critical sociological perspectives (pp. 69–86). Policy Press. Beresford, P., & Boxall, K. (2015). Where do service users’ knowledge sit in relation to professional and academic understandings of knowledge. In P. Staddon (Ed.), Mental Health Service Users in Research. Critical sociological perspectives (pp. 69–86). Policy Press.
go back to reference Bergman, M., & Coxon, A. (2005). The quality in qualitative methods. Qualitative Social Research, 6(2), 1–20. Bergman, M., & Coxon, A. (2005). The quality in qualitative methods. Qualitative Social Research, 6(2), 1–20.
go back to reference Brosnan, C., & Kirby, E. (2016). Sociological perspectives on the politics of knowledge in health care: Introduction to themed issue. Health Sociology Review, 25(2), 139–141.CrossRef Brosnan, C., & Kirby, E. (2016). Sociological perspectives on the politics of knowledge in health care: Introduction to themed issue. Health Sociology Review, 25(2), 139–141.CrossRef
go back to reference Cook, J., Copeland, M. E., Corey, L., Buffington, E., Jonikas, J., Curtis, L., Grey, D., & Nichols, W. (2010). Developing the evidence base for peer-led services: Changes among participants following Wellness Recovery Action Planning (WRAP) education in two statewide initiatives. Psychiatric Rehabilitation Journal, 34(2), 113–120. https://doi.org/10.2975/34.2.2010.113.120.CrossRefPubMed Cook, J., Copeland, M. E., Corey, L., Buffington, E., Jonikas, J., Curtis, L., Grey, D., & Nichols, W. (2010). Developing the evidence base for peer-led services: Changes among participants following Wellness Recovery Action Planning (WRAP) education in two statewide initiatives. Psychiatric Rehabilitation Journal, 34(2), 113–120. https://​doi.​org/​10.​2975/​34.​2.​2010.​113.​120.CrossRefPubMed
go back to reference Goffman, E. (1990). The presentation of self in everyday life. Penguin Books. Goffman, E. (1990). The presentation of self in everyday life. Penguin Books.
go back to reference Hall, S., & Gay, D., P (1996). Questions of cultural identity. SAGE. Hall, S., & Gay, D., P (1996). Questions of cultural identity. SAGE.
go back to reference Hannum, K. (2007). Social identity: Knowing yourself, leading others. 1st edition. Greensboro, N.C.: Center for Creative Leadership. Hannum, K. (2007). Social identity: Knowing yourself, leading others. 1st edition. Greensboro, N.C.: Center for Creative Leadership.
go back to reference Happell, B., Warner, T., Waks, S., O’Donovan, A., Manning, F., Doody, R., & Biering, P. (2022). Something special, something unique: Perspectives of experts by experience in mental health nursing education on their contribution. Journal of Psychiatric and Mental Health Nursing, 29(2), 346–358. https://doi.org/10.1111/jpm.12773.CrossRefPubMed Happell, B., Warner, T., Waks, S., O’Donovan, A., Manning, F., Doody, R., & Biering, P. (2022). Something special, something unique: Perspectives of experts by experience in mental health nursing education on their contribution. Journal of Psychiatric and Mental Health Nursing, 29(2), 346–358. https://​doi.​org/​10.​1111/​jpm.​12773.CrossRefPubMed
go back to reference Harré, R. (1983). Personal being. A theory for individual psychology. Basil Blackwell. Harré, R. (1983). Personal being. A theory for individual psychology. Basil Blackwell.
go back to reference Hennink, M. (2007). International focus group research: A handbook for the health and social sciences. Cambridge University Press. Hennink, M. (2007). International focus group research: A handbook for the health and social sciences. Cambridge University Press.
go back to reference Humpston, C. (2014). Perplexity and meaning: Toward a phenomenological core of psychotic experiences. Schizophrenia Bulletin, 40(2), 240–243.CrossRefPubMed Humpston, C. (2014). Perplexity and meaning: Toward a phenomenological core of psychotic experiences. Schizophrenia Bulletin, 40(2), 240–243.CrossRefPubMed
go back to reference Hurrelmann, K. (1988). Social structure and personality development: The individual as a productive processor of reality. Cambridge University Press. Hurrelmann, K. (1988). Social structure and personality development: The individual as a productive processor of reality. Cambridge University Press.
go back to reference Kaminskiy, E., Ramon, S., & Morant, N. (2013). Exploring shared decision making for psychiatric medication management. In S. Walker (Ed.), Modern Mental Health: Critical perspectives on Psychiatric Practice (pp. 33–48). Critical Publishing. Kaminskiy, E., Ramon, S., & Morant, N. (2013). Exploring shared decision making for psychiatric medication management. In S. Walker (Ed.), Modern Mental Health: Critical perspectives on Psychiatric Practice (pp. 33–48). Critical Publishing.
go back to reference Koski-Jännes, A. (2002). Social and personal identity projects in the recovery from addictive behaviors. Addiction Research & Theory, 10(2), 183–202.CrossRef Koski-Jännes, A. (2002). Social and personal identity projects in the recovery from addictive behaviors. Addiction Research & Theory, 10(2), 183–202.CrossRef
go back to reference Mead, G. H. (1967). In C. W. Morris (Ed.), Mind, self and society from the standpoint of a social behaviorist. University of Chicago Press. Mead, G. H. (1967). In C. W. Morris (Ed.), Mind, self and society from the standpoint of a social behaviorist. University of Chicago Press.
go back to reference Meriluoto, T. (2018b). Making experts-by-experience. Governmental ethnography of participatory initiatives in Finnish social welfare organisations. JYU dissertations. Jyväskylä: University of Jyväskyl&#228. Meriluoto, T. (2018b). Making experts-by-experience. Governmental ethnography of participatory initiatives in Finnish social welfare organisations. JYU dissertations. Jyväskylä: University of Jyväskyl&#228.
go back to reference Mieli 2009 Working Group & Ministry of Social Affairs and Health. (2010). Plan for mental health and substance abuse work: Proposal of the Mieli 2009 Working Group to develop mental health and substance abuse work until 2015. Ministry of Social Affairs and Health. http://urn.fi/URN:ISBN 978-952-00-3027-8. Mieli 2009 Working Group & Ministry of Social Affairs and Health. (2010). Plan for mental health and substance abuse work: Proposal of the Mieli 2009 Working Group to develop mental health and substance abuse work until 2015. Ministry of Social Affairs and Health. http://​urn.​fi/​URN:​ISBN 978-952-00-3027-8.
go back to reference Puschner, B., Repper, J., Mahlke, C., Nixdorf, R., Basangwa, D., Nakku, J., Ryan, G., Baillie, D., Ramesh, M., Moran, G., Lachmann, M., Kalha, J., Pathare, S., Müller-Stierlin, A., & Slade, M. (2019). Using peer support in Developing Empowering Mental Health Services (UPSIDES): Background, rationale and methodology. Annals of Global Health, 85(1), 1–10. https://doi.org/10.5334/aogh.2435.CrossRef Puschner, B., Repper, J., Mahlke, C., Nixdorf, R., Basangwa, D., Nakku, J., Ryan, G., Baillie, D., Ramesh, M., Moran, G., Lachmann, M., Kalha, J., Pathare, S., Müller-Stierlin, A., & Slade, M. (2019). Using peer support in Developing Empowering Mental Health Services (UPSIDES): Background, rationale and methodology. Annals of Global Health, 85(1), 1–10. https://​doi.​org/​10.​5334/​aogh.​2435.CrossRef
go back to reference Raskin, J., & Debany, A. (2018). The inescapability of ethics and the impossibility of anything goes: A constructivist model of ethical meaning making. Journal of Constructivist Psychology, 31(4), 343–360.CrossRef Raskin, J., & Debany, A. (2018). The inescapability of ethics and the impossibility of anything goes: A constructivist model of ethical meaning making. Journal of Constructivist Psychology, 31(4), 343–360.CrossRef
go back to reference Rissanen, P. (2015). Toivoton tapaus? Autoetnografia Sairastumisesta Ja Kuntoutumisesta. Kuntoutussäätiö. Rissanen, P. (2015). Toivoton tapaus? Autoetnografia Sairastumisesta Ja Kuntoutumisesta. Kuntoutussäätiö.
go back to reference Sunderland, K., & Mishkin, W. (2013). Guidelines for the practice and training of peer support. Peer Leadership Group. Mental Health Commission of Canada. Calgary. Sunderland, K., & Mishkin, W. (2013). Guidelines for the practice and training of peer support. Peer Leadership Group. Mental Health Commission of Canada. Calgary.
go back to reference Tajfel, H. (1981). Human groups and social categories: Studies in social psychology. Cambridge University Press. Tajfel, H. (1981). Human groups and social categories: Studies in social psychology. Cambridge University Press.
go back to reference Trevillion, K., Stuart, R., Ocloo, J., Broeckelmann, E., Jeffreys, S., Jeynes, T., Allen, D., Russell, J., Billings, J., Crawford, M. J., Dale, O., Haigh, R., Moran, P., McNicholas, S., Foye, U., Simpson, A., Lloyd-Evans, B., Johnson, S., & Oram, S. (2022). Service user perspectives of community mental health services for people with complex emotional needs: A co-produced qualitative interview study. Bmc Psychiatry, 22(1), 55. https://doi.org/10.1186/s12888-021-03605-4.CrossRefPubMedPubMedCentral Trevillion, K., Stuart, R., Ocloo, J., Broeckelmann, E., Jeffreys, S., Jeynes, T., Allen, D., Russell, J., Billings, J., Crawford, M. J., Dale, O., Haigh, R., Moran, P., McNicholas, S., Foye, U., Simpson, A., Lloyd-Evans, B., Johnson, S., & Oram, S. (2022). Service user perspectives of community mental health services for people with complex emotional needs: A co-produced qualitative interview study. Bmc Psychiatry, 22(1), 55. https://​doi.​org/​10.​1186/​s12888-021-03605-4.CrossRefPubMedPubMedCentral
go back to reference Turner, J. C. (1982). Towards a cognitive redefinition of the social group. In H. Tajfelred Social identity and intergroup relations (pp. 15–40). Cambridge University Press. Turner, J. C. (1982). Towards a cognitive redefinition of the social group. In H. Tajfelred Social identity and intergroup relations (pp. 15–40). Cambridge University Press.
go back to reference van Weeghel, J., van Zelst, C., Boertien, D., & Hasson-Ohayon, I. (2019). Conceptualizations, assessments, and implications of personal recovery in mental Illness: A scoping review of systematic reviews and meta-analyses. Psychiatric Rehabilitation Journal, 42(2), 169–181. https://doi.org/10.1037/prj0000356.CrossRefPubMed van Weeghel, J., van Zelst, C., Boertien, D., & Hasson-Ohayon, I. (2019). Conceptualizations, assessments, and implications of personal recovery in mental Illness: A scoping review of systematic reviews and meta-analyses. Psychiatric Rehabilitation Journal, 42(2), 169–181. https://​doi.​org/​10.​1037/​prj0000356.CrossRefPubMed
go back to reference Williams, G. (2014). Lay expertise. In C. Cockerham, R. Dingwell, & S. Quah (Eds.), The Wiley-Blackwell encyclopedia of health, Illness, behavior and society (pp. 1283–1288). Wiley-Blackwell. Williams, G. (2014). Lay expertise. In C. Cockerham, R. Dingwell, & S. Quah (Eds.), The Wiley-Blackwell encyclopedia of health, Illness, behavior and society (pp. 1283–1288). Wiley-Blackwell.
Metadata
Title
Acting as a Mental Health Expert by Experience and Its Impact on Social Identity
Author
Kari Soronen
Publication date
17-11-2023
Publisher
Springer US
Published in
Community Mental Health Journal / Issue 1/2024
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI
https://doi.org/10.1007/s10597-023-01207-w

Other articles of this Issue 1/2024

Community Mental Health Journal 1/2024 Go to the issue