Relationships and a relational understanding in mental health research
Building on the legacy of Peter Huxley
DOI:
https://doi.org/10.1921/swssr.v25i1.2292Keywords:
relational, relationships, mental health social careAbstract
In engaging in this article with the far-reaching scholarly work of Peter Huxley, I focus on the foundations he has laid in developing a stronger social basis to understanding mental health and the forms of support that those experiencing mental health problems want and need. I will argue that mental health research and policy have barely embraced nor developed this foundation, let alone taken it to the core of knowledge in the way needed. To do this we need to follow the relational turn in scholarly work, a theoretical perspective I expand on in the article. Through these discussions I seek to lay directions for the development of mental health knowledge and policy to better understand the full social context of people’s experiences and of practice to support them.
References
Archer, M. (2007) Making Our Way through the World: Human reflexivity and social mobility. Cambridge: Cambridge University Press. https://doi.org/10.1017/CBO9780511618932
Archer, M. (2010) Critical realism and relational sociology: complementarity and synergy. Journal of Critical Realism, 9, 2, 199-207. https://doi.org/10.1558/jcr.v9i2.199
Biestek, F.P. (1957) The Casework Relationship. London: George Allen & Unwin.
Burkitt, I. (2016) Relational agency: relational sociology, agency and interaction. European Journal of Social Theory, 19, 3, 322-339.https://doi.org/10.1177/1368431015591426
Cheung, J.C.-S. (2015) A letter to the late Felix Biestek: revisiting the seven principles of the casework relationship with contemporary struggles. Ethics and Social Welfare, 9, 1, 92-100. https://doi.org/10.1080/17496535.2015.994980
Crossley, N. (2022) A dependent structure of interdependence: structure and agency in relational perspective. Sociology, 56, 1, 166–182. https://doi.org/10.1177/00380385211020231
Department of Health (DOH). (1999) National Service Framework for Mental Health. London: DoH
Dépelteau, F. (2008) Relational thinking: a critique of co-deterministic theories of structure and agency. Sociological Theory, 26, 1, 51-73. https://doi.org/10.1111/j.1467-9558.2008.00318.x
Donati, P. (2010) Relational Sociology: A new paradigm for the social sciences. Abingdon: Routledge.
Emirbayer, M. (1997) Manifesto for a relational sociology. The American Journal of Sociology, 103, 2, 281-317. https://doi.org/10.1086/231209
Gillard, S. (2019) Peer support in mental health services: where is the research taking us, and do we want to go there? Journal of Mental Health, 28, 4, 341-344. https://doi.org/10.1080/09638237.2019.1608935
Gillard, S., Foster, R., Gibson, S., Goldsmith, L., Marks, J. and White, S. (2017) Describing a principles-based approach to developing and evaluating peer worker roles as peer support moves into mainstream mental health services. Mental Health and Social Inclusion, 21, 3, 133-143. https://doi.org/10.1108/MHSI-03-2017-0016
Horowitz, R. (1991) Reflections on the casework relationship: beyond empiricism. Health & Social Work, 16, 3, 170-175. https://doi.org/10.1093/hsw/16.3.170
Howe, D. (1998) Relationship-based thinking and practice in social work. Journal of Social Work Practice, 12, 1, 45-56. https://doi.org/10.1080/02650539808415131
Huxley, P., Evans, S., Beresford, P., Davidson, B. and King, S. (2009) The principles and provisions of relationships: findings from an evaluation of support, time and recovery workers in mental health services in England. Journal of Social Work, 9, 1, 99-117. https://doi.org/10.1177/1468017308098434
Huxley, P., King, S., Evans, S., Davidson, B. and Beresford, P. (2003) ‘No Recovery without Time and Support’ (or ‘More than Bowling Together’) Evaluation of the Introduction of Support, Time and Recovery Workers in Three Pilot Sites. London: NHS, Social Care Workforce Research Unit, King’s College London.
Kinane, C., Osborne, J., Ishaq, Y., Colman, M. and MacInnes, D. (2022) Peer supported open dialogue in the national health service: implementing and evaluating a new approach to Mental Health Care. BMC Psychiatry, 22, 1, 138-138. https://doi.org/10.1186/s12888-022-03731-7
Lloyd-Evans, B., Mayo-Wilson, E., Harrison, B., Istead, H., Brown, E., Pilling, S., Johnson, S. and Kendall, T. (2014) A systematic review and meta-analysis of randomised controlled trials of peer support for people with severe mental illness. BMC Psychiatry, 14, 1, 39-39. https://doi.org/10.1186/1471-244X-14-39
Mancini, M.A. (2007) The role of self–efficacy in recovery from serious psychiatric disabilities: a qualitative study with fifteen psychiatric survivors. Qualitative Social Work: QSW: Research and Practice, 6, 1, 49-74. https://doi.org/10.1177/1473325007074166
Nathan, J. and Webber, M. (2010) Mental health social work and the bureau-medicalisation of mental health care: identity in a changing world. Journal of Social Work Practice, 24, 1, 15-28. https://doi.org/10.1080/02650530903415672
Olson, M., Seikkula, J. and Ziedonis, D. (2014) The key elements of dialogic practice in open dialogue: fidelity criteria. The University of Massachusetts Medical School, 8, 2017.
Pawson, R. and Tilley, N. (1997). Realistic Evaluation. London: Sage.
Pinfold, V., Sweet, D., Porter, I., Quinn, C., Byng, R., Griffiths, C., Billsborough, J., Enki, D.G., Chandler, R., Webber, M., Larsen, J., Carpenter, J. and Huxley, P. (2015) Improving community health networks for people with severe mental illness: a case study investigation. Health Services and Delivery Research, 3, 5, 1-234. https://doi.org/10.3310/hsdr03050
Poulin, J. and Young, T. (1997) Development of a helping relationship inventory for social work practice. Research on Social Work Practice, 7, 4, 463-489. https://doi.org/10.1177/104973159700700403
Priebe, S., Burns, T. and Craig, T.K.J. (2013) The future of academic psychiatry may be social. The British Journal of Psychiatry, 202, 5, 319-320. https://doi.org/10.1192/bjp.bp.112.116905
Seikkula, J., Alakare, B., Aaltonen, J., Holma, J., Rasinkangas, A. and Lehtinen, V. (2003) Open dialogue approach: treatment principles and preliminary results of a two-year follow-up on first episode schizophrenia. Ethical Human Sciences and Services, 5, 3, 163-182. https://doi.org/10.1891/1523-150X.5.3.163
Skivington, K., Matthews, L., Simpson, S.A., Craig, P., Baird, J., Blazeby, J.M., Boyd, K.A., Craig, N., French, D.P., McIntosh, E., Petticrew, M., Rycroft-Malone, J., White, M. and Moore, L. (2021) A new framework for developing and evaluating complex interventions: update of Medical Research Council guidance. BMJ, 374, n2061. https://doi.org/10.1136/bmj.n2061
Sweet, D., Byng, R., Webber, M., Enki, D.G., Porter, I., Larsen, J., Huxley, P. and Pinfold, V. (2018) Personal well-being networks, social capital and severe mental illness: exploratory study. The British Journal of Psychiatry, 212, 5, 308-317. https://doi.org/10.1192/bjp.bp.117.203950
Tew, J., Ramon, S., Slade, M., Bird, V., Melton, J. and Le Boutillier, C. (2012) Social factors and recovery from mental health difficulties: a review of the evidence. The British Journal of Social Work, 42, 3, 443-460. https://doi.org/10.1093/bjsw/bcr076
Webber, M., Reidy, H., Ansari, D., Stevens, M. and Morris, D. (2015) Enhancing social networks: a qualitative study of health and social care practice in UK mental health services. Health & Social Care in the Community, 23, 2, 180-189. https://doi.org/10.1111/hsc.12135
Webber, M., Reidy, H., Ansari, D., Stevens, M. and Morris, D. (2016) Developing and modeling complex social interventions: introducing the connecting people intervention. Research on Social Work Practice, 26, 1, 14-19. https://doi.org/10.1177/1049731515578687
Wilberforce, M., Abendstern, M., Batool, S., Boland, J., Challis, D., Christian, J., Hughes, J., Kinder, P., Lake-Jones, P., Mistry, M., Pitts, R. and Roberts, D. (2020) What do service users want from mental health social work? A best–worst scaling analysis. The British Journal of Social Work, 50, 5, 1324-1344. https://doi.org/10.1093/bjsw/bcz133