Refusal, social exclusion and the cycle of rejection: A cynical analysis?

Despite the best, and at times the worst, efforts of systems of care `to include', there remains a group of people whose refusal to be included remains a problem both for themselves and for society as a whole. Our discussion re-locates the problems arising from the anti-social stance at the heart of this refusal from the internal world of the refuser to phenomena associated with what we have called psychosocial dis-memberment and the ` un-housed mind'. We explore the complex reciprocal relationship between the housed and the un-housed, between society's members and those whom society dis-members and we consider some possible implications for individual workers, staff teams and organizations who are tasked with attempting to house, re-member or otherwise to accommodate such people. We conclude with a challenge to practitioners, academics and policy makers to reframe the philosophical basis of their approach towards these complex psychosocial problems.