Powerlessness, marginalized identity, and silencing of health concerns: Voiced realities of women living with a mental health diagnosis
ABSTRACT Using a feminist qualitative approach, this study substantiated many earlier research findings that document how women with a mental health diagnosis experience unequal access to comprehensive health care compared to the general population. Accounts of this disparity are documented in the l...
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Veröffentlicht in: | International journal of mental health nursing 2009-06, Vol.18 (3), p.153-163 |
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container_title | International journal of mental health nursing |
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creator | Van Den Tillaart, Susan Kurtz, Donna Cash, Penny |
description | ABSTRACT
Using a feminist qualitative approach, this study substantiated many earlier research findings that document how women with a mental health diagnosis experience unequal access to comprehensive health care compared to the general population. Accounts of this disparity are documented in the literature, yet the literature has failed to record or attend to the voices of those living with mental health challenges. In this paper, women living with a mental health diagnosis describe their experiences as they interface with the health‐care system. The participating women's stories clearly relate the organizational and interpersonal challenges commonly faced when they seek health‐care services. The stories include experiences of marginalized identity, powerlessness, and silencing of voiced health concerns. The women tell of encountered gaps in access to health care and incomplete health assessment, screening, and treatment. It becomes clear that personal and societal stigmatization related to the mental health diagnosis plays a significant role in these isolating and unsatisfactory experiences. Lastly, the women offer beginning ideas for change by suggesting starting points to eliminate the institutional and interpersonal obstacles or barriers to their wellness. The concerns raised demand attention, reconsideration, and change by those in the health‐care system responsible for policy and practice. |
doi_str_mv | 10.1111/j.1447-0349.2009.00599.x |
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Using a feminist qualitative approach, this study substantiated many earlier research findings that document how women with a mental health diagnosis experience unequal access to comprehensive health care compared to the general population. Accounts of this disparity are documented in the literature, yet the literature has failed to record or attend to the voices of those living with mental health challenges. In this paper, women living with a mental health diagnosis describe their experiences as they interface with the health‐care system. The participating women's stories clearly relate the organizational and interpersonal challenges commonly faced when they seek health‐care services. The stories include experiences of marginalized identity, powerlessness, and silencing of voiced health concerns. The women tell of encountered gaps in access to health care and incomplete health assessment, screening, and treatment. It becomes clear that personal and societal stigmatization related to the mental health diagnosis plays a significant role in these isolating and unsatisfactory experiences. Lastly, the women offer beginning ideas for change by suggesting starting points to eliminate the institutional and interpersonal obstacles or barriers to their wellness. The concerns raised demand attention, reconsideration, and change by those in the health‐care system responsible for policy and practice.</description><identifier>ISSN: 1445-8330</identifier><identifier>EISSN: 1447-0349</identifier><identifier>DOI: 10.1111/j.1447-0349.2009.00599.x</identifier><identifier>PMID: 19490225</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Alienation ; Attitude of Health Personnel ; British Columbia ; Diagnosis ; Female ; Feminism ; Health care ; Health care access ; Health problems ; Health services ; Health Services Accessibility ; Help seeking behavior ; Humans ; Identity ; marginalization ; Medical diagnosis ; Medical screening ; Mental Disorders ; Mental health ; Narration ; Nursing ; othering powerlessness ; Power (Psychology) ; Powerlessness ; Prejudice ; silencing ; Stigma ; Vulnerable Populations ; Women ; Womens health</subject><ispartof>International journal of mental health nursing, 2009-06, Vol.18 (3), p.153-163</ispartof><rights>2009 The Authors. Journal compilation © 2009 Australian College of Mental Health Nurses Inc.</rights><rights>Copyright Wiley Subscription Services, Inc. Jun 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4119-5c2f31103bd24b069b17ff0be97a1a432c1eba4e45ebb2e5b4e14377d31ac8603</citedby><cites>FETCH-LOGICAL-c4119-5c2f31103bd24b069b17ff0be97a1a432c1eba4e45ebb2e5b4e14377d31ac8603</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1447-0349.2009.00599.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1447-0349.2009.00599.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,776,780,1411,27901,27902,30976,30977,45550,45551</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19490225$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Van Den Tillaart, Susan</creatorcontrib><creatorcontrib>Kurtz, Donna</creatorcontrib><creatorcontrib>Cash, Penny</creatorcontrib><title>Powerlessness, marginalized identity, and silencing of health concerns: Voiced realities of women living with a mental health diagnosis</title><title>International journal of mental health nursing</title><addtitle>Int J Ment Health Nurs</addtitle><description>ABSTRACT
Using a feminist qualitative approach, this study substantiated many earlier research findings that document how women with a mental health diagnosis experience unequal access to comprehensive health care compared to the general population. Accounts of this disparity are documented in the literature, yet the literature has failed to record or attend to the voices of those living with mental health challenges. In this paper, women living with a mental health diagnosis describe their experiences as they interface with the health‐care system. The participating women's stories clearly relate the organizational and interpersonal challenges commonly faced when they seek health‐care services. The stories include experiences of marginalized identity, powerlessness, and silencing of voiced health concerns. The women tell of encountered gaps in access to health care and incomplete health assessment, screening, and treatment. It becomes clear that personal and societal stigmatization related to the mental health diagnosis plays a significant role in these isolating and unsatisfactory experiences. Lastly, the women offer beginning ideas for change by suggesting starting points to eliminate the institutional and interpersonal obstacles or barriers to their wellness. The concerns raised demand attention, reconsideration, and change by those in the health‐care system responsible for policy and practice.</description><subject>Alienation</subject><subject>Attitude of Health Personnel</subject><subject>British Columbia</subject><subject>Diagnosis</subject><subject>Female</subject><subject>Feminism</subject><subject>Health care</subject><subject>Health care access</subject><subject>Health problems</subject><subject>Health services</subject><subject>Health Services Accessibility</subject><subject>Help seeking behavior</subject><subject>Humans</subject><subject>Identity</subject><subject>marginalization</subject><subject>Medical diagnosis</subject><subject>Medical screening</subject><subject>Mental Disorders</subject><subject>Mental health</subject><subject>Narration</subject><subject>Nursing</subject><subject>othering powerlessness</subject><subject>Power (Psychology)</subject><subject>Powerlessness</subject><subject>Prejudice</subject><subject>silencing</subject><subject>Stigma</subject><subject>Vulnerable Populations</subject><subject>Women</subject><subject>Womens health</subject><issn>1445-8330</issn><issn>1447-0349</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><recordid>eNqNkcuO0zAUhiMEYi7wCsgSEmwmwdc4RrOBaigjDcMsuImN5TgnHZfUGeyUtrwAr43TlkFiAViybB1_vy2fL8sQwQVJ49m8IJzLHDOuCoqxKjAWShXrO9nh7cHd7V7kFWP4IDuKcY4xkYrw-9kBUVxhSsVh9uOqX0HoIEaf5glamDBz3nTuOzTINeAHN2xOkPENiq4Db52fob5F12C64RrZ3lsIPj5HH3pnUySkuhscxBFa9QvwqHPfxtDKJd6gVBlM9yvfODPzfXTxQXavNV2Eh_v1OHv_6uzd5HV-8XZ6PnlxkVtOiMqFpS0jBLO6obzGpaqJbFtcg5KGGM6oJVAbDlxAXVMQNQfCmZQNI8ZWJWbH2dPdvTeh_7qEOOiFixa6znjol1FXTAmZWsb_ScqSM4XFlnzyV7KUjAhRqgQ-_gOc98uQuh01JVSWWFWSJqraUTb0MQZo9U1wyctGE6xH_XquR8t6tKxH_XqrX69T9NH-gWW9gOZ3cO87Aac7YJVkbv77Yn1--SZtUjzfxV0cYH0bN-HL-Ekp9MfLqf48wS8_8emVZuwnCk7OFg</recordid><startdate>200906</startdate><enddate>200906</enddate><creator>Van Den Tillaart, Susan</creator><creator>Kurtz, Donna</creator><creator>Cash, Penny</creator><general>Blackwell Publishing Asia</general><general>Wiley Subscription Services, Inc</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7QJ</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>7X8</scope><scope>ASE</scope><scope>FPQ</scope><scope>K6X</scope></search><sort><creationdate>200906</creationdate><title>Powerlessness, marginalized identity, and silencing of health concerns: Voiced realities of women living with a mental health diagnosis</title><author>Van Den Tillaart, Susan ; Kurtz, Donna ; Cash, Penny</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4119-5c2f31103bd24b069b17ff0be97a1a432c1eba4e45ebb2e5b4e14377d31ac8603</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Alienation</topic><topic>Attitude of Health Personnel</topic><topic>British Columbia</topic><topic>Diagnosis</topic><topic>Female</topic><topic>Feminism</topic><topic>Health care</topic><topic>Health care access</topic><topic>Health problems</topic><topic>Health services</topic><topic>Health Services Accessibility</topic><topic>Help seeking behavior</topic><topic>Humans</topic><topic>Identity</topic><topic>marginalization</topic><topic>Medical diagnosis</topic><topic>Medical screening</topic><topic>Mental Disorders</topic><topic>Mental health</topic><topic>Narration</topic><topic>Nursing</topic><topic>othering powerlessness</topic><topic>Power (Psychology)</topic><topic>Powerlessness</topic><topic>Prejudice</topic><topic>silencing</topic><topic>Stigma</topic><topic>Vulnerable Populations</topic><topic>Women</topic><topic>Womens health</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Van Den Tillaart, Susan</creatorcontrib><creatorcontrib>Kurtz, Donna</creatorcontrib><creatorcontrib>Cash, Penny</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>MEDLINE - Academic</collection><collection>British Nursing Index</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><jtitle>International journal of mental health nursing</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Van Den Tillaart, Susan</au><au>Kurtz, Donna</au><au>Cash, Penny</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Powerlessness, marginalized identity, and silencing of health concerns: Voiced realities of women living with a mental health diagnosis</atitle><jtitle>International journal of mental health nursing</jtitle><addtitle>Int J Ment Health Nurs</addtitle><date>2009-06</date><risdate>2009</risdate><volume>18</volume><issue>3</issue><spage>153</spage><epage>163</epage><pages>153-163</pages><issn>1445-8330</issn><eissn>1447-0349</eissn><abstract>ABSTRACT
Using a feminist qualitative approach, this study substantiated many earlier research findings that document how women with a mental health diagnosis experience unequal access to comprehensive health care compared to the general population. Accounts of this disparity are documented in the literature, yet the literature has failed to record or attend to the voices of those living with mental health challenges. In this paper, women living with a mental health diagnosis describe their experiences as they interface with the health‐care system. The participating women's stories clearly relate the organizational and interpersonal challenges commonly faced when they seek health‐care services. The stories include experiences of marginalized identity, powerlessness, and silencing of voiced health concerns. The women tell of encountered gaps in access to health care and incomplete health assessment, screening, and treatment. It becomes clear that personal and societal stigmatization related to the mental health diagnosis plays a significant role in these isolating and unsatisfactory experiences. Lastly, the women offer beginning ideas for change by suggesting starting points to eliminate the institutional and interpersonal obstacles or barriers to their wellness. The concerns raised demand attention, reconsideration, and change by those in the health‐care system responsible for policy and practice.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>19490225</pmid><doi>10.1111/j.1447-0349.2009.00599.x</doi><tpages>11</tpages></addata></record> |
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subjects | Alienation Attitude of Health Personnel British Columbia Diagnosis Female Feminism Health care Health care access Health problems Health services Health Services Accessibility Help seeking behavior Humans Identity marginalization Medical diagnosis Medical screening Mental Disorders Mental health Narration Nursing othering powerlessness Power (Psychology) Powerlessness Prejudice silencing Stigma Vulnerable Populations Women Womens health |
title | Powerlessness, marginalized identity, and silencing of health concerns: Voiced realities of women living with a mental health diagnosis |
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