"Zip me up, and cool me down": Molar narratives and molecular intensities in 'helicopter' mental health services.

Journal article


McGrath, L and Reavey, P (2016). "Zip me up, and cool me down": Molar narratives and molecular intensities in 'helicopter' mental health services. Health and Place. 38, pp. 61-69. https://doi.org/10.1016/j.healthplace.2015.12.005
AuthorsMcGrath, L and Reavey, P
Abstract

Experiences of the space-time dimensions of contemporary mental health services are shaped according to what we describe here as a 'helicopter service', where professionals drop down into service users' lives for short, often pre-determined bursts of time. This can create a system where users' experiences are observed and assessed from a more distanced and circumscribed perspective. This paper considers the implications of these systemic changes, using interviews with current UK service users. To help in the exploration of the complexities faced by service users', we use Deleuze and Guatarri's (1987) distinction between molar and molecular forms of organisation. A process oriented thematic analysis discusses: a) Affording narratives of distress: Molarity, monitoring and space in service interactions and b) Narratives in therapy: Compartmentalising the distressed self. Multiple aspects of the relationship between space and distress are explored. An understanding of experiences of distress beyond the boundaries of the molar, which considers its intensive, molecular and transformative nature, may help to open up engagement with the affective and emotional dimensions of mental health.

KeywordsCommunity care; Deleuze & Guattari; Intensities; Mental health; Space; 1117 Public Health And Health Services; 1604 Human Geography; Public Health
Year2016
JournalHealth and Place
Journal citation38, pp. 61-69
PublisherElsevier
ISSN1873-2054
Digital Object Identifier (DOI)https://doi.org/10.1016/j.healthplace.2015.12.005
Publication dates
Print01 Feb 2016
Publication process dates
Deposited27 Mar 2017
Accepted09 Dec 2015
Accepted author manuscript
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Open
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