Exploring the Rhetoric of ‘Burden’: The Discursive Positioning of the Impact of Psychiatric Disability in Child Mental Health Assessments

2021 ◽  
pp. 47-75
Author(s):  
Michelle O’Reilly
Keyword(s):  
Mental Health ◽  
Child Mental Health ◽  
Psychiatric Disability ◽  
Health Assessments ◽  
Discursive Positioning ◽  
The Impact

scholarly journals Responsibility inoculation: Constructing ‘good parent’ accounts when accessing child mental health services

2021 ◽  
pp. 263440412199996
Author(s):  
Michelle O’Reilly ◽  
Nikki Kiyimba
Keyword(s):  
Mental Health ◽  
Child Mental Health ◽  
Health Assessment ◽  
Medical Intervention ◽  
Best Interest ◽  
Mental Health Assessment ◽  
Health Assessments ◽  
Discursive Positioning ◽  
Normative Practices

With the prevalence of child mental health conditions rising, the role of the initial mental health assessment is crucial in determining need. Utilising a critical discursive analytic framework, we explored the ways in which parents during these mental health assessments constructed the child’s difficulties as medicalised and doctorable as opposed to systemic and familial. Through this discursive positioning, we examined the ways in which parents mitigated blame and accounted for the child’s behaviours and emotions. Parents engaged in three accounting practices to construct the child’s problems as dispositional and to mitigate against an alternative familial system interpretation. First, they drew upon normative cultural repertoires of parenting. Second, they mediated ways whereby normative practices were deviated from in the best interest of the child. Third, they rhetorically positioned overcoming systemic difficulties by illustrating cooperative parenting in separated families. Our findings have implications for how parents build a case for the need for medical intervention in assessment settings.

scholarly journals Predictors of Change in Children’s Internalising and Externalising Behaviour Before and During the Initial COVID-19 Lockdown in the UK and Turkey: A Cross-cultural Examination

2022 ◽  
Author(s):  
Evren Morgul ◽  
Angeliki Kallitsoglou ◽  
Cecilia A. Essau
Keyword(s):  
Mental Health ◽  
Perceived Risk ◽  
Child Mental Health ◽  
Cross Cultural ◽  
Electronic Survey ◽  
Health And Wellbeing ◽  
Cross Cultural Differences ◽  
The Uk ◽  
The Impact ◽  
Predictors Of Change

Abstract Background: The COVID-19 pandemic has had a profound effect on the mental health and wellbeing of children and young people. Culture can influence emotional and behavioural responses to the pandemic and its consequences, but research is primarily focused on single culture experiences. The study examined the impact of caregiver emotional responses to the pandemic and the lockdown on child mental health and wellbeing in two culturally different countries that were severely affected by the pandemic: UK and Turkey Method: Participants were 1849 caregivers of children between 5- and 12-years old living in the UK (n= 995) and Turkey (n = 854), who completed a 20 -min electronic survey on child and family wellbeing distributed via social networks during the initial phase of the COVID-19 lockdown (July and August 2020). Findings: Worry of COVID-19 infection was higher amongst caregivers in the Turkish sample and it independently predicted change in children’s internalising behaviour in the Turkish sample only even after controlling for caregiver and child mental health, and caregiver perceived risk of COVID-19 infection. Caregivers in the UK sample reported more difficulty with family coexistence during the stay-at-home orders. However, difficulty with coexistence independently predicted change in children’s externalising and internalising symptoms before and during the lockdown in both samples. The study revealed cross-cultural differences in the predictors of change in children’s internalising and externalising behaviour before and during the initial national COVID-19 lockdown.

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