Governing failed neoliberal subjects: Representations of women’s mental health in Australian mental health policies

IF 1.7 3区 社会学 Q1 SOCIAL WORK Qualitative Social Work Pub Date : 2023-12-22 DOI:10.1177/14733250231222020
Caitlin Angela O'Connor, Carole Zufferey, Helena de Anstiss
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Abstract

This paper uses Carol Bacchi’s ‘What’s the problem represented to be?’ (WPR) framework to explore representations of women’s mental health in federal and South Australian mental health policies. It argues that mental health policies govern women through neoliberal discourses that individualise mental health and illness while neglecting the social structural factors which significantly influence mental health outcomes and health equity. In a ‘self-monitoring’ neoliberal society, people are increasingly required to seek medical and pharmaceutical intervention to promote ideal personhoods, with women overrepresented in this group. The disciplinary power of the medicalisation discourse categorises women as either ideal or failed neoliberal subjects. This is concerning for social workers because neoliberal and medicalisation discourses shape how women’s mental health is represented in policy and responded to in practice. This paper challenges biomedical and neoliberal discourses underpinning policy representations and identifies the implications for social work and social policy.
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治理失败的新自由主义主体:澳大利亚心理健康政策中对妇女心理健康的表述
本文采用卡罗尔-巴奇(Carol Bacchi)的 "问题是什么"(WPR)框架来探讨联邦和南澳大利亚州心理健康政策中对妇女心理健康的表述。本文认为,心理健康政策是通过新自由主义话语来管理妇女的,这些话语将心理健康和疾病个体化,却忽视了对心理健康结果和健康公平有重大影响的社会结构性因素。在一个 "自我监控 "的新自由主义社会中,人们越来越需要寻求医疗和药物干预来提升理想人格,而女性在这一群体中所占比例过高。医疗化话语的惩戒力量将女性归类为理想或失败的新自由主义主体。这让社会工作者感到担忧,因为新自由主义和医疗化话语决定了女性心理健康在政策中的表现形式和在实践中的应对方式。本文对政策表述中的生物医学和新自由主义论述提出了质疑,并指出了这些论述对社会工作和社会政策的影响。
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来源期刊
CiteScore
3.90
自引率
5.90%
发文量
81
期刊介绍: Qualitative Social Work provides a forum for those interested in qualitative research and evaluation and in qualitative approaches to practice. The journal facilitates interactive dialogue and integration between those interested in qualitative research and methodology and those involved in the world of practice. It reflects the fact that these worlds are increasingly international and interdisciplinary in nature. The journal is a forum for rigorous dialogue that promotes qualitatively informed professional practice and inquiry.
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