As society's practical experts on mental ill-health, mental health professionals work at the interface between politics, “expert” theories of mental illness and their lay equivalents in common sense. This paper describes research conducted from the perspective of social representations theory exploring the basic understanding of mental ill-health amongst communities of mental health practitioners in the UK and France. Professionals construct notions of mental ill-health articulated around three central themes of difference, distress and disruption, and adopt social rather than medical models of their work. Despite their expert status, professionals' representations are fraught with uncertainties that are lived out in eclectic treatment strategies. This research highlights the role of interactions between politics, professional practitioners and lay representations in contemporary societal constructions of mental ill-health.
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