This article reports on the development of critical subjectivity, in a cooperative inquiry study, which aimed to use principles of consumer participation to explore and develop recovery-oriented care in a regional mental health service in rural Australia. The development of critical subjectivity occurred when the lead researcher began to understand her role as an ‘insider’ in perpetuating dominant institutional culture through her work practices. The findings illustrate the way lived experience perspectives were excluded, invisible and considered ‘outsider’ in relation to dominant biomedical epistemology. As the researcher participated in a more relational participatory process and documented her thinking, her knowledge of her work practices began to change and this contributed to the transformation in her practice. Action research is a tool that supports shared dialogue to enable culture change necessary for recovery-oriented practice.
AhbK. (2008) Medicalising mental health: A phenomenological alternative. Journal of Medical Humanities29: 243–259.
2.
AndrewsG.HendersonS.HallW. (2001) Prevalence, comorbidty, disability & service utilisation. Overview of the Australian mental health survey. British Journal of Psychiatry178: 145–153.
3.
AnzalduaG. (1987) Borderlands/La Fontera: The new Mesitza, San Francisco, CA: Spinsters/Aunt Lute.
4.
ArgyrisC. (1993) Knowledge for action: A guide to overcoming barriers to organisational change, San Francisco, CA: Jossey-Bass.
5.
BarkerP.Buchanan-BarkerP. (2011) Myth of mental health nursing and the challenge of recovery. International Journal of Mental Health Nursing20(5): 337–344.
6.
BoevinkW. (2006) From being a disorder to dealing with life: An experiential exploration of the association between trauma and psychosis. Schizophrenia Bulletin32(1): 17–19.
7.
BonneyS.StickleyT. (2008) Recovery and mental health: A literature review of the British literature. Journal of Psychiatric and Mental Health Nursing15: 140–153.
8.
BradburyH.ReasonP. (2003) Action research: An opportunity for revitalising research purpose and practices. Qualitative Social Work2: 155–175.
9.
BrooksH.PilgrimD.RogersA. (2011) Innovation in mental health services: What are the key components. Implementation Science6(1): 120–130.
10.
Buchanan-BarkerP. (2004) Finding ourselves by getting lost. In: BarkerP. (ed) Spirituality and mental health: Breakthrough, London, UK: Whurr Publishers Ltd, pp. 211–228.
11.
BurgessP.PirkisJ.CoombsT. (2006) Do adults in contact with public mental health services get better?Australian and New Zealand Health Policy3(9): 1–9.
12.
ChandlerD.TorbetB. (2003) Transforming inquiry and action interweaving 27 flavours of action research. Action Research1(2): 153–164.
13.
ChurchK. (1995) Forbidden narratives: Critical autobiography as social science, Luxemborg: Gordon and breach Publishers.
14.
CoghlinD.BrannickT. (2010) Doing action research in your own organisation, (2nd ed. London, UK: Sage.
15.
DavidsonL. (2007) A basic criterion for transformation. Psychiatric Services58(8): 1029.
16.
Deakin Human Services Australia (1999) Learning together: Education and training partnerships in mental health, Canberra: Commonwealth Department of Health and Aged Care.
17.
DeeganP. (2011) I don't think it was my treatment plan that made me well: Self directed recovery, peer support and the mental health professional, Byfield, MA: Pat Deegan PhD and Associates LLC.
18.
Department of Health and Ageing (2009) Fourth national mental health plan, Canberra: Australian Government Printing Office.
19.
Department of Human Services (2009) Strengthening consumer participation in Victoria's public mental health services, Melbourne, VIC: Victorian Government.
20.
Department of Human Services. (2008). Consumer and carer experience of care initiative. Melbourne: Victorian Government.
21.
DossaP. (2006) Disability, marginality and the nation state – negotiating social markers of difference: Fahimeh's story. Disability and Society21(4): 345–358.
Fals BordaO. (2006) The North South convergence: A 30 year first person assessment of PAR. Action Research4(3): 351–358.
24.
FarkasM.AshcraftL.AnthonyW. A. (2008) The 3 C's for recovery services. Behavioural Healthcare28(2): 24–27.
25.
FieldhouseJ.OnyettS. (2012) Community mental health and social exclusion: Working appreciatively towards inclusion. Action Research10(4): 356–372.
26.
FosterK.McAllisterM.O'BrienL. (2005) Coming to autoenthnography: A mental health nurse's experience. International Journal of Qualitative Methods4(4): 1–15.
27.
FoucaultM. (1972) The archeology of knowledge, London, UK: Routledge.
28.
FoucaultM. (1977) Discipline and punishment: The birth of the prison, New York, NY: Pantheon Publishing.
29.
FrankA. (1995) The wounded story teller, Chicago, IL: The University of Chicago Press.
30.
GloverH. (2005) Recovery based service delivery: Are we ready to transform the words into a paradigm shift?Australian e-Journal for the Advancement of Mental Health4(3): 179–182.
31.
GustafsonD. (2007) White on whiteness: Becoming radicalised about race. Nursing Inquiry14(2): 153–161.
32.
HazeltonM. (2005) Mental health reform, citizenship, human rights in four countries. Health Sociology Review14: 230–241.
33.
HeronJ.ReasonP. (1997) A participatory inquiry paradigm. Qualitative Inquiry3(3): 274–294.
34.
HeronJ.ReasonP. (2001) The practice of cooperative inquiry: Research ‘with’ rather than ‘on’ people. In: ReasonP.BradburyH. (eds) Handbook of action research, London, UK: Sage Publications, pp. 179–188.
35.
HeronJ.ReasonP. (2008) Extending epistemology within cooperative inquiry. In: ReasonP.BradburyH. (eds) The Sage handbook of action research, participative inquiry and practice, London, UK: Sage Publications Inc, pp. 366–393.
36.
HerrmanH.StewartD.Diaz-GranadosN.BergerE.JacksonB. (2011) What is resilience?Canadian Journal of Psychiatry56(5): 258–265.
37.
JablenskyA.McGrathJ.HermanH. (1999) National survey of mental health and well being. Report four. People living with psychotic illness an Australian study, Canberra: Commonwealth of Australia.
38.
KarlssonL. B.MalmquistA. (2013) Poetry in Yarn; Making sense of life experience in the shadows of schizophrenia. Schizophrenia Bulletin39(4): 732–736.
39.
KirmayerL. (2012) Cultural competence and evidence based practice in mental health: Epistemic communities and the politics of pluralism. Social Science and Medicine75(2): 249–256.
40.
KristiansenM. (2007) Relational and existential challenges of practicing dialogical action research – working with social concrete blocks in organisations. International Journal of Action Research3(1–2): 15–37.
41.
KrupaT.ClarkC. (2009) Using tensions in practice to promote the integration of treatment and rehabilitation in a recovery oriented system. Canadian Journal of Community Mental Health28(2): 47–59.
42.
LaingR. D. (1985) Wisdom, madness and folly, London, UK: Macmillan.
43.
LakemanR. (2013) Talking science and wishing for miracles. Understanding cultures of mental health practice. International Journal of Mental Health Nursing22(2): 106–115.
44.
Mental Health Council of Australia (2006) Time for service, Canberra: The Mental Health Council of Australia.
45.
Mental Health Council of Australia (2009) Home truths, mental health, housing and homelessness in Australia, Canberra: The Mental Health Council of Australia.
46.
MessingerS. D. (2007) Representations of the patient: Conflicts of expertise in a psychiatric emergency department. Qualitative Health Research17(3): 252–363.
47.
MezirowJ.TaylorE. W. (2009) Transformative learning in practice, San Francisco, CA: Jossey-Bass.
48.
MorganV.WatterusA.JablenskyA.MacKinnonA.McGrathJ.CarrV.SawS. (2012) People living with psychotic illness in 2010: The second Australian national survey of psychosis. Australian and New Zealand Journal of Psychiatry46: 735–752.
49.
OadesL. G.AndersonJ. (2012) Recovery in Australia: Marshalling strengths and living values. International Review of Psychiatry24(1): 5–10.
50.
OchockaJ.JanzenR.NelsonG. (2002) Sharing power and knowledge: Professional and mental health consumer /survivor researchers working together in a participatory action research project. Psychiatric Rehabilitation Journal25: 379–387.
51.
OspinaS.DodgeJ.FoldyE.Hofmann-PinillaA. (2007) Taking the aciton turn: Lessons from bringing participation to qualitative research. In: ReasonP.BradburyH. (eds) The Sage handbook of action research: Participative inquiry and practice, London, UK: Sage Publications, pp. 420–434.
52.
PeplauH. E. (1952) Interpersonal relations in nursing, New York, NY: G.P. Putman Sons.
53.
PerkinsR.SladeM. (2012) Recovery in England: Transforming a statutory service. International Review of Psychiatry24(1): 29–39.
54.
PirkolaS.SundR.SailasE.WalhbeckK. (2009) Community mental health services and suicide rate in Finland: A nationwide small area analysis. Lancet373: 147–153.
55.
ReasonP.BradburyH. (2008) Inquiry and participation: Inquiry in a search of a world worthy of human aspiration. In: ReasonP.BradburyH. (eds) The Sage handbook of action research: Participative inquiry and practice, London, UK: Sage Publications Inc, pp. 1–10.
56.
ReasonP.MarshallJ. (1987) Research as personal process. In: BoudD.GriffinV. (eds) Appreciating adults learning: From the learners perspective, London, UK: Kogan Page Ltd, pp. 112–126.
57.
ReasonP.TorbetW. (2001) The action turn towards a transformational social science. Concepts and Transformation6(1): 1–37.
58.
RepperJ. (2000) Adjusting the focus of mental health nursing; Incorporating service users experiences of recovery. Journal of Mental Health9(6): 575–587.
59.
RepperJ.PerkinsR. (2003) Social inclusion and recovery, Edinburgh: Bailliere Tindall.
60.
RobertsL. W.WarnerT. D.GeppertC. M.RogersM.Green HammondK. A. (2005) Employees' perspectives on ethically important aspects of genetic research participation: A pilot study. Comprehensive Psychiatry46(1): 27–33. doi:10.1016/j.comppsych.2004.07.021.
61.
RoetsG.KristiansenK.Van HoveG.VenderplasschenW. (2007) Living through exposure to toxic orthodoxies: exploring narratives of people with ‘mental health problems’ who are looking for employment on the open labour market. Disability and Society22(3): 267–281.
62.
RogersA.PilgrimD. (2010) A sociology of mental health and illness, London, UK: McGraw-Hill.
63.
SandelowskiM. (2010) What's in a name? Qualitative description revisited. Research in Nursing and Health33(1): 77–84.
64.
ShinerB.WhitleyR.Van CittersA. D.PrattS. I.BartelsS. J. (2008) Learning what matters for patients: qualitative evaluation of a health promotion program for those with serious mental illness. Health Promotion International23(3): 275–282.
65.
SladeM. (2012) The epistemological basis of personal recovery. In: RudnickA. (ed) Recovery of people with mental illness; Philosophical and related concepts, Oxford, UK: Oxford University Press, pp. 78–94.
66.
TorbertW. R.TaylorS. S. (2008) Action inquiry: Interweaving multiple qualities of attention for timely action. In: ReasonP.BradburyH. (eds) The Sage handbook of action research: Participatory inquiry and practice, 2nd ed. London, UK: Sage Publications Ltd, pp. 239–251.
67.
WadsworthY. (1997) Dialogue across distance – between users and staff of acute adult psychiatric hospital services. Paper presented at the Ethnographic and Qualitative Research Conference, Los Angeles: University of Southern California20–22 June.
68.
WadsworthY.EpsteinM. (1996) Understanding and involvement. U&I consumer evaluation of acute psychiatric hospital practice – A project unfolds, Melbourne, VIC: Victorian Mental Illness Awareness Council Inc.
69.
WalshJ.StevensonC.CutcliffeJ.ZinckK. (2008) Creating a space for recovery focused psychiatric nursing care. Nursing Inquiry15(3): 251–259.
70.
WhiteM. (1995) Psychotic experience and discourse. In: WhiteM. (ed) Reauthoring lives: Interviews and essays, Adelaide: Dulwich Centre Publications, pp. 112–154.
71.
WhiteS. C. (1996) Depoliticising development: The uses and abuses of participation. Development in Practice6(1): 6–15.
72.
WillisM.WaddingtonK.MarsdenR. (2013) Imaginary investments. Journal of Literature and Science6(1): 55–73.
73.
WolfensbergerW. (1993) Social role valorisation: A proposed new term for the principle of normalisation. Mental Retardation21(6): 234–239.
