Hostname: page-component-8448b6f56d-tj2md Total loading time: 0 Render date: 2024-04-19T16:51:38.865Z Has data issue: false hasContentIssue false

Silent Voices, Hidden Knowledge: Ecological Thinking and the Role of Mental Health Advocacy

Published online by Cambridge University Press:  18 March 2016

ANDREW MOLAS*
Affiliation:
York University

Abstract

In Ecological Thinking, Lorraine Code argues that advocacy “often makes knowledge possible” and without it “certain kinds of knowing are impossible.” By acknowledging the value of subjectivity and testimony in knowledge creation, I argue that ecological thinking serves as an appropriate framework for engagement with individuals who are living with mental illnesses. Contrasted with the dominant Anglo-American epistemologies that involve excessive degrees of mastery and control (with the tendency to silence the voices of Others), I argue that ecological thinking facilitates healthy advocacy practices precisely because of its inclusivity and receptivity towards different perspectives in knowledge creation.

Dans Ecological Thinking, Lorraine Code affirme que le plaidoyer en faveur d’une cause «rend souvent possible la connaissance» et que, sans lui, «certains types de savoir sont impossibles». En reconnaissant la valeur de la subjectivité et du témoignage dans la création de connaissances, je soutiens que la pensée écologique offre un cadre approprié pour un engagement auprès des individus souffrant de maladies mentales. En contraste avec les épistémologies anglo-américaines dominantes, qui impliquent des degrés excessifs de maîtrise et de contrôle (ainsi que la tendance à faire taire les voix des Autres), je soutiens que la pensée écologique facilite les bonnes pratiques du plaidoyer, en raison précisément de son caractère inclusif et de sa réceptivité envers différents points de vue dans la création de connaissances.

Type
Articles
Copyright
Copyright © Canadian Philosophical Association 2016 

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Abrams, Kathryn 1999 “From Autonomy to Agency: Feminist Perspectives on Self-Direction.” William & Mary Law Review 40 (1): 805846.Google Scholar
Atkins, Kimberly 2000 “Autonomy and the Subjective Character of Experience.” Journal of Applied Philosophy 17 (1): 7179.Google Scholar
Berkhout, Suze 2012 “Relational Autonomy on the Cutting Edge.” The American Journal of Bioethics 12 (7): 5961.Google Scholar
Burns, Jonathan Kenneth 2009 “Mental Health and Inequity: A Human Rights Approach to Inequality, Discrimination, and Mental Disability.” Health and Human Rights 11 (2): 1931.Google Scholar
Casey, Pamela, Keilitz, Ingo, and Hafemeister, Thomas L. 1992 “Toward an Agenda for Reform of Justice and Mental Health Systems Interactions.” Law and Human Behavior 16 (1): 107128.CrossRefGoogle Scholar
Code, Lorraine 2006 Ecological Thinking: The Politics of Epistemic Location. New York: Oxford University Press.Google Scholar
Code, Lorraine 1995 “I Know Just How You Feel: Empathy and the Problem of Epistemic Authority” in Rhetorical Spaces: Essays on Gendered Locations, edited by Code, Lorraine, 120143. Routledge.Google Scholar
Dworkin, Gerald 1989 “The Concept of Autonomy” in The Inner Citadel: Essays on Individual Autonomy, edited by Philip Christman, John, 5462. New York: Oxford University Press.Google Scholar
Entwistle, Vikki A., Carter, Stacy M., Cribb, Alan, and McCaffery, Kirsten 2010 “Supporting Patient Autonomy: The Importance of Clinician-Patient Relationships.” Journal of General Internal Medicine 25 (7): 741745.Google Scholar
Frankfurt, Harry G. 1971 “Freedom of the Will and the Concept of a Person.” The Journal of Philosophy 68 (1): 520.Google Scholar
Gilbert, Neil 1997 “Advocacy Research and Social Policy.” Crime and Justice 22 (1): 101148.CrossRefGoogle Scholar
Holroyd, Jules 2009 “Relational Autonomy and Paternalistic Interventions.” Res Publica 15 (1): 321336.Google Scholar
Lacey, Yvonne, and Thomas, Philip 2001 “A Survey of Psychiatrists’ and Nurses’ Views of Mental Health Advocacy.” Psychiatric Bulletin 25 (1): 477480.CrossRefGoogle Scholar
Levy, Charles S. 1974 “Advocacy and the Injustice of Justice.” Social Services Review 48 (1): 3950.CrossRefGoogle Scholar
Mackenzie, Catriona 2008 “Relational Autonomy, Normative Authority and Perfectionism.” Journal of Social Philosophy 39 (4): 512533.CrossRefGoogle Scholar
Mackenzie, Catriona, and Stoljar, Natalie 2000 “Autonomy Refigured” in Relational Autonomy: Feminist Perspectives on Autonomy, Agency, and the Self, edited by Mackenzie, Catriona, and Stoljar, Natalie, 331. Oxford: Oxford University Press.Google Scholar
Meyers, Diana T. 1987 “Personal Autonomy and the Paradox of Feminine Socialization.” The Journal of Philosophy 84 (11): 619628.Google Scholar
Oshana, Marina 2007 “Autonomy and the Question of Authenticity.” Social Theory and Practice 33 (3): 411429.Google Scholar
Ozarin, Lucy D., and Thomas, Claudewell S. 1972 “Advocacy in Community Mental Health Programs.” American Journal of Public Health 62 (4): 557559.Google Scholar
Samuel, John 2007 “Public Advocacy and People-Centred Advocacy: Mobilising for Social Change.” Development in Practice 17 (4/5): 615621.CrossRefGoogle Scholar
Scarry, Elaine. 1985 The Body in Pain: The Making and Unmaking of the World. Oxford: Oxford University Press.Google Scholar
Schulze, Beate and Angermeyer, Matthias C. 2003 “Subjective Experiences of Stigma. A Focus Group Study of Schizophrenic Patients, Their Relatives and Mental Health Professionals.” Social Science & Medicine 56 (1): 299312.Google Scholar
Stylianos, Stanley, and Kehyayan, Vahe 2012 “Advocacy: Critical Component in a Comprehensive Mental Health System.” American Journal of Orthopsychiatry 82 (1): 115120.Google Scholar