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Reworking therapeutic landscapes: the spatiality of an 'alternative' self-help group.

机译:重塑治疗性景观:“替代”自助小组的空间。

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Since Gesler first introduced the concept in 1992, the language of 'therapeutic landscapes' has attained a core position in the toolkit of health/place studies. Whilst many authors using the term acknowledge that therapeutic landscapes are often also spaces of contestation, few if any have extended this to incorporate a serious critique of therapy itself. In this article, I use the case study of an 'alternative' psychiatric survivor (self-help) group in the north of England to attempt just this. Based on a ten month period of ethnography, I engage with the spaces - meeting places and venues - occupied by the group, focusing on the dilapidated and reputedly dangerous city park where the group hosts its most regular meetings. Three qualities of these spaces were found to be particularly embraced by the group: spaces of agency and appropriation; a space in the world; and a non-technical relation with space. The article uses these three themes to explore how the unconventional spaces of the group are not mere products of marginality but a serious aspect of mobilising the dissident and 'anti-psychiatric' recovery sought by its members. Through attending to what the survivors' found helpful in the park, a more sensitive rendition of 'anti-psychiatry' as it relates to the group is developed. The therapeutic landscapes framework as put forward by Gesler retains currency in highlighting the importance of place to the processes and identity of the group. However, it is also suggested that the 'dissident topophilias' of the survivors express a critique of current therapeutic landscapes thinking, challenging the supposition that it is the planned, the pleasant and the professional that provide the best backdrops for recovery.
机译:自从1992年格斯勒(Gesler)首次提出这一概念以来,“治疗性景观”一词就在健康/场所研究工具包中占据了核心地位。尽管许多使用该术语的作者都承认治疗前景常常也是竞争的空间,但很少有人将其扩展到包含对治疗本身的严重批评。在本文中,我将使用英格兰北部一个“替代性”精神病幸存者(自助)小组的案例研究进行尝试。基于十个月的人种志研究,我参与了该小组所占用的空间-会议场所和场所,重点关注了该小组定期举行会议的,破旧不堪的危险城市公园。小组发现这些空间特别具有三种品质:代理和占用空间;世界上的空间;与空间的非技术关系。本文使用这三个主题来探讨该群体的非常规空间如何不仅仅是边缘化的产物,而是动员其成员寻求的持不同政见者和“抗精神病学”康复的重要方面。通过关注幸存者在公园中发现的帮助,开发了与该团体有关的“反精神病学”的更敏感的表达方式。盖斯勒(Gesler)提出的治疗性景观框架保留了货币价值,强调了场所对集团流程和身份的重要性。然而,也有人建议幸存者的“异议恋人”表达了对当前治疗前景的批判,挑战了认为计划,愉快和专业为康复提供了最佳背景的假设。

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