TY - GEN
T1 - Presenting critical realist discourse analysis as a tool for making sense of service users’ accounts of their mental health problems
AU - Sims-Schoulten, Wendy
AU - Riley, Sarah
N1 - Funding Information:
The authors thank Dr. Simon Edwards and Ms. Emma Maynard for support with data collection. The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The authors received financial support from the Blagrave Trust and Portsmouth City Council for the research.
Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: The authors received financial support from the Blagrave Trust and Portsmouth City Council for the research.
Publisher Copyright:
© The Author(s) 2018.
PY - 2019/6/1
Y1 - 2019/6/1
N2 - Making sense of service users’ accounts of their mental health problems requires a method able to deal with complexity. Yet the different underlying epistemological and ontological positions of the methods researchers use, based, for example, on biomedicine or social constructionism, produce highly partial analyses. Addressing this problem, this article offers a method of Critical Realist Discourse Analysis (CRDA) that employs a synthesized discourse analysis, informed by critical realism, to examine the discursive, material, embodied, and institutional factors that might inform how mental health service users make sense of their mental health problems and associated service use. The article describes the epistemological/ontological underpinnings of CRDA and its three-phase methodology, before showcasing the method using, as examples, two data sets from care leavers and mothers. With our CRDA, we demonstrate a method for analyzing the complexity of interacting factors informing service users’ understanding of their mental health problems
AB - Making sense of service users’ accounts of their mental health problems requires a method able to deal with complexity. Yet the different underlying epistemological and ontological positions of the methods researchers use, based, for example, on biomedicine or social constructionism, produce highly partial analyses. Addressing this problem, this article offers a method of Critical Realist Discourse Analysis (CRDA) that employs a synthesized discourse analysis, informed by critical realism, to examine the discursive, material, embodied, and institutional factors that might inform how mental health service users make sense of their mental health problems and associated service use. The article describes the epistemological/ontological underpinnings of CRDA and its three-phase methodology, before showcasing the method using, as examples, two data sets from care leavers and mothers. With our CRDA, we demonstrate a method for analyzing the complexity of interacting factors informing service users’ understanding of their mental health problems
KW - Critical Realist Discourse Analysis
KW - England (South) mental health
KW - childhood
KW - service users
KW - critical realism
KW - qualitative
KW - Humans
KW - England
KW - Male
KW - Mental Health
KW - Mental Disorders/therapy
KW - Patient Satisfaction
KW - Young Adult
KW - Mental Health Services
KW - Adolescent
KW - Adult
KW - Female
KW - Interviews as Topic
KW - Qualitative Research
UR - http://www.scopus.com/inward/record.url?scp=85059697718&partnerID=8YFLogxK
U2 - 10.1177/1049732318818824
DO - 10.1177/1049732318818824
M3 - Article
C2 - 30565519
SN - 1049-7323
VL - 29
SP - 1016
EP - 1028
JO - Qualitative Health Research
JF - Qualitative Health Research
PB - SAGE Publishing
ER -