Difference-makers in human affective distress: perspectives on causation and recovery gained from qualitative inquiry into lived experience

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dc.contributor.authorSteur, Thomas Lieven
dc.contributor.examiningcommitteeMignone, Javier (Community Health Sciences) Leclair, Leanne (Occupational Therapy)en_US
dc.contributor.supervisorBruce, Sharon G. (Community Health Sciences)en_US
dc.date.accessioned2017-04-17T18:14:15Z
dc.date.available2017-04-17T18:14:15Z
dc.date.issued2016
dc.degree.disciplineCommunity Health Sciencesen_US
dc.degree.levelMaster of Science (M.Sc.)en_US
dc.description.abstractThe biomedical conceptualisation of “depression” as a disease entity stems from biological science rooted in a 17th century paradigm, and is an inappropriately positivist idea which discounts individual agency, disregards social context underscored in the descriptive epidemiology, fails to accommodate inter-subjectivity and process, medicalizes suffering, and serves a managed care model of health administration. A qualitative study using in-depth interviews was undertaken to elicit perspectives from individuals who had lived experience of biomedical (pharmacological) treatment for affective distress and who self-reported having attained satisfactory recovery. Thematic analysis of interview data clustered around three main categories: (1) multifactorial conceptual understandings; (2) context pertinent to the experience of distress and recovery – including a variety of stressors – and (3) trajectories of recovery from acute distress to negotiation of ambivalence toward treatment, enlisting of supports, and reclaiming of agency. Relationships with service providers marked by trust, empathy, and hope were valued as primary difference-makers.en_US
dc.description.noteMay 2017en_US
dc.identifier.urihttp://hdl.handle.net/1993/32219
dc.language.isoengen_US
dc.rightsopen accessen_US
dc.subjectDepressionen_US
dc.subjectMental healthen_US
dc.subjectMental illnessen_US
dc.subjectCultureen_US
dc.subjectPsychiatryen_US
dc.subjectPsychiatry - historyen_US
dc.subjectCriticalen_US
dc.subjectFeministen_US
dc.subjectHumanen_US
dc.subjectQualitative researchen_US
dc.subjectEpidemiologyen_US
dc.subjectLived experienceen_US
dc.subjectMental illness - Lived experienceen_US
dc.subjectMedicalizationen_US
dc.titleDifference-makers in human affective distress: perspectives on causation and recovery gained from qualitative inquiry into lived experienceen_US
dc.typemaster thesisen_US
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