Revalorisation: what experiences, resources and supports contribute to successful social reinclusion and a return to valued social status for people with severe and enduring mental illness

Davis, Fabian Alexander (2000). Revalorisation: what experiences, resources and supports contribute to successful social reinclusion and a return to valued social status for people with severe and enduring mental illness. PhD thesis The Open University.

DOI: https://doi.org/10.21954/ou.ro.0000e2a9

Abstract

Background: Social Role Valorisation (SRV) is a social science meta-theory about social devaluation. its innovative technologies are designed to promote valorisation (normalisation). SRV had a major impact on learning disability services in the 1980's but has had limited exposure in mental health. Its effect on policy is evident however.

SRV has developed reliable, valid ecological assessments of normalisation in service enviromnents. Life-style Planning operationalises normalisation goals for individuals. Its reliability and validity are unknown. Life-style Planning has two goal domains designed to ensure universal basic needs are met and address unique individual needs arising from primary disabilities. SRV also identifies revalorisation needs, to compensate for prior devaluation. In a previous study an instrument designed to assess universal basic and unique individual needs was standardised on a representative population of people with severe and enduring mental illness.

Aims: To validate the goal domains of the assessment instrument and develop an understanding of the user perspective on SRV and revalorisation.

Design and participants: Factor analysis was used to explore the underlying structure of the assessment instrument. In a second, qualitative study, "expert" mental health user/survivors were interviewed and their transcripts analysed using Interpretative Phenomenological Analysis.

Results: The instrument's factor structure matched its design intentions and supported the validity of its goal domains. The qualitative results compared favourably with similar studies from the user, empowerment and recovery literatures. Participants painted a graphic picture of devaluation and revalorisation and illuminated what is required to promote "psychological revalorisation"'. This took the form of a return from a false identification of themselves, based on the internalisation of ignorance and social prejudice stemming from societal fear and blame, to a new identification with a class of proud and empowered mentally ill people.

Implications: The discussion considers revalorising adaptations to psychological therapies for people with significant devaluation histories.

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