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Connectedness and citizenship: redefining social integration.
Abstract
Despite decades of deinstitutionalization, individuals with psychiatric disabilities living outside the hospital may be described as in the community, but not of it. To effectively address the persisting problem of social exclusion of persons with psychiatric disabilities, new conceptual tools are needed. To address this need, a new definition of social integration is offered.The definition is based on data from a qualitative study. Data collection consisted of individual, unstructured interviews with 56 adults who have been psychiatrically disabled (N=78 interviews) as well as ethnographic visits to five service sites working to promote social integration for their users (N=8 visits). An interpretive approach was used to analyze the data.Social integration is defined as a process, unfolding over time, through which individuals who have been psychiatrically disabled increasingly develop and exercise their capacities for connectedness and citizenship. Connectedness denotes the construction and successful maintenance of reciprocal interpersonal relationships. Social, moral, and emotional competencies are required to sustain connectedness. Citizenship refers to the rights and privileges enjoyed by members of a democratic society and to the responsibilities these rights engender. The definition calls for full rights and responsibilities of citizenship.The new definition sets an ideal, but not unrealistic, standard for social integration in the context of psychiatric disability. High standards encourage mental health professionals and policy makers to rethink what is possible for mental health services and to raise expectations for connectedness and citizenship among persons once disabled by mental illness.
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“Qualitative explorations from a first-person- and therapist perspective describe the importance of belonging and social connectedness for people with severe mental illnesses (Bradshaw et al., 2007; Veseth et al., 2017; Ware et al., 2007).”
From Moving toward connectedness – a qualitative study of recovery processes for people with borderline personality disorder (2019) · cites this paper as Ware et al., 2007
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Metadata
- Authors
- Ware, N. C., Hopper, K., Tugenberg, T., Dickey, B., & Fisher, D.
- Affiliations
- Harvard University (US)
- Venue
- Psychiatric Services
- Published
- 2007-04
- Volume
- 58
- Issue
- 4
- Pages
- 469-474
- ISSN
- 0022-1597 (ISSN-L)
- 1075-2730
- 1557-9700
- OpenAlex
- W2169510661
- Cited by
- 303
- References
- 60
- Citations by year
- 2026: 3 · 2025: 9 · 2024: 13 · 2023: 9 · 2022: 10 · 2021: 11 · 2020: 7 · 2019: 13 · 2018: 13 · 2017: 24 · 2016: 25 · 2015: 19 · 2014: 16 · 2013: 25 · 2012: 39
- FWCI
- 31.47
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Psychiatric Services (publishedVersion)
- PubMed (publishedVersion)
- The Journal of the American Medical Association (JAMA) Network (American Medical Association) (submittedVersion)
- Funders
- National Institute of Mental Health (R01MH065247)
- Topics
- Health Sciences › Health Professions › General Health Professions › Mental Health and Patient Involvement
- Social Sciences › Sociology and Political Science › Disability Rights and Representation
- Social Sciences › Psychology › Clinical Psychology › Psychiatric care and mental health services
- Keywords
- social integration, psychiatric disability, connectedness, citizenship, social exclusion, deinstitutionalization, interpersonal relationships, social competence, mental health services, community living
- MeSH terms
- Adaptation, Psychological, Adult, Aged, Anthropology, Cultural, Community Mental Health Services, Female, Humans, Interpersonal Relations, Interview, Psychological, Life Style, Male, Middle Aged, Prejudice, Quality of Life, Social Change, Social Responsibility, Social Values, Socialization, Persons with Intellectual Disabilities
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