title: Powerlessness, marginalized identity, and silencing of health concerns: voiced realities of women living with a mental health diagnosis.
abstract: Using a feminist qualitative approach, this study substantiated many earlier research findings that document how women with a mental health diagnosis experience unequal access to comprehensive health care compared to the general population. Accounts of this disparity are documented in the literature, yet the literature has failed to record or attend to the voices of those living with mental health challenges. In this paper, women living with a mental health diagnosis describe their experiences as they interface with the health-care system. The participating women's stories clearly relate the organizational and interpersonal challenges commonly faced when they seek health-care services. The stories include experiences of marginalized identity, powerlessness, and silencing of voiced health concerns. The women tell of encountered gaps in access to health care and incomplete health assessment, screening, and treatment. It becomes clear that personal and societal stigmatization related to the mental health diagnosis plays a significant role in these isolating and unsatisfactory experiences. Lastly, the women offer beginning ideas for change by suggesting starting points to eliminate the institutional and interpersonal obstacles or barriers to their wellness. The concerns raised demand attention, reconsideration, and change by those in the health-care system responsible for policy and practice.
authors.affiliation: School of Nursing, University of British Columbia, Okanagan, Canada. aartista@xplornet.ca
authors.forename: Susan
authors.initials: S
authors.lastname: Van Den Tillaart
authors.forename: Donna
authors.initials: D
authors.lastname: Kurtz
authors.forename: Penny
authors.initials: P
authors.lastname: Cash
mesh_terms: D001291:Attitude of Health Personnel; D001955:British Columbia; D005260:Female; D019513:Feminism; D006297:Health Services Accessibility; D006801:Humans; D001523:Mental Disorders; D033262:Narration; D011209:Power, Psychological; D011287:Prejudice; D035862:Vulnerable Populations