Overcoming stigma: how young people position themselves as counselling service users.
Increasing attention has been focused on adolescent help-seeking in relation to services aimed at promoting mental health and wellbeing. Much research reinforces the ubiquity of concerns about negative stigmatisation by peers as a barrier to young people accessing services. This paper draws on interviews conducted with young people, who completed a course of counselling in school, to investigate how they managed and negotiated this. Drawing on positioning theory from discourse analysis, young people's accounts are analysed with reference to the variety of positions they articulated and adopted. This demonstrates how they elaborated and reinforced virtuous problem-solver positions within broader discourses of individualisation and normalisation, and resisted positioning within a stigmatised mental illness discourse. Although focused on a small sample, the analysis offers potential insights into the ways other people may negotiate stigma concerns to access mental health resources, while also demonstrating the utility of positioning theory for understanding stigma and normalisation.
School of Health in Social Science, University of Edinburgh Medical School, Teviot Place, Edinburgh. seamus.prior@ed.ac.uk
Seamus
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Prior
D000293:Adolescent; D000294:Adolescent Behavior; D002755:Choice Behavior; D003376:Counseling / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D001523:Mental Disorders / Q000523:psychology / Q000628:therapy*; D010342:Patient Acceptance of Health Care / Q000523:psychology* / Q000706:statistics & numerical data; D017060:Patient Satisfaction / Q000706:statistics & numerical data; D011340:Problem Solving; D036301:Qualitative Research; D012572:School Health Services / Q000706:statistics & numerical data*; D012606:Scotland; D012919:Social Behavior; D057545:Social Stigma; D013334:Students / Q000523:psychology* / Q000706:statistics & numerical data