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In this chapter, the author critically examines the relationship between sociology and the identities/experiences of disability and ‘mental illness’ (referred to throughout as distress). The author argues that despite sociology having an ethos of social justice and frequently producing critical accounts of inequalities – such as anti-racism and gender equality – it nonetheless uncritically reiterates the marginalisation of disability and distress. As such, sociology not only reflects the increasing ‘medicalisation of everyday life’ and shores up the essentialist discourses of genetics and neuroscience, but also consigns research and knowledge production about disability and distress to the medical sciences. The author challenges these sociological conventions and highlights the ways in which both disability and distress are socially structured, embodied experiences. The author argues that a sociological account of distress and disability are important not only in and of themselves, but also because they highlight the ways and means to challenge essentialism, inequality and the ever-narrowing definition of what is considered a normal or acceptable part of human experience. Furthermore, vibrant streams of user-led research, activism and practice-interventions – resulting in widespread social, legal and identity transformations – have emerged from the experiences of disability and distress. These user-led perspectives highlight the importance and potential of knowledge produced from the margins, not only for those experiencing disability and/or distress but also for the ways in which we perceive, theorise and research the social world more broadly.

The purpose of this paper is to explore the case for a truth and reconciliation (T&R) process in the context of mental health services.

The approach is a conceptual review of T&R approaches; a consideration of why they are important; and how they might be applied in the context of mental health services and psychiatry. First, the paper sets out a case for T&R in psychiatry, giving some recent examples of how this might work in practice. Then it outlines potential objections which complicate any simplistic adoption of T&R in this context.

In the absence of an officially sanctioned T&R process a grassroots reparative initiative in mental health services may be an innovative bottom-up approach to transitional justice. This would bring together service users, survivors and refusers of services, with staff who work/ed in them, to begin the work of healing the hurtful effects of experiences in the system.

This is the first paper in a peer-reviewed journal to explore the case for T&R in mental health services. The authors describe an innovative T&R process as an important transitional step towards accomplishing reparation and justice by acknowledging the breadth and depth of service user and survivor grievances. This may be a precondition for effective alliances between workers and service users/survivors. As a result, new forms of dialogic communication and horizontal democracy might emerge that could sustain future alliances and prefigure the social relations necessary for more humane mental health services.

The purpose of this paper is to present some results of a qualitative study exploring people's memories of the pathways to the first episode of self-wounding. Specifically it will focus on the issue of “suicidality”.

In total, 11 participants, aged between 19 and 50, were described. They were asked to describe their first episode of self-wounding. The interviews were conducted using a semi-structured topic guide. An initial thematic and a subsequent narrative analysis were used to explore the participants’ stories.

The narratives of self-wounding show that the first episode occurs in a complex landscape of interactions between events and emotions. Even when participants were aware of suicidal feelings before self-wounding, the suicidal intention was abandoned as the self-wounding was shown to be an effective method for dealing with distress. For most of the participants the self-wounding was not associated with suicidality but with a strong need to gain or regain control of an emotionally charged and chaotic environment.

Focusing on the first episode of self-harm holds the key to a better appreciation of the underlying meanings of self-wounding as a complex and dynamic experience. It can provide health care practitioners with a new direction to understanding people's individual motivations rather than focusing relying on behaviour generalised assumptions.

This study provides a rare insight into the first episode of self-harm as a unique event. It is also a rare example of publicly funded service-user research with a focus on issues which are meaningful to them.

Purpose: To examine empirical patterns of participation of allied groups in disability protests from 1970 to 2016 in the United States.

Methods/approach: Uses event history to analyze 1,268 cases of disability protests quantitatively. Internal and external allied groups and types of individual protestors are analyzed over the entire period and by decade.

Findings: Multiple impairment, single issue organizations were a more common type of “internal” ally than were either single impairment, multiple issue organizations or multiple impairment, multiple issue (truly cross-disability) organizations. External ally groups with a wide range of concerns were less common than internal ally groups but were most represented during the 1990s. Veterans groups were the most common type of external ally, while parents were the most common type of individual allies.

Implications/values: Two topics need more attention: How ally participation in disability protests compares to that in protests in other social movements, and what types of changes over time emerge. Explanations relating to movement trajectories and other social movement characteristics are presented, and the need for a more nuanced conceptualization of protest allies is discussed.

The purpose of this paper is to examine the value of approaches to mental health based on creative practice in the humanities and arts, and explore these in relation to the potential contribution to mutual recovery.

The paper is a conceptual analysis and literature review.

Recovery can embrace carers and practitioners as well as sufferers from mental health problems. Divisions tend to exist between those with mental health needs, informal carers and health, social care and education personnel. Mutual recovery is therefore a very useful term because it instigates a more fully social understanding of mental health recovery processes, encompassing diverse actors in the field of mental health. Research demonstrates the importance of arts for “recovery orientated mental health services”, how they provide ways of breaking down social barriers, of expressing and understanding experiences and emotions, and of helping to rebuild identities and communities. Similarly, the humanities can advance the recovery of health and well‐being.

The notion of mutual recovery through creative practice is more than just a set of creative activities which are believed to have benefit. The idea is also a heuristic that can be useful to professionals and family members, as well as individuals with mental health problems themselves. Mutual recovery is perhaps best seen as a relational construct, offering new opportunities to build egalitarian, appreciative and substantively connected communities – resilient communities of mutual hope, compassion and solidarity.

Post‐migration hardship often affects the integration processes of migrants from non‐English speaking countries and in particular of migrant women who often come as ‘dependents’ of male migrants. Institutional, social and cultural barriers make integration for migrant women slow and difficult to achieve. Involvement in community self‐help and mutual aid is an important strategy for disadvantaged groups in overcoming hardship and building social networks and capital. Community organisations are a bridge for migrants to access welfare rights and benefits, and to communicate with host local communities. This paper discusses the findings of a small‐scale study on the community activism of Turkish‐speaking women in London. Focus group meetings were conducted with self‐help/mutual aid groups run by Turkish‐speaking migrant women, using a typology of group political ideology and focus of change. Analysis showed that group participation was an empowering experience and a crucial strategy for integration in the host society. Depending on the type of the group, women acknowledged personal or social benefits from group participation. Implications for promoting service user empowerment and involvement of migrant communities through mutual aid activities are considered.

Self-harm can affect people of all ages, yet the high prevalence rate in adolescents and the potential risk factor of suicide in adults 60 years and above has meant research has tended to focus within these areas. Therefore, the purpose of this exploratory study is to examine the experiences of self-harm in people from early adulthood to late middle age to gain greater insight and understanding in this underexplored area.

An online open-ended survey was used to collect the data from a UK user-led moderated online forum that supports people who self-harm.

Thematic data analysis indicates that feelings of shame and guilt were intensified, due to the double stigma participants face as adults that self-harm. Although most participants had seen a reduction in the frequency of their self-harm many experienced an increase in the severity of harm. In not fitting the assumed typical profile of someone that self-harm participants often struggled to gain formal support.

This was a small-scale online survey; hence, it is not possible to generalise the findings to all adults who self-harm.

The findings from this research provide evidence that greater recognition needs to be given to the reality that self-harm can affect people of all ages. As a result, access to support needs to be widened as a means of supporting those who do not fit the typical profile of someone who self-harms.

This exploratory online study provides insights around the tensions and challenges facing adults that self-harm, which remains an under-researched and largely ignored area.

Given that slow fashion is a movement that develops a comprehensive understanding of sustainable fashion and it is little explored in the Brazilian academic field, this study aims to analyze the influence of empowerment and materialism on slow fashion consumption.

Data were collected via an online survey, and quantitative methods were applied to analyze the sample of 306 clothing consumers from Fortaleza, the 5th largest Brazilian city and capital of the State of Ceará, which ranks fifth in the Brazilian Textile and Apparel Chain Billing Ranking.

In general, empowerment had a positive influence on slow fashion consumption. On the other hand, materialism positively influenced only one orientation toward slow fashion (exclusivity).

As a limitation of the study, the lack of a specific scale to measure consumer empowerment stands out. In addition, the sample was restricted to consumers from Fortaleza, thus results might differ for different locations.

The study provides managerial implications related to how strategies of empowerment can be incorporated by slow fashion companies into their marketing programs, such as more active consumer involvement in product co-creation processes.

This study contributes to the construction of theoretical and empirical knowledge on slow fashion, from its association with constructs such as empowerment and materialism. Furthermore, a conceptual model involving all relations found between the factors of the three constructs has been proposed.