'Having those conversations': the politics of risk in peer support practice

Type of content
Journal Article
Publisher's DOI/URI
Thesis discipline
Degree name
Publisher
University of Canterbury. Aotahi School of Maori and Indigenous Studies
University of Canterbury. School of Social and Political Sciences
University of Canterbury. Sociology
Journal Title
Journal ISSN
Volume Title
Language
Date
2011
Authors
Scott, A.
Doughty, C.
Kahi, H.
Abstract

Peer support is a fast growing type of service provision within the mental health sector. This study draws on interviews with peer supporters and peer support managers to explore the ways that risks of violence, suicide and self-harm are managed within peer support settings in Aotearoa New Zealand. Drawing on Nikolas Rose and other theorists, who define risk thinking as an attempt to ‘discipline uncertainty’, we argue that the philosophy of peer support is in tension with a ‘risk consciousness’ because it sees crisis as a learning opportunity. We contend that peer supporters are pulled towards the ‘risk consciousness’ which pervades the mental health sector, and that they address this by managing risk in various ways. Finally, we show that peer supporters challenge this risk consciousness by working with risk through a philosophy of engagement and relationship. As peer support becomes more integrated into the wider health system, the challenge will be to continue the development of risk practices which work within a strong peer support philosophy.

Description
Citation
Scott, A., Doughty, C., Kahi, H. (2011) 'Having those conversations': the politics of risk in peer support practice. Health Sociology Review, 20(2), pp. 187-201.
Keywords
sociology, health studies, sociology, mental health, peer support, risk, suicide, relationship
Ngā upoko tukutuku/Māori subject headings
ANZSRC fields of research
Field of Research::16 - Studies in Human Society::1608 - Sociology
Field of Research::11 - Medical and Health Sciences::1117 - Public Health and Health Services::111714 - Mental Health
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