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Developing a Rat Model for Bipolar Disorder
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Psychoeducation for bipolar disorder: A discourse analysis.

Lynere Wilson1, Marie Crowe1, Anne Scott2

  • 1Department of Psychological Medicine and Māori, University of Otago, Christchurch, New Zealand.

International Journal of Mental Health Nursing
|March 17, 2017
PubMed
Summary
This summary is machine-generated.

Psychoeducation for bipolar disorder assumes patients accept psychiatric authority and self-moderation. This critical analysis reveals power imbalances and limits in managing complex emotions within current practices.

Keywords:
bipolar disorderdiscourse analysispsychiatryself-management

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Area of Science:

  • Psychiatry
  • Psychology
  • Discourse Analysis

Background:

  • Psychoeducation is a common psychosocial intervention for managing long-term illnesses like bipolar disorder.
  • Its 'common sense' status often prevents critical examination of its underlying assumptions and practices.

Purpose of the Study:

  • To critically analyze psychoeducation for bipolar disorder using Foucauldian discourse analysis.
  • To explore the taken-for-granted assumptions embedded in psychoeducation manuals.

Main Methods:

  • Foucauldian discourse analysis applied to a published manual on psychoeducation and bipolar disorder.
  • Examination of subject positions constructed for individuals with bipolar disorder.

Main Results:

  • Psychoeducation constructs three subject positions: accepting psychiatric authority, self-moderation, and reflexive self-change.
  • Highlights the circularity of 'insight' and asymmetrical clinician-patient power dynamics.
  • Medical discourse in psychoeducation limits engagement with ambivalence and contradiction.

Conclusions:

  • Psychoeducation's reliance on medical discourse creates specific patient subjectivities and power imbalances.
  • A critical approach to psychotherapy and education offers an alternative framework for psychoeducation practices.