Brown, Rachel (2026) The Practice of Mental Health. PhD thesis, National University of Ireland Maynooth.
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Abstract
A substantial body of research indicates an inverse relationship between social class and mental
health outcomes, with lower SES groups more likely to be diagnosed with a mental health
condition. Yet, the dynamics of this relationship remain unclear, as despite social mobility and
mental health interventions for marginalised populations, research suggests a continuation of
class-related inequality relating to accounts of mental health, indicating that this relationship
cannot be explained by socioeconomic conditions alone. This study explores how class habitus,
understood as the embodied and durable dispositions, tastes, and manners of acting, thinking,
and feeling, acquired through classed socialisation and conditioning, operates as a key factor
shaping mental health experiences. A qualitative study was conducted using semi-structured
interviews with participants (N=14) from distinct social class backgrounds, producing in-depth
qualitative data. Analysis was initially carried out using reflexive thematic analysis to identify
key themes. A more in-depth critical discourse analysis informed by Bourdieusian and
Lacanian theory was done, focusing on the role of language and key signifiers in the
construction of these themes. The analysis indicated that class habitus was critical in shaping
how mental health services are experienced in relation to other elements of practice, such as
social fields and capital forms. This led to a conceptualising of mental health as a dialogically
organised practice corresponding to a cycle of resilience, recovery, and subjectification,
distributed across three levels: intra-psychological, interpersonal (social), and structural
(societal/institutional). Across all analyses, these practices were organised through
authoritative (Master) signifiers that structured symbolic identification and desire for
recognition by the Other, binding subjects to performative ideals whose maintenance
frequently entailed psychological cost. This thesis reframes how we understand the experience
of mental health from an individualised defect-focused and reductive biomedical model
towards a socially situated, symbolically mediated dialogical practice with implications for
policy addressing clinical practice and structural inequality within mental health services.
| Item Type: | Thesis (PhD) |
|---|---|
| Keywords: | Practice of Mental Health; mental health; |
| Academic Unit: | Faculty of Science & Engineering > Psychology |
| Item ID: | 21768 |
| Depositing User: | IR eTheses |
| Date Deposited: | 09 Jul 2026 15:28 |
| Use Licence: | This item is available under a Creative Commons Attribution Non Commercial Share Alike Licence (CC BY-NC-SA). Details of this licence are available here |
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