MENTAL HEALTH COMMUNICATION AS ACTION, SYSTEM, RELATION

Contemporary emphasis on language and communication in mental health research and practice establishes the need for a communication model that addresses the variety of contexts – institutional, social, and cultural – in which attribution of mental disorders, treatment, and recovery occur. A ‘triadic’ approach to communication considers sufferers’: (1) transactions with environmental circumstances; (2) interpretive engagement with symbolic/discursive resources; and (3) relational interactions with others. Foundations for the model derive from pragmatism, systems theory, and theories of dialogue. A brief case study of depressive illness illustrates the value of the model. Implications for the organization of professional expertise in mental health fields are discussed.