
Contents
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Theoretical models of disability Theoretical models of disability
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The medical model The medical model
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The social model The social model
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The disablement model: functional limitations The disablement model: functional limitations
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International Classification of Functioning, Disability and Health (ICF) International Classification of Functioning, Disability and Health (ICF)
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An alternative model: the Capabilities Approach An alternative model: the Capabilities Approach
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Capabilities and functionings Capabilities and functionings
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The value of the Capabilities Approach to disability The value of the Capabilities Approach to disability
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Tools for implementing a Capabilities Approach Tools for implementing a Capabilities Approach
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Ten conceptual tools of the Capabilities Approach Ten conceptual tools of the Capabilities Approach
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How the Capabilities Approach can strengthen a social model of mental health How the Capabilities Approach can strengthen a social model of mental health
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The Capabilities Approach and recovery from ‘schizophrenia’ The Capabilities Approach and recovery from ‘schizophrenia’
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The Capabilities Approach and early intervention The Capabilities Approach and early intervention
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Conclusions Conclusions
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Notes Notes
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Six The Capabilities Approach and the social model of mental health
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Published:June 2015
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Abstract
This chapter outlines the Capabilities Approach, developed by Amartya Sen in the 1980s as a more empowering, less paternalistic approach to welfare economics. It argues that, applied to mental distress, the Capabilities Approach offers a conceptual framework which service users, survivors and allies need to mount a serious challenge to the dominance of the medical model. That is because it supplies what is usually missing in even expanded medical models (like the biopsychosocial model) – a profound understanding of structural constraints and enablements as they relate to individual agency. Focusing on recovery from ‘schizophrenia’ and early intervention in psychosis, the chapter demonstrates how the Capabilities approach might be applied, concluding that it represents an important framework for strengthening links between the social model of disability and mental health.
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