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Refusal, social exclusion and the cycle of rejection: A cynical analysis?

South London & Maudsley NHS Trust, c.scanlon{at}btinternet.com

John Adlam

Henderson Hospital Democratic Therapeutic Community

Despite the best, and at times the worst, efforts of systems of care `to include', there remains a group of people whose refusal to be included remains a problem both for themselves and for society as a whole. Our discussion re-locates the problems arising from the anti-social stance at the heart of this refusal from the internal world of the refuser to phenomena associated with what we have called psychosocial dis-memberment and the ` un-housed mind'. We explore the complex reciprocal relationship between the housed and the un-housed, between society's members and those whom society dis-members and we consider some possible implications for individual workers, staff teams and organizations who are tasked with attempting to house, re-member or otherwise to accommodate such people. We conclude with a challenge to practitioners, academics and policy makers to reframe the philosophical basis of their approach towards these complex psychosocial problems.

Key Words: dangerousness • Diogenes • disorder • groupishness • homelessness

Critical Social Policy, Vol. 28, No. 4, 529-549 (2008)
DOI: 10.1177/0261018308095301


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