Abstract

This paper draws from the work of Michel Foucault to understand how the user/survivor movement exists within the context of a political mental health services apparatus. Such an analysis puts power at the center of mental health, and highlights the way in which specific relations of power—between the psychiatrist and patient,1 for example—work to produce discourse, which in turn works to reproduce these same relations of power. The first section of the paper briefly discusses how, for Foucault, psychiatry is a self-perpetuating apparatus, built around the power of the psychiatrist to define what constitutes valid knowledge. This theoretical framework makes clear that, within the apparatus, there will be alternative...