"I *know* all the things I should be doing …": accounting for mental health and illness in an online mental health discussion forum during the COVID-19 pandemic

BACKGROUND

Mental health is highly correlated with a person's social and economic circumstances, and the recent COVID-19 pandemic made this connection uniquely visible. Yet a discourse of personal responsibility for mental health often dominates in mental health promotion campaigns, media coverage and lay understandings, contributing to the stigmatisation of mental ill-health.

METHODS

In this study, we analysed how the concept of 'mental health' was discursively constructed in an online mental health peer-support forum in Australia during 2020, the period of the first two waves of the COVID-19 pandemic. An approach informed by Critical Discursive Psychology was employed to analyse all posts made to a discussion thread entitled "Coping during the coronavirus outbreak" in 2020, a total of 1,687 posts.

RESULTS

Two main interpretative repertoires concerning mental health were identified. Under the first repertoire, mental health was understood as resulting largely from the regular performance of a suite of self-care behaviours. Under the second repertoire, mental health was understood as resulting largely from external circumstances outside of the individual's control. The existence of two different repertoires of mental health created an ideological dilemma which posters negotiated when reporting mental ill-health. A recurring pattern of accounting for mental ill-health was noted in which posters employed a three-part concessive structure to concede Repertoire 1 amid assertions of Repertoire 2; and used disclaimers, justifications, and excuses to avoid negative typification of their identity as ignorant or irresponsible.

CONCLUSIONS

Mental ill-health was commonly oriented to by forum posters as an accountable or morally untoward state, indicating the societal pervasiveness of a discourse of personal responsibility for mental health. Such discourses are likely to contribute to the stigmatisation of those suffering from mental ill-health. There is a need therefore for future communications about mental health to be framed in a way that increases awareness of social determinants, as well as for policy responses to effect material change to social determinants of mental health.

'It's more than sadness': The Discursive Construction of Depression on Australian Depression Websites

Depression has been the subject of increased awareness and concern in Australia, but there has been little research into how depression is constructed on mental health websites, which have become a major resource for mental health information among the general public. In this study, critical discursive psychology was employed to analyse the informational content of eight major Australian mental health websites concerning depression. Four interpretative repertoires were identified - a biomedical, a self-optimization, a normal-natural and a societal-structural repertoire. The biomedical and self-optimization repertoires were the most prevalent, constructing depression as an illness within an individual occurring as a result of a biological or psychological deficit. Whilst previous studies have identified the predominance of a biomedical repertoire of depression on official websites, this study highlights the growing prominence of a self-optimization repertoire alongside the biomedical. Whilst it appeared that the aim of the websites was to challenge stigma and encourage help-seeking, it is argued that this way of understanding depression may have counter-productive effects in that the problem is located within the individual rather than with society, and individuals may be positioned as responsible for managing their own mental health, under the guidance of experts. The implications of understanding depression in this way, and not in alternative ways, are discussed.

“Deal me in”: Hillary Clinton and gender in the 2016 US presidential election

Hillary Clinton’s nomination as the first female presidential candidate to represent a major party in the 2016 US presidential election represented a key moment in US history. The focus on her gender during the campaign was intensified following the accusation by Republican Party nominee, Donald Trump, that Clinton was “playing the woman card”. The present article explores US media constructions of Clinton’s orientation to the topic of gender during the presidential campaign. Data were identified by searching the Lexis Advance® database between 4 February 2016 and 8 November 2016. Using a qualitative methodology guided by a Critical Discursive Psychology approach, we identify two discursive repertoires that were repeatedly mobilised in these media accounts: 1) a repertoire in which the principle of merit was used to undermine arguments for gender equality, and 2) a repertoire in which Clinton’s espoused version of feminism was undermined as ‘old-fashioned’. These repertoires functioned to de-legitimise Clinton as a political candidate by positioning her as seeking special treatment as a woman, who played the victim of sexism and was out of touch with the interests and concerns of female voters. We demonstrate how attempts to counter such characterisations can be problematic for female leaders.

Green knowledge management and strategic renewal: a discursive perspective on corporate sustainability

Purpose

The purpose of this paper is to build theory concerning the role of discourse in strategic renewal and green knowledge management.

Design/methodology/approach

The approach entails an application of discourse theory to the strategy process literature, a review of the knowledge management (KM) literature and examination of examples in the context of organizations' sustainability initiatives.

Findings

A discourse-based model of green knowledge management, with associated research propositions that address each element of strategy renewal, is developed.

Research limitations/implications

The model and propositions in this paper may help to spur future management research that draws on a variety of discourse analytic tools, and advances our understanding of KM focused on environmental sustainability.

Originality/value

A discursive perspective on green knowledge management allows for a broader and more dynamic view of strategy process. This paper foregrounds the dynamic nature of strategy process in exploring the nature of discourse, and suggests that green knowledge management addresses a key megatrend that may form a foundation for strategic renewal.