Journal
SOCIOLOGY-THE JOURNAL OF THE BRITISH SOCIOLOGICAL ASSOCIATION
Volume 45, Issue 4, Pages 665-681Publisher
SAGE PUBLICATIONS LTD
DOI: 10.1177/0038038511406591
Keywords
alienation; anomie; care avoidance; care paralysis; poor health-seeking behaviour; public mental health; social superfluousness; underserved groups
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Care avoidance refers to the condition wherein clients do not seek assistance and do not attend appointments although they are in need of help. Care avoidance is linked to another phenomenon, the inability to help clients with multiple and complex problems by social services and care facilities, in this article identified as care paralysis. The aim of this article is to understand the production and reduction of care avoidance and care paralysis. Care avoidance and care paralysis not only coincide, they reinforce and recall each other. Trust and initiative - the opposite of avoidance and paralysis - are affirmed under conditions as an experienced proximity between the local population and care facilities and the committed involvement of professionals to a bounded territory. Trust and initiative also coincide, reinforce and recall each other. The existence of a safety net like Public Mental Health Care is closely linked to the absence of this vitality.
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