The disciplining of Self-Help: Doing self-help the Norwegian way

Marianne Hedlund, Bodil Landstad, Jonathan Q Tritter

Research output: Contribution to journalArticle

Abstract

We explore how Norwegian self-help groups are defined and managed to create a particular form of health system governmentality. Self-help groups are typically framed as therapeutic communities where participants define the agenda creating a space where open and equal interaction can produce individual learning and personal growth. In Norway, however, self-help groups are managed in a way that integrates them in to the health system but insulates them from clinical medicine; an approach that disciplines participants to act in a particular way in relation to the health system. We draw on the analysis of 1456 pages of public documents and websites from the National Nodal Point for Self-Help (NPSH), the organisation that manages self-help groups, and central government including individual testimonies from participants published between 2006 and 2014. We argue, drawing on Foucault, that self-help premised on lay-leadership and self-determination is at odds with the centrally defined regulation apparent in the model adopted in Norway and an example of disciplining that reinforces health system governmentality and serves the interests of the medical profession and the state. Further we propose that this illustrates the contestation between the pastoral power of medics, the National Nodal Point for Self-Help and the Ministry of Health. Our analysis of Norwegian self-help as a mechanism to create a particular form of health system governmentality helps explain the expansion of self-help and self-management within developed health systems and provides an explanation for why self-help within health systems, is typically situated adjacent to, rather than integrated into, clinical medicine.

LanguageEnglish
Pages34-41
Number of pages8
JournalSocial science and medicine
Volume225
Early online date4 Feb 2019
DOIs
Publication statusE-pub ahead of print - 4 Feb 2019

Fingerprint

self-help
self-help group
Self-Help Groups
Health
health
governmentality
Clinical Medicine
Norway
medicine
Therapeutic Community
therapeutic community
Personal Autonomy
Self-help
Disciplining
Self Care
self-determination
testimony
ministry
website
profession

Bibliographical note

© 2019, Elsevier. Licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International http://creativecommons.org/licenses/by-nc-nd/4.0/

Keywords

  • Discipline
  • Governmentality
  • Health policy
  • Health system
  • Norway
  • Pastoral power
  • Self-help
  • Self-management

Cite this

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The disciplining of Self-Help : Doing self-help the Norwegian way. / Hedlund, Marianne; Landstad, Bodil; Tritter, Jonathan Q.

In: Social science and medicine, Vol. 225, 04.02.2019, p. 34-41.

Research output: Contribution to journalArticle

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