Date: Sun, 1 Oct 2000 17:44:50 -0700
To: "MHOCCA List" <mhocca@egroups.com>
From: "Andrew Phelps" <starfish@northcoast.com>
Subject: Re: [MHOCCA] “consumer”

Celie Gunn wrote:
Yeah, well I don’t know the definitions either but IMN(not so humble)O, MH is the consumer and the patients are the consumed.
Phil Cushman is a professor of psychology at CSPP Alameda (now called Alliant University). He is an advocate of radical reform of the the social science behind the present mental health system (a ‘hermeneuticist’, or specialist in ‘interpretation’). Also he was a historian before he became a psychologist. His work, and his recent book Constructing the self, constructing America, is closely focused on the notion of client as ‘consumer’. He traces it to the ‘consumer psychology’ of the 70s, 80s & since. In lieu of having an adequate agenda about helping people, the profession has adopted the social agenda of the time, whence the idea of receiving services as ‘consuming’. Which is to say, there is a strong historical reason for this choice based on (1) the fashions of the times and (2) the limitations of the mental health service delivery system. Both of these reasons it goes w/o saying are rotten reasons for us to term ourselves ‘consumers’!

Andrew Phelps