The muddle of institutional racism in mental health [Commentary]

The murder of George Floyd has reinvigorated the call for anti‐racism across the Global North, and mental health bodies have joined this political moment. Yet, discussions of racism in mental health are nothing new (Bailey et al., 2017; Fernando, 2017; Fernando et al., 1998; McKenzie & Bhui, 2007; Nazroo et al., 2020; Richards, 1997). Certainly, the COVID‐19 pandemic has revealed the extent to which racial inequalities play a detrimental role in health outcomes (Nazroo et al., 2020). The point of this commentary is not to summarise the works on racism and mental health. Rather, the following is a reflection on the hurdles of anti‐racism in mental health, as situated within a neoliberal order. It will outline the challenges in addressing racism as a dynamic process in allegedly post‐racial world—racism without racists (Bonilla‐Silva, 2017). Given these structural inequalities, scholars increasingly underline how anti‐racist praxis in mental health must consider macro‐level policies (Came & Griffith, 2018; Nazroo et al., 2020). The focus in this commentary will be the Prevent policy, the UK's counter‐radicalisation duty and a wing of the nation's counter‐terrorism strategy. [...

Politicizing Muslim mental health toward a decolonial framework

There is a growing recognition that mental illness should be taken more seriously within Muslim communities. In this are emerging trends to Islamicise psychology or psychologise Islam, whereby the former attempts to adapt contemporary psychological practices for Muslims, while the latter endeavours to indigenise and establish a psychology rooted firmly in Islamic traditions. Yet a large body of interdisciplinary works has argued that Muslims are uniquely positioned vis-à-vis Nation-States across the Global North. There is thus a need to underscore the significance of the political which underpins the relationship between ‘Muslim’ and ‘mental health’. The political will be explored by addressing three paradigms and their particular relationship to Muslim mental health: neoliberalism, nationalism and securitisation. I argue that Muslim mental health, irrespective of approach or discipline, is unique in its ability to serve power and ensure Muslims remain productive, loyal and low-risk citizens of the Nation-State. Emerging Muslim mental health models may succeed in their stated objective—alleviate suffering or raise God consciousness—but they do not address the political dimension underlying mental health practice itself. I argue that a movement towards decolonising mental health must remain in constant dialectical resistance with dominant ideological paradigms and be rooted in an interdisciplinary praxis established upon the Islamic paradigm of trusteeship (waqf). This ensures suffering is neither commodified nor compartmentalised outside of the wider Western Muslim experience

The psychologisation of counter-extremism: unpacking PREVENT

The burgeoning ‘pre-crime’ industry reveals a deep overlap between national security and mental health. The uk’s counter-radicalisation policy, PREVENT, is exemplary in this regard. PREVENT mandates a duty for public bodies, such as healthcare staff, to identify and report ‘at risk’ individuals in the ‘war on terror’. Research has shown how racialised Muslims embody ‘threat’ in public consciousness, though the uk government denies institutionalising racism. This article explores how British nationalism in a ‘post-racial era’ necessitates psychologisation to evade the charge of racism in the management of Muslim political agency. By unpacking PREVENT policy documents and training, this article will explore how the counter-radicalisation industry of the ‘war on terror’ reveals the triangular relationship between 1) racialisation of Muslims under nationalism, 2) psychologisation of the political and its associated colourblindness, and 3) the nation-state’s management of dissent. The various performative dimensions of psychologisation will be discussed, as they relate to universalising, detecting and managing the threat of radicalisation. This article will conclude with a proposition: psychologisation is necessary in conceptualising state repression and institutional racism in the modern age

Islamophobia in the National Health Service: an ethnography of institutional racism in PREVENT's counter‐radicalisation policy

In 2015, the UK government made its counter‐radicalisation policy a statutory duty for all National Health Service (NHS) staff. Staff are now tasked to identify and report individuals they suspect may be vulnerable to radicalisation. Prevent training employs a combination of psychological and ideological frames to convey the meaning of radicalisation to healthcare staff, but studies have shown that the threat of terrorism is racialised as well. The guiding question of our ethnography is: how is counter‐radicalisation training understood and practiced by healthcare professionals? A frame analysis draws upon 2 years of ethnographic fieldwork, which includes participant observation in Prevent training and NHS staff interviews. This article demonstrates how Prevent engages in performative colour‐blindness – the active recognition and dismissal of the race frame which associates racialised Muslims with the threat of terrorism. It concludes with a discussion of institutional racism in the NHS – how racialised policies like Prevent impact the minutia of clinical interactions; how the pretence of a ‘post‐racial’ society obscures institutional racism; how psychologisation is integral to the performance of colour‐blindness; and why it is difficult to address the racism associated with colourblind policies which purport to address the threat of the Far‐Right

"I know what a Muslim really is": how political context predisposes the perceived need for an objective Muslim identity

This article explores the process by which Western Muslim young adults develop the need to experience an ‘objective’ religious identity. We interviewed 20 Western Muslim young adults born in Montreal, Berlin, and Copenhagen within the age range of 18–25, exploring their religious identity development. The interviews were semi-structured and open-ended. Thematic content analysis was used to explore patterns in their narratives. The participants disliked the perceived ethnocentric Muslim identity of their parents, which they sought to ‘purify’ for themselves from ‘cultural contamination’. There were two important elements underlying the process of religious identity objectification: experience of anti-Muslim political discourse and exposure to religious diversity in the aftermath of deterritorialisation

Keeping our mouths shut: the fear and racialized self-censorship of British healthcare professionals in PREVENT training

The PREVENT policy introduced a duty for British health professionals to identify and report patients they suspect may be vulnerable towards radicalisa- tion. Research on PREVENT’s impact in healthcare is scant, especially on the lived experiences of staff. This study examined individual interviews with 16 critical National Health Service (NHS) professionals who participated in mandatory PRE- VENT counter-radicalisation training, half of whom are Muslims. Results reveal two themes underlying the self-censorship healthcare staff. The first theme is fear, which critical NHS staff experienced as a result of the political and moral subscript underlying PREVENT training: the ‘good’ position is to accept the PREVENT duty, and the ‘bad’ position is to reject it. This fear is experienced more acutely by British Muslim healthcare staff. The second theme relates to the structures which extend beyond PREVENT but nonetheless contribute to self-censorship: distrustful settings in which the gaze of unknown colleagues stifles personal expression; reluctant trainers who admit PREVENT may be unethical but nonetheless relinquish responsibility from the act of training; and socio-political conditions affecting the NHS which overwhelm staff with other concerns. This paper argues that counter- terrorism within healthcare settings may reveal racist structures which dispropor- tionality impact British Muslims, and raises questions regarding freedom of conscience

Prevent: what is pre-criminal space?

Prevent is a UK-wide programme within the government’s anti-terrorism strategy aimed at stopping individuals from supporting or taking part in terrorist activities. NHS England’s Prevent Training and Competencies Framework requires health professionals to understand the concept of pre-criminal space. This article examines pre-criminal space, a new term which refers to a period of time during which a person is referred to a specific Prevent-related safeguarding panel, Channel. It is unclear what the concept of pre-criminal space adds to the Prevent programme. The term should be either clarified or removed from the Framework

Controversial debates about workforce nationalisation: Perspectives from the Qatari higher education industry

Workforce nationalisation in the Gulf Corporation Council (GCC) countries is a crucial challenge for their development plans. The current study explores controversial debates about workforce nationalisation to understand the existing threats from the views of less examined key stakeholders, namely, educators and senior students. The study argues that the identified obstacles relate not only to policy flaws but also to the education – employability gap, phantom employment, and detrimental social and community perceptions. Given its exploratory nature, the study adopts a qualitative approach and uses 28 semi-structured interviews to identify critical obstacles to effective workforce nationalisation from human development, legal development, and socio-cultural perspectives. The findings contribute to the literature on GCC workforce nationalisation by unpacking educators’ and senior students’ views

What is pre-criminal space?

Prevent is a UK-wide programme within the government's anti-terrorism strategy aimed at stopping individuals from supporting or taking part in terrorist activities. NHS England's Prevent Training and Competencies Framework requires health professionals to understand the concept of pre-criminal space. This article examines pre-criminal space, a new term which refers to a period of time during which a person is referred to a specific Prevent-related safeguarding panel, Channel. It is unclear what the concept of pre-criminal space adds to the Prevent programme. The term should be either clarified or removed from the Framework

A piecewise-linear reduced-order model of squeeze-film damping for deformable structures including large displacement effects

This paper presents a reduced-order model for the Reynolds equation for deformable structure and large displacements. It is based on the model established in [11] which is piece-wise linearized using two different methods. The advantages and drawbacks of each method are pointed out. The pull-in time of a microswitch is determined and compared to experimental and other simulation data.Comment: Submitted on behalf of EDA Publishing Association (http://irevues.inist.fr/handle/2042/16838