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Structural Conditions of User Silence in Community-Based Mental Health Care: A Lived-Experience Short Report

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  • Yamashita, Atsushi

Abstract

This study highlights two interrelated needs for reinterpreting silence in contexts where individuals depend on overlapping social, medical, or housing systems. First, silence should be understood structurally rather than solely as a symptom of trauma or abuse; people may remain quiet not because of psychological inhibition but because speaking up risks destabilising essential aspects of their living conditions or access to care. Second, it is necessary to identify, analyse, and design responses to environments that structurally compel silence, irrespective of the specific service domain. These considerations position silence not as an individual deficit but as a rational adaptation to constrained capabilities and limited choice sets.

Suggested Citation

  • Yamashita, Atsushi, 2025. "Structural Conditions of User Silence in Community-Based Mental Health Care: A Lived-Experience Short Report," SocArXiv 6rgc2_v1, Center for Open Science.
    • Handle: RePEc:osf:socarx:6rgc2_v1
    DOI: 10.31219/osf.io/6rgc2_v1
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