When the wheels come off: Actor-network therapy for mental health recovery in the bicycle repair workshop

Abstract

Professional accounts of emotional distress originate from within mainstream mental illness discourses and are underpinned by largely conjectural biomedical, brain-based conceptions of disorder. Alternative, formulation-based approaches remain delimited by cultural norms and linguistic resources. Service users frequently declare the most ordinary aspects of therapy the most helpful: listening, understanding, and respectfulness; these are not contingent upon the presence of a mental health professional. This paper describes ameliorations in states of emotional distress amongst volunteer trainee mechanics in a bicycle workshop, which has little overtly to do with mental health. Possible explanations for these ameliorations, or 'recoveries', are presented. In an enabling setting that offers the social and material resources conducive to particular ways of being, an applied actor-network approach is introduced as a practical way to disentangle the concomitant complexities of bicycles and everyday life. This approach to analysing states of distress-introduced here as 'actor-network therapy'-combines notions of enactment and enhandedness in the appreciation of 'engrenage' - the intriguing intricacy of locally generated, provisional realities.

Keywords: actor-network theory; actor-network therapy; bicycles; enactment; engrenage; enhandedness; mental health; wellbeing; workshops.