Sons, Daughters, and Sidewalk Psychotics: Mental Illness and Homelessness in Los Angeles

This talk compares public safety net and elite private psychiatric treatment in Los Angeles to show how inequality shapes the very meanings of mental illness, recovery, client choice, and personhood. In Downtown LA, the crises of homelessness and criminalization mean public providers define recovery as getting a client housed, not in jail, and not triggering emergency calls. Given insufficient treatment capacity, providers eschew discipline for a “tolerant containment” model that accepts medication refusal and drug use so long as deviant behavior remains indoors. For elite private providers serving wealthy families, on the other hand, recovery means normalization and generating a respectable identity. Far from accepting madness and addiction, providers use a “concerted constraint” model to therapeutically discipline wayward adult children. Turning theoretical expectation on its head, the ethnography shows how “freedom” becomes an inferior good and disciplinary power a form of privilege.

Discussants: Cynthia Kraus and Tomás Ojeda