Summary: | Longstanding inequalities have existed for Black men in mental health care service provision, with Black men being over-represented at the coercive end of the mental health system but under-represented in terms of seeking help voluntarily. An understanding of the social context of Black men, as well as Black men's conceptions of wellbeing and help-seeking may be useful in developing more accessible services. Nine Black men were interviewed and their transcripts analysed using Foucauldian discourse analysis. Four discourses were identified; discourses of oppression and discrimination, discourses of Black masculinities, discourses of communities and discourses of professional systems. Discourses of oppression and discrimination were identified as influential to the other three discourses. These discourses are discussed in the context of Black men's conceptions of wellbeing and helpseeking. Links to how these discourses act to subjugate help-seeking practices are highlighted. Implications of the results are discussed at the policy, service, clinical and research level.
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