Mental Health: A Secondary Concept to Mental Illness

Mental health services in Great Britain are built predominately upon a bipolar perspective of mental health. That is, mental health is seen to exist on the opposite end of the same continuum as mental illness. The existence or degree of mental health is therefore dependent upon the existence or degree of mental illness and mental health is seen as a ‘secondary’ concept to mental illness. The aim of this paper is to review critically both the conceptual and the pragmatic implications of this position. This is achieved through an exploration of the differing (and often competing) ontological assumptions about mental illness. Second, the pragmatic repercussions that this has for mental health promotion are presented. The paper culminates by discussing the possible benefits of viewing mental health from within a two‐continua model — on both conceptual and pragmatic grounds.