Methods: Data was generated with four socio-economically and academically contrasting secondary schools in Wales, UK, with 41 students (age 12-14) taking part in participation observation (n=32 sessions) and focus groups (n=6).
Findings: Students’ identification for participation in the intervention, combined with their reaction to the group composition, may lead to harmful effects. Four iatrogenic processes were identified: 1) identification may be experienced as negative labelling, resulting in rejection of the school; 2) the label of SEL failure may serve as a powerful form of intervention capital, being employed to enhance students’ status amongst peers. Possession of this capital is contingent on continued resistance of the intervention; 3) targeting of discrete friendship groups may lead to the construction of intervention ‘outsiders’ as students seek safety through the reification of pre-existing relationships; 4) students may seek to renegotiate positioning within targeted friendship groups by ‘bragging’ about and reinforcing anti-school activities, leading to deviancy amplification.
Conclusions: These iatrogenic processes are not intended to suggest the complete abandonment of targeted interventions per se, but rather that intervention referral and composition needs to be carefully considered and crafted.