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Bridging the social and life sciences to unlock the mystery of how cities shape mental health and illness Most of the world’s people now live in cities and millions have moved from the countryside to the rapidly growing megacities of the global south. How does the urban experience shape the mental lives of those living in and moving to cities today? Sociologists study cities as centers of personal progress and social innovation, but also exclusion, racism, and inequality. Psychiatrists try to explain the high rates of mental disorders among urban dwellers, especially migrants. But the split between the social and life sciences has hindered understanding of how urban experience is written into the bodies and brains of urbanites. In The Urban Brain, Nikolas Rose and Des Fitzgerald seek to revive the collaboration between sociology and psychiatry about these critical questions. Reexamining the relationship between the city and the brain, Rose and Fitzgerald explore the ways cities shape the mental health and illness of those who inhabit them. Drawing on the social and life sciences, The Urban Brain takes an ecosocial approach to the vital city, in which humans live and thrive but too often get sick and suffer. The result demonstrates what we can gain by a vitalist approach to the mental lives of those migrating to and living in cities, focusing on the ways that humans make, remake, and inhabit their urban lifeworlds.
Over the past fifty years we have seen an enormous demographic shift in the number of people migrating to urban areas, proliferated by factors such as industrialisation and globalisation. Urban migration has led to numerous societal stressors such as pollution, overcrowding, unemployment, and resource, which in turn has contributed to psychiatric disorders within urban spaces. Rates of mental illness, addictions, and violence are higher in urban areas and changes in social network systems and support have increased levels of social isolation and lack of social support. Part of the Oxford Cultural Psychiatry series, Urban Mental Health brings together international perspectives on urbanisation, its impacts on mental health, the nature of the built environment, and the dynamic nature of social engagement. Containing 24 chapters on key topics such as research challenges, adolescent mental health, and suicides in cities, this resource provides a refreshing look at the challenges faced by clinicians and mental health care professionals today. Emphasis is placed on findings from low- and middle-income countries where expansion is rapid and resources limited bridging the gap in research findings.
Overcrowding, noise and air pollution, long commutes and lack of daylight can take a huge toll on the mental well-being of city-dwellers. With mental healthcare services under increasing pressure, could a better approach to urban design and planning provide a solution? The restrictions faced by city residents around the world during the COVID-19 pandemic has brought home just how much urban design can affect our mental health – and created an imperative to seize this opportunity. Restorative Cities explores a new way of designing cities, one which places mental health and wellness at the forefront. Establishing a blueprint for urban design for mental health, it examines a range of strategies – from sensory architecture to place-making for creativity and community – and brings a genuinely evidence-based approach that will appeal to designers and planners, health practitioners and researchers alike - and provide compelling insights for anyone who cares about how our surroundings affect us. Written by a psychiatrist and public health specialist, and an environmental psychologist with extensive experience of architectural practice, this much-needed work will prompt debate and inspire built environment students and professionals to think more about the positive potential of their designs for mental well-being.
It is commonly assumed that cities are detrimental to mental health. However, the evidence remains inconsistent and, at most, makes the case for differences between rural and urban environments as a whole. Here, we propose a model of depression driven by an individual's accumulated experience mediated by social networks. The connection between observed systematic variations in socioeconomic networks and built environments with city size provides a link be- tween urbanization and mental health. Surprisingly, this model predicts lower depression rates in larger cities. We confirm this prediction for US cities using three independent datasets. These results are consistent with other behaviors associated with denser socioeconomic networks and suggest that larger cities provide a buffer against depression. This approach introduces a systematic framework for conceptualizing and modeling mental health in complex physical and social networks, producing testable predictions for environmental and social determinants of mental health also applicable to other psychopathologies.
An incendiary examination of burnout in millennials--the cultural shifts that got us here, the pressures that sustain it, and the need for drastic change
In 1964 an Urban League survey ranked Los Angeles as the most desirable city for African Americans to live in. In 1965 the city burst into flames during one of the worst race riots in the nation's history. How the city came to such a pass—embodying both the best and worst of what urban America offered black migrants from the South—is the story told for the first time in this history of modern black Los Angeles. A clear-eyed and compelling look at black struggles for equality in L.A.'s neighborhoods, schools, and workplaces from the Great Depression to our day, L.A. City Limits critically refocuses the ongoing debate about the origins of America's racial and urban crisis. Challenging previous analysts' near-exclusive focus on northern "rust-belt" cities devastated by de-industrialization, Josh Sides asserts that the cities to which black southerners migrated profoundly affected how they fared. He shows how L.A.'s diverse racial composition, dispersive geography, and dynamic postwar economy often created opportunities—and limits—quite different from those encountered by blacks in the urban North.
A globe-trotting, eye-opening exploration of how cities can—and do—make us happier people Charles Montgomery's Happy City will revolutionize the way we think about urban life. After decades of unchecked sprawl, more people than ever are moving back to the city. Dense urban living has been prescribed as a panacea for the environmental and resource crises of our time. But is it better or worse for our happiness? Are subways, sidewalks, and tower dwelling an improvement on the car-dependence of sprawl? The award-winning journalist Charles Montgomery finds answers to such questions at the intersection between urban design and the emerging science of happiness, and during an exhilarating journey through some of the world's most dynamic cities. He meets the visionary mayor who introduced a "sexy" lipstick-red bus to ease status anxiety in Bogotá; the architect who brought the lessons of medieval Tuscan hill towns to modern-day New York City; the activist who turned Paris's urban freeways into beaches; and an army of American suburbanites who have transformed their lives by hacking the design of their streets and neighborhoods. Full of rich historical detail and new insights from psychologists and Montgomery's own urban experiments, Happy City is an essential tool for understanding and improving our own communities. The message is as surprising as it is hopeful: by retrofitting our cities for happiness, we can tackle the urgent challenges of our age. The happy city, the green city, and the low-carbon city are the same place, and we can all help build it.
Depression is a widespread condition affecting approximately 7.5 million parents in the U.S. each year and may be putting at least 15 million children at risk for adverse health outcomes. Based on evidentiary studies, major depression in either parent can interfere with parenting quality and increase the risk of children developing mental, behavioral and social problems. Depression in Parents, Parenting, and Children highlights disparities in the prevalence, identification, treatment, and prevention of parental depression among different sociodemographic populations. It also outlines strategies for effective intervention and identifies the need for a more interdisciplinary approach that takes biological, psychological, behavioral, interpersonal, and social contexts into consideration. A major challenge to the effective management of parental depression is developing a treatment and prevention strategy that can be introduced within a two-generation framework, conducive for parents and their children. Thus far, both the federal and state response to the problem has been fragmented, poorly funded, and lacking proper oversight. This study examines options for widespread implementation of best practices as well as strategies that can be effective in diverse service settings for diverse populations of children and their families. The delivery of adequate screening and successful detection and treatment of a depressive illness and prevention of its effects on parenting and the health of children is a formidable challenge to modern health care systems. This study offers seven solid recommendations designed to increase awareness about and remove barriers to care for both the depressed adult and prevention of effects in the child. The report will be of particular interest to federal health officers, mental and behavioral health providers in diverse parts of health care delivery systems, health policy staff, state legislators, and the general public.
A New York Times Bestseller Detroit, mid-1930s: In a city abuzz over its unrivaled sports success, gun-loving baseball fan Dayton Dean became ensnared in the nefarious and deadly Black Legion. The secretive, Klan-like group was executing a wicked plan of terror, murdering enemies, flogging associates, and contemplating armed rebellion. The Legion boasted tens of thousands of members across the Midwest, among them politicians and prominent citizens—even, possibly, a beloved athlete. Terror in the City of Champions opens with the arrival of Mickey Cochrane, a fiery baseball star who roused the Great Depression’s hardest-hit city by leading the Tigers to the 1934 pennant. A year later he guided the team to its first championship. Within seven months the Lions and Red Wings follow in football and hockey—all while Joe Louis chased boxing’s heavyweight crown. Amidst such glory, the Legion’s dreadful toll grew unchecked: staged “suicides,” bodies dumped along roadsides, high-profile assassination plots. Talkative Dayton Dean’s involvement would deepen as heroic Mickey’s Cochrane’s reputation would rise. But the ballplayer had his own demons, including a close friendship with Harry Bennett, Henry Ford’s brutal union buster. Award-winning author Tom Stanton weaves a stunning tale of history, crime, and sports. Richly portraying 1930s America, Terror in the City of Champions features a pageant of colorful figures: iconic athletes, sanctimonious criminals, scheming industrial titans, a bigoted radio priest, a love-smitten celebrity couple, J. Edgar Hoover, and two future presidents, Gerald Ford and Ronald Reagan. It is a rollicking true story set at the confluence of hard luck, hope, victory, and violence. .
How did neighborhood groceries, parish halls, factories, and even saloons contribute more to urban vitality than did the fiscal might of postwar urban renewal? With a novelist’s eye for telling detail, Douglas Rae depicts the features that contributed most to city life in the early “urbanist” decades of the twentieth century. Rae’s subject is New Haven, Connecticut, but the lessons he draws apply to many American cities. City: Urbanism and Its End begins with a richly textured portrait of New Haven in the early twentieth century, a period of centralized manufacturing, civic vitality, and mixed-use neighborhoods. As social and economic conditions changed, the city confronted its end of urbanism first during the Depression, and then very aggressively during the mayoral reign of Richard C. Lee (1954–70), when New Haven led the nation in urban renewal spending. But government spending has repeatedly failed to restore urban vitality. Rae argues that strategies for the urban future should focus on nurturing the unplanned civic engagements that make mixed-use city life so appealing and so civilized. Cities need not reach their old peaks of population, or look like thriving suburbs, to be once again splendid places for human beings to live and work.