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This is timely new book examines the generally accepted understanding of the theory and practice of mental health. Drawing on historical and contemporary practices, it critically explores the concept of mental illness and how it is treated, the integration of health and social care, and providing a person-centred approach. As well as tackling more general aspects, such as how we categorise mental health and the contemporary practice around medication and treatment alternatives, it also focusses on specific areas currently labelled 'mental illness', including depression, anxiety, ADHD (attention deficit hyperactivity disorder), and PTSD (post-traumatic stress disorder). Final chapters address the evidence for the effectiveness of psychopharmacology and the place of placebos in research and treatment, the importance of cultural sensitivity in a globalised world and the possibilities for the future practice in mental health services. The importance of non-medical alternative therapies and the incorporation of consumer perspectives in mental health service practice are highlighted throughout as a means of strengthening the experience of mental health service delivery for mental health professionals and consumers. Whether a student on a mental health nursing course, a social work student focussing on mental health, or a practitioner in the medical and allied health professions, this book is essential reading for anyone who wants a greater understanding of the theory and practice of mental health.
This collection of impassioned essays, published between 1973 and 2006, chronicles Thomas Szasz’s long campaign against the orthodoxies of “pharmacracy,” that is, the alliance of medicine and the state. From “Diagnoses Are Not Diseases” to “The Existential Identity Thief,” “Fatal Temptation,” and “Killing as Therapy,” the book delves into the complex evolution of medicalization, concluding with “Pharmacracy: The New Despotism.” In practice, society must draw a line between what counts as medical practice and what does not. Where it draws that line goes far in defining the kinds of laws its citizens live under, the kinds of medical care they receive, and the kinds of lives they are allowed to live.
From "the most powerful psychiatrist in America" (New York Times) and "the man who wrote the book on mental illness" (Wired), a deeply fascinating and urgently important critique of the widespread medicalization of normality Anyone living a full, rich life experiences ups and downs, stresses, disappointments, sorrows, and setbacks. These challenges are a normal part of being human, and they should not be treated as psychiatric disease. However, today millions of people who are really no more than "worried well" are being diagnosed as having a mental disorder and are receiving unnecessary treatment. In Saving Normal, Allen Frances, one of the world's most influential psychiatrists, warns that mislabeling everyday problems as mental illness has shocking implications for individuals and society: stigmatizing a healthy person as mentally ill leads to unnecessary, harmful medications, the narrowing of horizons, misallocation of medical resources, and draining of the budgets of families and the nation. We also shift responsibility for our mental well-being away from our own naturally resilient and self-healing brains, which have kept us sane for hundreds of thousands of years, and into the hands of "Big Pharma," who are reaping multi-billion-dollar profits. Frances cautions that the new edition of the "bible of psychiatry," the Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5), will turn our current diagnostic inflation into hyperinflation by converting millions of "normal" people into "mental patients." Alarmingly, in DSM-5, normal grief will become "Major Depressive Disorder"; the forgetting seen in old age is "Mild Neurocognitive Disorder"; temper tantrums are "Disruptive Mood Dysregulation Disorder"; worrying about a medical illness is "Somatic Symptom Disorder"; gluttony is "Binge Eating Disorder"; and most of us will qualify for adult "Attention Deficit Disorder." What's more, all of these newly invented conditions will worsen the cruel paradox of the mental health industry: those who desperately need psychiatric help are left shamefully neglected, while the "worried well" are given the bulk of the treatment, often at their own detriment. Masterfully charting the history of psychiatric fads throughout history, Frances argues that whenever we arbitrarily label another aspect of the human condition a "disease," we further chip away at our human adaptability and diversity, dulling the full palette of what is normal and losing something fundamental of ourselves in the process. Saving Normal is a call to all of us to reclaim the full measure of our humanity.
Over the past half-century, the social terrain of health and illness has been transformed. What were once considered normal human events and common human problems—birth, aging, menopause, alcoholism, and obesity—are now viewed as medical conditions. For better or worse, medicine increasingly permeates aspects of daily life. Building on more than three decades of research, Peter Conrad explores the changing forces behind this trend with case studies of short stature, social anxiety, "male menopause," erectile dysfunction, adult ADHD, and sexual orientation. He examines the emergence of and changes in medicalization, the consequences of the expanding medical domain, and the implications for health and society. He finds in recent developments—such as the growing number of possible diagnoses and biomedical enhancements—the future direction of medicalization. Conrad contends that the impact of medical professionals on medicalization has diminished. Instead, the pharmaceutical and biotechnical industries, insurance companies and HMOs, and the patient as consumer have become the major forces promoting medicalization. This thought-provoking study offers valuable insight into not only how medicalization got to this point but also how it may continue to evolve.
An authoritative, topical, and comprehensive reference to the key concepts and most important traditional and contemporary issues in medical sociology. Contains 35 chapters by recognized experts in the field, both established and rising young scholars Covers standard topics in the field as well as new and engaging issues such as bioterrorism, bioethics, and infectious disease Chapters are thematically arranged to cover the major issues of the sub-discipline Global range of contributors and an international perspective
This is timely new book examines the generally accepted understanding of the theory and practice of mental health. Drawing on historical and contemporary practices, it critically explores the concept of mental illness and how it is treated, the integration of health and social care, and providing a person-centred approach. As well as tackling more general aspects, such as how we categorise mental health and the contemporary practice around medication and treatment alternatives, it also focusses on specific areas currently labelled 'mental illness', including depression, anxiety, ADHD (attention deficit hyperactivity disorder), and PTSD (post-traumatic stress disorder). Final chapters address the evidence for the effectiveness of psychopharmacology and the place of placebos in research and treatment, the importance of cultural sensitivity in a globalised world and the possibilities for the future practice in mental health services. The importance of non-medical alternative therapies and the incorporation of consumer perspectives in mental health service practice are highlighted throughout as a means of strengthening the experience of mental health service delivery for mental health professionals and consumers. Whether a student on a mental health nursing course, a social work student focussing on mental health, or a practitioner in the medical and allied health professions, this book is essential reading for anyone who wants a greater understanding of the theory and practice of mental health.
An urgent call to reform Britain's sickness culture, offering social--not medical--solutions.
Winner of the Donald W. Light Award for the Applied or Public Practice of Medical Sociology Medical marijuana laws have spread across the U.S. to all but a handful of states. Yet, eighty years of social stigma and federal prohibition creates dilemmas for patients who participate in state programs. The Medicalization of Marijuana takes the first comprehensive look at how patients negotiate incomplete medicalization and what their experiences reveal about our relationship with this controversial plant as it is incorporated into biomedicine. Is cannabis used similarly to other medicines? Drawing on interviews with midlife patients in Colorado, a state at the forefront of medical cannabis implementation, this book explores the practical decisions individuals confront about medical use, including whether cannabis will work for them; the risks of registering in a state program; and how to handle questions of supply, dosage, and routines of use. Individual stories capture how patients redefine and reclaim cannabis use as legitimate—individually and collectively—and grapple with an inherently political identity. These experiences help illustrate how stigma, prejudice, and social change operate. By positioning cannabis use within sociological models of medical behavior, Newhart and Dolphin provide a wide-reaching, theoretically informed analysis of the issue that expands established concepts and provides new insight on medical cannabis and how state programs work.
A classic text on deviance is updated and reissued.
Graham, Hiroyuki Ito, Fabian Karsch, Victor Kraak, Claudia Malacrida, Lorenzo Montali, Yasuo Murayama, Sebastián Rojas Navarro, Órla O'Donovan, Francisco Ortega, Mónica Peña Ochoa, Brenton J. Prosser, Vololona Rabeharisoa, Patricio Rojas, Tiffani Semach, Ilina Singh, Rachel Spronk, Junko Teruyama, Masatsugu Tsujii, Fan-Tzu Tseng, Manuel Vallée, Rafaela Zorzanelli