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Estimates indicate that as many as 1 in 4 Americans will experience a mental health problem or will misuse alcohol or drugs in their lifetimes. These disorders are among the most highly stigmatized health conditions in the United States, and they remain barriers to full participation in society in areas as basic as education, housing, and employment. Improving the lives of people with mental health and substance abuse disorders has been a priority in the United States for more than 50 years. The Community Mental Health Act of 1963 is considered a major turning point in America's efforts to improve behavioral healthcare. It ushered in an era of optimism and hope and laid the groundwork for the consumer movement and new models of recovery. The consumer movement gave voice to people with mental and substance use disorders and brought their perspectives and experience into national discussions about mental health. However over the same 50-year period, positive change in American public attitudes and beliefs about mental and substance use disorders has lagged behind these advances. Stigma is a complex social phenomenon based on a relationship between an attribute and a stereotype that assigns undesirable labels, qualities, and behaviors to a person with that attribute. Labeled individuals are then socially devalued, which leads to inequality and discrimination. This report contributes to national efforts to understand and change attitudes, beliefs and behaviors that can lead to stigma and discrimination. Changing stigma in a lasting way will require coordinated efforts, which are based on the best possible evidence, supported at the national level with multiyear funding, and planned and implemented by an effective coalition of representative stakeholders. Ending Discrimination Against People with Mental and Substance Use Disorders: The Evidence for Stigma Change explores stigma and discrimination faced by individuals with mental or substance use disorders and recommends effective strategies for reducing stigma and encouraging people to seek treatment and other supportive services. It offers a set of conclusions and recommendations about successful stigma change strategies and the research needed to inform and evaluate these efforts in the United States.
Beginning with the history of mental health care in the 1840s -- before the advent of organized psychiatry -- this book traces the development of the profession and the subsequent care of its patients. The History and Influence of the American Psychiatric Association covers the impact on psychiatry of historical events such as the Civil War, communist expansion, and the civil rights movement.
Psychiatry is a medical field concerned with the diagnosis, treatment and prevention of mental health conditions. Routledge Library Editions: Psychiatry (24 Volume set) brings together titles, originally published between 1958 and 1997. The set demonstrates the varied nature of mental health and how we as a society deal with it. Covering a number of areas including child and adolescent psychiatry, alternatives to psychiatry, the history of mental health and psychiatric epidemiology.
The Last Half-Century represents the culmination of a lifetime of scholarship by Morris Janowitz. In this comprehensive and systematic analysis of the major trends in American society during the past fifty years, he probes the weakening of popular party affiliations and the increased inability of elected representatives to rule. Centering his work on the crucial concept of social control, Janowitz orders and assesses a vast amount of empirical research to clarify the failure of basic social institutions to resolve our chronic conflicts. For Janowitz, social control denotes a society's capacity to regulate itself within a moral framework that transcends simple self-interest. He poses urgent questions: Why has social control been so drastically weakened in our advanced industrial society? And what strategies can we use to strengthen it again? The expanation rests in part on the changes in social structure which make it more and more complicated for citizens to calculate their political self-interest. At the same time, complex economic and defense problems also strain an already overburdened legislative system, making effective, responsive political rule increasingly difficult. Janowitz concludes by assessing the response of the social sciences to the pressing problem of social control and asserts that new forms of citizen participation in the government must be found.
This handbook describes ways in which society shapes the mental health of its members, and shapes the lives of those who have been identified as mentally ill. The text explores the social conditions that lead to behaviors defined as mental illness, and the ways in which the concept of mental illness is socially constructed around those behaviors. The book also reviews research that examines socially conditioned responses to mental illness on the part of individuals and institutions, and ways in which these responses affect persons with mental illness. It evaluates where the field has been, identifies its current location and plots a course for the future.
Therapeutic Communities for Psychosis offers a uniquely global insight into the renewed interest in the use of therapeutic communities for the treatment of psychosis, as complementary to pharmacological treatment. Within this edited volume contributors from around the world look at the range of treatment programmes on offer in therapeutic communities for those suffering from psychosis. Divided into three parts, the book covers: the historical and philosophical background of therapeutic communities and the treatment of psychosis in this context treatment settings and clinical models alternative therapies and extended applications. This book will be essential reading for all mental health professionals, targeting readers from a number of disciplines including psychiatry, psychology, social work, psychotherapy and group analysis.