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This book is a guide for psychiatrists struggling to incorporate transformational strategies into their clinical work. The book begins with an overview of the concept of critical psychiatry before focusing its analytic lens on the DSM diagnostic system, the influence of the pharmaceutical industry, the crucial distinction between drug-centered and disease-centered approaches to pharmacotherapy, the concept of “de-prescribing,” coercion in psychiatric practice, and a range of other issues that constitute the targets of contemporary critiques of psychiatric theory and practice. Written by experts in each topic, this is the first book to explicate what has come to be called critical psychiatry from an unbiased and clinically relevant perspective. Critical Psychiatry is an excellent, practical resource for clinicians seeking a solid foundation in the contemporary controversies within the field. General and forensic psychiatrists; family physicians, internists, and pediatricians who treat psychiatric patients; and mental health clinicians outside of medicine will all benefit from its conceptual insights and concrete advice.
Psychiatry is increasingly dominated by the reductionist claim that mental illness is caused by neurobiological abnormalities. Critical psychiatry disagrees with this and proposes a more ethical foundation for practice. This book describes an original framework for renewing mental health services in alliance with people with mental health problems.
"This book extends the ongoing discussion on critical approaches within clinical and health psychology. In particular, it emphasises the need to consider the importance of social and cultural factors in understanding health, illness and disability. With detailed examination of a wide range of empirical studies it demonstrates the vibrancy of contemporary critical psychological research." - Michael Murray, Keele University "Provides an original overview of areas within health and clinical psychology that are frequently overlooked in other textbooks. It is distinctive in three major ways: first, it takes an explicitly critical approach, and therefore locates our current psychological understandings of issues within health and clinical psychology within their broader social and cultural contexts. Second, it considers both physical and mental health simultaneously, which is a major strength. Third, it is unique in its scope and focus. In achieving these distinctive features, this text competently draws on up-to-date research and literature across a range of disciplines and fields in an accessible and engaging manner... I personally think it should be a must-read for all those studying and working within the health psychology field!" - Antonia Lyons, Massey University This textbook gives a clear and thought-provoking introduction to the critical issues related to health, illness and disability in clinical and health psychology. Challenging some of the preconceptions of ill-health of the biomedical approach, the book explores how health and illness is often shaped by factors such as culture, poverty, gender and sexuality, and examines how these influences impact on the experience and treatment of physical and mental illness as well as disability. Students are introduced to literature from disciplines other than psychology to provide multiple perspectives on these complex issues. Critical Issues in Clinical and Health Psychology is a key textbook for undergraduate and postgraduate students taking courses in health or clinical psychology, as well as for students from other disciplines related to health and mental health care.
‘This book belongs on the bookshelf of everyone with a personal or professional interest in mental health. Roberts addresses the subjects that are troubling professionals across the globe, providing a sound theoretical base on which a professional viewpoint can be formed. Complex concepts are presented in a simple way, enabling readers at all stages to grasp difficult and often radical ideas quickly and easily.’ - Tony Barlow, Birmingham City University, UK This dynamic book provides a critical overview of current issues in mental health practice. It offers concrete guidance on navigating and evaluating different approaches to mental health care, giving crucial space to approaches which put the service user at the heart of care provision and recovery. Tackling the complex and challenging, Understanding Mental Health: Guides students through the landscape of mental health care through detailed case studies that situate practice and bring theory to life Provides a thorough introduction to critical issues through sign-posted chapter aims, concept summaries and activities For mental health professionals, students undertaking a professional mental health qualification, and nursing students studying mental health.
Mental, neurological, and substance use disorders are common, highly disabling, and associated with significant premature mortality. The impact of these disorders on the social and economic well-being of individuals, families, and societies is large, growing, and underestimated. Despite this burden, these disorders have been systematically neglected, particularly in low- and middle-income countries, with pitifully small contributions to scaling up cost-effective prevention and treatment strategies. Systematically compiling the substantial existing knowledge to address this inequity is the central goal of this volume. This evidence-base can help policy makers in resource-constrained settings as they prioritize programs and interventions to address these disorders.
Users and Abusers of Psychiatry is a radically different, critical account of day-to-day practice in psychiatric settings. Using real-life examples and her own experience as a clinical psychologist, Lucy Johnstone argues that the traditional way of treating mental distress can often exacerbate people's original difficulties, leaving them powerless and re-traumatised. She draws on a range of evidence to present a very different understanding of psychiatric breakdown than that found in standard medical textbooks, and to suggest new ways forward. The extended introduction to this Classic Edition brings the book up to date by revisiting its themes and tracing the changes in mental health practice over the last three decades. The book’s accessibility and clarity have ensured that it remains a classic in a growing field, and it is as relevant today as when it was first published. Users and Abusers of Psychiatry is a challenging but ultimately inspiring read for all who are involved in mental health – whether as professionals, students, service users, relatives or interested lay people.
“The landmark book that argued that psychiatry consistently expands its definition of mental illness to impose its authority over moral and cultural conflict.” — New York Times The 50th anniversary edition of the most influential critique of psychiatry every written, with a new preface on the age of Prozac and Ritalin and the rise of designer drugs, plus two bonus essays. Thomas Szasz's classic book revolutionized thinking about the nature of the psychiatric profession and the moral implications of its practices. By diagnosing unwanted behavior as mental illness, psychiatrists, Szasz argues, absolve individuals of responsibility for their actions and instead blame their alleged illness. He also critiques Freudian psychology as a pseudoscience and warns against the dangerous overreach of psychiatry into all aspects of modern life.
Contributors to this volume present and discuss new data which suggest that major mental disorder substantially increases the risk of violent crime. These findings come at a crucial time, since those who suffer from mental disorders are increasingly living in the community, rather than in institutions. The book describes the magnitude and complexity of the problem and offers hope that humane, effective intervention can prevent violent crime being committed by the seriously mentally disordered.
Mind, State and Society examines the reforms in psychiatry and mental health services in Britain during 1960–2010, when de-institutionalisation and community care coincided with the increasing dominance of ideologies of social liberalism, identity politics and neoliberal economics. Featuring contributions from leading academics, policymakers, mental health clinicians, service users and carers, it offers a rich and integrated picture of mental health, covering experiences from children to older people; employment to homelessness; women to LGBTQ+; refugees to black and minority ethnic groups; and faith communities and the military. It asks important questions such as: what happened to peoples' mental health? What was it like to receive mental health services? And how was it to work in or lead clinical care? Seeking answers to questions within the broader social-political context, this book considers the implications for modern society and future policy. This title is also available as Open Access on Cambridge Core.
The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.