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Doing psychiatry engages with the history of European psychiatry in the second half of the twentieth century through a close and fresh look at the practices that contributed to reshape the mental health field. Case studies from across Europe allow readers to appreciate how new ‘ways of doing’ contributed to transform the field, beyond the watchwords of deinstitutionalisation, the prescription of neuroleptics, centrality of patients and overcoming of asylum-era habits. Through a variety of sources and often adopting a small-scale perspective, the chapters take a close look at the way new practices emerged and at how they installed themselves, eventually facing resistance, injecting new purposes and contributing to enlarging psychiatry’s fields of expertise, therefore blurring its once-more-defined boundaries.
This book examines the relationship between social class and mental illness in Northern Europe during the 20th century. Contributors explore the socioeconomic status of mental patients, the possible influence of social class on the diagnoses and treatment they received in psychiatric institutions, and how social class affected the ways in which the problems of minorities, children and various ‘deviants’ and ‘misfits’ were evaluated and managed by mental health professionals. The basic message of the book is that, even in developing welfare states founded on social equality, social class has been a significant factor that has affected mental health in many different ways – and still does.
Making Mental Health: A Critical History historicises mental health by examining the concept from the ‘madness’ of the late nineteenth century to the changing ideas about its contemporary concerns and status. It argues that a critical approach to the history of psychiatry and mental health shows them to constitute a dual clinical-political project that gathered pace over the course of the twentieth century and continues to resonate in the present. Drawing on scholarship across several areas of historical inquiry as well as historical and contemporary clinical literature, the book uses a thematic approach to highlight decisive moments that demonstrate the stakes of this engagement in Anglo-American contexts. By tracing the (unfinished) history of institutions, the search for cures for psychiatric distress, the growing interest of the nation-state in mental health, the history of attempts to globalise psychiatry, the controversies over the politics of diagnostic categories that erupted in the 1960s and 1970s, and the history of theorising about the relationship between the psyche and the market, the book offers a comprehensive account of the evolution of mental health into a commonplace concern. Addressing key questions in the fields of history, medical humanities, and the social sciences, as well as in the psychiatry disciplines themselves, the book is an essential contribution to an ongoing conversation about mental distress and its meanings.
How researchers understood the atomic bomb’s effects on the human psyche before the recognition of Post-Traumatic Stress Disorder. In 1945, researchers on a mission to Hiroshima with the United States Strategic Bombing Survey canvassed survivors of the nuclear attack. This marked the beginning of global efforts—by psychiatrists, psychologists, and other social scientists—to tackle the complex ways in which human minds were affected by the advent of the nuclear age. A trans-Pacific research network emerged that produced massive amounts of data about the dropping of the bomb and subsequent nuclear tests in and around the Pacific rim. Ran Zwigenberg traces these efforts and the ways they were interpreted differently across communities of researchers and victims. He explores how the bomb’s psychological impact on survivors was understood before we had the concept of post-traumatic stress disorder. In fact, psychological and psychiatric research on Hiroshima and Nagasaki rarely referred to trauma or similar categories. Instead, institutional and political constraints—most notably the psychological sciences’ entanglement with Cold War science—led researchers to concentrate on short-term damage and somatic reactions or even, in some cases, on denial of victims’ suffering. As a result, very few doctors tried to ameliorate suffering. But, Zwigenberg argues, it was not only that doctors “failed” to issue the right diagnosis; the victims’ experiences also did not necessarily conform to our contemporary expectations. As he shows, the category of trauma should not be used uncritically in a non-Western context. Consequently, this book sets out, first, to understand the historical, cultural, and scientific constraints in which researchers and victims were acting and, second, to explore how suffering was understood in different cultural contexts before PTSD was a category of analysis.
This book explores the relationship between socialist psychiatry and political ideology during the Cold War, tracing Yugoslav ‘psy’ sciences as they experienced multiple internationalisations and globalisations in the post-WWII period. These unique transnational connections – with West, East and South – remain at the centre of this book. The author argues that the ‘psy’ disciplines provide a window onto the complications of Cold War internationalism, offering an opportunity to re-think postwar Europe's internal dynamics. She tells an alternative, pan-European narrative of the post-1945 period, demonstrating that, in the Cold War, there existed sites of collaboration and vigorous exchange between the two ideologically opposed camps, and places like Yugoslavia provided a meeting point, where ideas, frameworks and professional and cultural networks from both sides of the Iron Curtain could overlap and transform each other. Moreover, the book offers the first analysis of East European psychiatrists’ contacts with and contributions to the decolonizing world, exploring their participation in broader political discussions about decolonization, anti-imperialism and non-alignment. The Yugoslav brand of East-West psychoanalysis and psychotherapy bred a truly unique intellectual framework, which enabled psychiatrists to think through a set of political and ideological dilemmas regarding the relationship between individuals and social structures. This book offers a thorough reinterpretation of the notion of ‘communist psychiatry’ as a tool used solely for political oppression, and instead emphasises the political interventions of East European psychiatry and psychoanalysis.
Psychiatry in Law/Law in Psychiatry, 2nd Edition, is a sweeping, up-to-date examination of the infiltration of psychiatry into law and the growing intervention of law into psychiatry. Unmatched in breadth and coverage, and thoroughly updated from the first edition, this comprehensive text and reference is an essential resource for psychiatry residents, law students, and practitioners alike.
This subject, written for psychiatrists, is of importance and relevance to psychiatrists dealing with apsects of the practice that cross with legal professionals and with school and corporate professionals. This subject of Forensic Psychiatry presents topics on: Psychopharmacologic treatment of aggression; Assessment of blackouts and claimed amnesia; Forensic assessment of bullying; Testamentary capacity and guardianship assessments; Psychological testing and the assessment of malingering; Child murder by parents; Mass murderers: who are they and how might we stop them?; Child pornography and the Internet; Do's and don'ts of depositions; Juvenile offenders: Updates on competency and culpability; The role of the forensic psychiatrist in the immigration process; and Psychiatric Management of the Problematic Employee. The topics are presented to include coverage of Nature and Definition of the Problem, Physical Examination, Evaluation, Competency Evaluation, Clinical Assessment Strategies, Psychiatric Testing Strategies, Reaching an Opinion, with Key Points of every topic.
A pathbreaking study of the psychic afflictions of German soldiers returning from the Second World War