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Appalachia is a region in trouble. Even in the more remote coves and hollows, major social and economic changes are disturbing the traditional ways of life. The conditions which have made it a pocket of poverty cannot be easily eradicated; and the rapid changes of recent years have added further severe problems of adjustment which deeply affect the family, church life, education, the folk sub­culture, and, above all, the individual. Out­migration, psychological dislocation, and cultural alienation are the result. The nine contributing scholars have lived and worked in Appalachia; they know the people and their customs, their problems and their needs. They are thoroughly familiar with the programs now in operation, and are well qualified to evaluate their success or failure in terms of those needs. Furthermore, their findings can be applied to other regions and nations, wherever an isolated group has been abruptly incorporated into the mainstream of society while many of its peculiar problems remain unsolved. Rural Appalachia may in fact be considered a microcosm of the underdeveloped nations of the world; the issues raised here far transcend the importance of a regional study. The essays are grouped according to four general areas of research. The first part deals with the individual in his society; the second with six social institutions—economy, government, family, religion, education, and power structure; the third with methods and objectives of change; and the fourth with the aims of change agencies, particularly the Extension Service of the future. As the tangle of problems, strains, and tensions is explored, the focus remains steadily upon immediate and long­term effects on the individual. The book is dedicated to "the professional field workers in programs of directed change . . . struggling on the one hand with ideas, theories, and conceptual innovations, and on the other hand with the immediate realities of the local situations."
This volume is the first to explore broadly many important theoretical and applied issues concerning the mental health of Appalachians. The authors—anthropologists, psychologists, social workers and others—overturn many assumptions held by earlier writers, who have tended to see Appalachia and its people as being dominated by a culture of poverty. While the heterogeneity of the region is acknowledged in the diversity of sub-areas and populations discussed, dominant themes emerge concerning Appalachia as a whole. The result of the authors' varied approaches is a cumulative portrait of a strong regional culture with native support systems based on family, community, and religion. Some of the contributors examine therapeutic approaches, including family therapy, that consider the implications of the cultural context. Others explore the impact of Appalachian culture on the impact of Appalachian culture on the development of mental health problems and coping skills and the resulting potential for conflict between Appalachian clients and non-Appalachian health providers. Still others examine cultural considerations in therapeutic encounters and mental health service delivery. The book is rich in case studies and empirical data. The practical, applied nature of the essays will enhance their value for practitioners seeking ways to improve mental health care in the region.
In Hillbilly elegy, J.D. Vance described how his family moved from poverty to an upwardly mobile clan while navigating the collective demons of the past. The book has come to define Appalachia for much of the nation. This collection of essays is a retort, at turns rigorous, critical, angry, and hopeful, to the long shadow cast over the region and its imagining. But it also moves beyond Vance's book to allow Appalachians to tell their own diverse and complex stories of a place that is at once culturally rich and economically distressed, unique and typically American. -- adapted from back cover
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The analysis of the developmental experiences and resulting personality patterns of Southern Appalachian children is based upon fieldwork in psychiatric clinics in eastern Kentucky, where diagnostic evaluation and treatment were provided for emotionally disturbed children. Observations on the mental health, or mental disorder, of the children are made concurrently with and in the light of observations on the ways in which eastern Kentucky families raise their children and on the kinds of adjustments to life that these children make. The historical, geographic, and socioeconomic characteristics of the region, in addition to characteristic family life styles and child rearing practices, are presented as the necessary context for understanding the children's mental health problems. Mental disorders are viewed largely as social phenomena and mental health or disorder is seen as firmly embedded in the social matrix. The study of family structure and interrelationships reveals three prominent themes influential in child development - emphasis on infancy of the children and family closeness, poor development of verbal skills, and the consideration of sexual maturation and functioning as a tabooed topic. Instances of emotional disturbance discussed are grouped accordingly: dependency themes, communication patterns, and psychosexual themes. (Kw).
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