How do we understand mental health problems in their social context? A former BMA Medical Book of the Year award winner, this book provides a sociological analysis of major areas of mental health and illness. The book considers contemporary and historical aspects of sociology, social psychiatry, policy and therapeutic law to help students develop an in-depth and critical approach to this complex subject.New developments for the fifth edition include: Brand new chapter on prisons, criminal justice and mental healthExpanded coverage of stigma, class and social networksUpdated material on the Mental Capacity Act, Mental Health Act and the Deprivation of Liberty A classic in its field, this well established textbook offers a rich and well-crafted overview of mental health and illness unrivalled by competitors and is essential reading for students and professionals studying a range of medical sociology and health-related courses. It is also highly suitable for trainee mental health workers in the fields of social work, nursing, clinical psychology and psychiatry. "Rogers and Pilgrim go from strength to strength! This fifth edition of their classic text is not only a sociology but also a psychology, a philosophy, a history and a polity. It combines rigorous scholarship with radical argument to produce incisive perspectives on the major contemporary questions concerning mental health and illness. The authors admirably balance judicious presentation of the range of available understandings with clear articulation of their own positions on key issues. This book is essential reading for everyone involved in mental health work." Christopher Dowrick, Professor of Primary Medical Care, University of Liverpool, UK"Pilgrim and Rogers have for the last twenty years given us the key text in the sociology of mental health and illness. Each edition has captured the multi-layered and ever changing landscape of theory and practice around psychiatry and mental health, providing an essential tool for teachers and researchers, and much loved by students for the dexterity in combining scope and accessibility. This latest volume, with its focus on community mental health, user movements criminal justice and the need for inter-agency working, alongside the more classical sociological critiques around social theories and social inequalities, demonstrates more than ever that sociological perspectives are crucial in the understanding and explanation of mental and emotional healthcare and practice, hence its audience extends across the related disciplines to everyone who is involved in this highly controversial and socially relevant arena." Gillian Bendelow, School of Law Politics and Sociology, University of Sussex, UK"From the classic bedrock studies to contemporary sociological perspectives on the current controversy over which scientific organizations will define diagnosis, Rogers and Pilgrim provide a comprehensive, readable and elegant overview of how social factors shape the onset and response to mental health and mental illness. Their sociological vision embraces historical, professional and socio-cultural context and processes as they shape the lives of those in the community and those who provide care; the organizations mandated to deliver services and those that have ended up becoming unsuitable substitutes; and the successful and unsuccessful efforts to improve the lives through science, challenge and law." Bernice Pescosolido, Distinguished Professor of Sociology, Indiana University, USA

An unprecedented number of people were sent to 'lunatic asylums' in the nineteenth century. But what was life like inside? How was order maintained? And why were so many doctors on the verge of a breakdown themselves? This book provides a glimpse into the lives of patients and staff inside two London asylums at the turn of the twentieth century.

This volume explores service users' lived experiences of mental health recovery within a day centre setting where creative activity and social support were key aspects of the service. These two facets, creative activity and social support are established as conducive to mental health, particularly when in partnership with one another and when there is a venue in which to gather on a regular and frequent basis. McDonnell argues that the uplifting effects of creative activities such as art, music, and creative reading and writing, alongside the communality incorporated into the general ethos and social setting of many of the projects cited, are a positive force for change and that resource allocation and integrated care models should reflect this new paradigm.

Despite emancipation from the evils of enslavement in 1838, most people of African origin in the British West Indian colonies continued to suffer serious material deprivation and racial oppression. This book examines the management and treatment of those who became insane, in the period until the Great War.

Anyone who works within children and adolescent mental health services will tell you what a challenging and complex world it is. To help prepare you, the authors have produced a clear introduction to child and adolescent mental health that takes you step-by-step on a journey through the subject. Beginning with the foundations, the book explores the common mental health concepts and influences that you can expect to encounter examining topics like the difference between emotional and mental health issues and how mental health problems develop. It then moves on to explore the vital skills that you will need to develop like effective communication and basic counselling skills, and introduces some of the common interventions like Cognitive Behavioural Therapy, Psychodynamic theory and Family work. Written by a multi-disciplinary team of passionate and experienced experts, the book strikes an effective balance between introducing the relevant theory and showing how this can be applied in the real world. It is an essential starting point to the subject of child and adolescent mental health and suitable for any students planning to support this group.

It is often said that men are 'in crisis, ' blighted by the adverse effects of corrosive masculinity norms ranging from emotional disconnection to aggression. Consequently, with men in considerable 'trouble' relative to their female counterparts - from higher levels of suicide, alcoholism and violence to poorer health and educational outcomes - the question of how to help men 'change' is pressing. This book offers one possible solution. It shows how a group of men learned to overcome their masculine inheritance by taking up meditation. Tim Lomas follows their difficult but ultimately rewarding life journeys as they sought and found an elusive sense of wellbeing. The book interweaves these personal narratives with the very latest research and theory at the intersection of gender and mental health, together with practical recommendations for those working with men (and indeed for men themselves)

This clinical training manual presents a critical analysis of several, very challenging individual therapy cases of severely mentally ill clients of colour. Key interchanges and cultural dynamics in the therapies are explored through discussion questions. Key hypotheses' about those interchanges are supported with citations from research on the subject and are linked to relevant theories. This helps to establish an evidence-based framework for the larger discussion matter. The integration of contemporary theory, research and practice makes this a must have addition to your library of clinical training materials.

At the turn of the century, Sigmund Freud's investigation of the mind represented a particular journey into mental illness, but it was not the only exploration of this 'territory' in the Austro-Hungarian Empire. Sanatoriums were the new tourism destinations, psychiatrists were collecting art works produced by patients and writers were developing innovative literary techniques to convey a character's interior life. This collection of essays uses the framework of journeys in order to highlight the diverse artistic, cultural and medical responses to a peculiarly Viennese anxiety about the madness of modern times. The travellers of these journeys vary from patients to doctors, artists to writers, architects to composers and royalty to tourists; in engaging with their histories, the contributors reveal the different ways in which madness was experienced and represented in 'Vienna 1900'.

Gemma Blackshaw is Reader in Art History at Plymouth University. She is currently working on a Leverhulme-funded book on portraiture in Vienna circa 1900. She co-curated the exhibition Madness and Modernity: Art, Architecture and Mental Illness in Vienna 1900 (London and Vienna, 2009-10) and co-edited the exhibition catalogue.

Sabine Wieber is Lecturer in Art History at the University of Glasgow. She has published on German and Austrian design culture, German national identity and constructions of gender in Vienna circa 1900. She co-curated the exhibition Madness and Modernity: Art, Architecture and Mental Illness in Vienna 1900 (Vienna, 2010).

"It is a great honor to write the foreword to such an important book edited by E.J.R. David, filled with contributions from leading and emerging psychological scholars on internalized oppression. One of the best features of the book, in my opinion, is that the chapter authors are allowed to share their own personal experiences and that such experiences are regarded to be just as valid and legitimate as the 'theories' and 'empirical studies' that they review."

-Eduardo Duran, PhD
7th Direction Therapy, Assessment, and Consulting
Author of Healing the Soul Wound and Co-Author of Native American Postcolonial Psychology"

The oppression of various groups has taken place throughout human history. People are stereotyped, discriminated against, and treated unjustly simply because of their social group membership. But what does it look like when the oppression that people face from the outside gets under their skin? Long overdue, this is the first book to highlight the universality of internalized oppression across marginalized groups in the United States from a mental health perspective. It focuses on the psychological manifestations and mental health implications of internalized oppression for a variety of groups. The book provides insight into the ways in which internalized oppression influences the thoughts, attitudes, feelings, and behaviors of the oppressed toward themselves, other members of their group, and members of the dominant group. It also considers promising clinical and community programs that are currently addressing internalized oppression among specific groups.

The book describes the implications and unique manifestations of internalized oppression among African Americans, Latinos, Asian Americans, Pacific Islanders, American Indians and Alaska natives, women, people with disabilities, and the lesbian, gay, bisexual, and transgender community. For each group, the text considers its demographic profile, history of oppression, contemporary oppression, common manifestations and mental and behavioral health implications, clinical and community programs, and future directions. Chapters are written by leading and emerging scholars, who share their personal experiences to provide a real-world point of view. Additionally, each chapter is coauthored by a member of a particular community group, who helps to bring academic concepts to life. Key Features:

Addresses the universality of internalized oppression across marginalized groups in the U.S. and its corresponding mental health and psychological manifestations Considers how specific groups exhibit internalized oppression in their own unique ways Provides insight into how internalized oppression influences the thoughts, feelings, attitudes, and behaviors of the oppressed Highlights promising clinical and community programs

Mental health is "a state of well-being in which the individual realises his or her own abilities; can cope with the normal stresses of life; can work productively and fruitfully; and is able to make a contribution to his or her community". Mental illness is defined as "collectively, all diagnosable mental disorders" or "health conditions that are characterised by alterations in thinking, mood, or behaviour (or some combination thereof) associated with distress and/or impaired functioning." Mental disorders, especially depressive disorders, are related to many chronic diseases like diabetes, cancer, cardiovascular disease, asthma and obesity. In recent years, there has been an alarming number of school shootings with youth or adults involved who are seriously mentally disturbed. There has also been an increase in suicides and mental pathology in the military and in fact, many professionals perceive that the increase in psychiatric drugs negatively impacts our population. In spite of more people receiving psychotropic medication at a large expense to the individual and society, it does not seem that people are getting better on the whole. As a result, there is a need to re-evaluate our policy and interventions, but also a need for more accurate data and information.

Foster children, often being removed from neglectful or abusive homes, are one of the country's most vulnerable populations. With the often traumatic circumstances that define their early lives, it is no wonder studies show their tendency for more mental health conditions than other children. Facing these and other significant challenges surrounding foster care programs, state authorities, caseworkers, and parents, are given few options on appropriate treatments. These options often include prescribing heavy-duty psychotropic drugs such as antidepressants and, in some cases, even antipsychotics -- drugs which have little research available supporting their use in children. This book examines the practice of medicating America's foster children with a focus on the financial and societal costs.

Malaysian psychiatric services and policy show some developments similar to those of the West-yet much of the rhetoric that has informed these changes internationally, such as the discourse of service-user empowerment, has yet to be fully embraced within Malaysia itself. The author argues that an important factor here is that psychiatric services in Malaysia retain many of the premises of colonial psychiatry, particularly in relation to attitudes towards mental illness and psychiatric patients. On the other hand, the geographical and cultural location of Malaysian health services introduces features unique to this region (such as the wide diversity of ethnic groups and the continuing popularity of traditional healing practices). Within this diversity exist belief systems and normative values that are not congruent with the colonial premises that continue to cast an influence over service delivery and associated professional attitudes in Malaysia. The author draws extensively on her own research on psychiatric care in Malaysia, in which the narratives of Malaysian service users and psychiatric staff are interwoven with historical accounts of asylum care in Britain and Europe. The similarities across regions and between the past and the present are thus made apparent. The importance of the book goes beyond its interpretation of the Malaysian context. It will interest to anyone seeking to understand other post-colonial societies (for example, Hong Kong, Singapore, Thailand, and India). Although there are differences in history and current developments in relation to attitudes, and the policy and practice of mental health among these countries, we should be aware of the common legacy of the past and its implications for the present and future of their mental health systems. The book will also provide important insights for professionals working in any healthcare system with a culturally diverse client base.

During the past several decades, interest in children's psychological disorders has grown steadily within the research community, resulting in a burgeoning knowledge base. The majority of the attention and funding, not surprisingly, has focused on the more prevalent and well-known conditions. Although this raises the odds that young people with more well-known disorders such as ADHD, autism, and learning disorders will receive much-needed professional assessment and intervention, children with less frequently encountered disorders may experience a higher risk of misdiagnosis and inappropriate treatment.

Useful data has been scattered throughout the literature for severe-but-less-frequent childhood psychological disorders, including: fire setting; gender identity disorder; impulse control disorders (i.e., kleptomania, trichotillomania, intermittent explosive disorder); selective mutism; Munchausen by proxy; childhood schizophrenia; gang involvement; sexual offending; self-injurious behavior; and feral children. This concise volume offers up-to-date information on these conditions, which, though relatively rare, may have profound effect not only on the children themselves but also their families, friends, and the community at large. Coverage of each disorder is presented in an accessible format covering:

Overview and history.Description and diagnostic classification, with proposed changes to the DSM-V.Etiology and theory.Assessment tools and interview protocols.Commonly used psychological and pharmacological treatment options.Current research issues and directions for future investigation.

"Assessing and Treating Low Incidence/High Severity Psychological Disorders of Childhood" is a must-have reference for researchers, clinicians, practitioners, and graduate students in clinical child and school psychology, pediatrics, psychiatry, social work, school counseling, education, and public policy.

The challenges of providing mental health services to school children are numerous and diverse, ranging from staffing shortages to insufficient funding to family resistance to administrative indifference. Yet with the U.S. Surgeon General estimating that approximately 20% of young people display signs of psychological problems, the need for such services - particularly for interventions that not only address mental health issues but also reinforce protective factors - is considerable. Evidence-Based School Mental Health Services offers readers an innovative, best-practices approach to providing effective mental health services at school. The author draws on the widely used and effective three-tiered public health model to create a school-based system that addresses the emotional and behavioral needs of students most at risk for experiencing, or showing strong signs and symptoms of, emotional problems or disabilities. This prevention-oriented program adapts cognitive behavioral and other clinical therapies for use in primary through high school settings. In several concise, easy-to-read chapters, the author addresses such important topics as: The rationale for building a three-tier mental health system in schools. The importance of making emotion regulation training available to all students. Designing strategies for adding affect education and emotion regulation training at each tier. Providing empirical support for implementing CBT in school settings. Preparing young children to benefit from school-based CBT. Also included is an Appendix of specific group activities and exercises that can be put to use in the school setting. Evidence-Based School Mental Health Services is a must-have resource for researchers, scientist-practitioners, and graduate students in school psychology, clinical child psychology, pediatrics, psychiatry, social work, school counseling, education as well as for those who develop or influence public policy. And it is essential reading for any professional who is responsible for and interested in children's well-being and development.

"Mediating Madness examines how mediations of madness emerge, disappear and interleave, only to re-emerge at unexpected moments. Drawing on social and cultural histories of madness, history of art, and popular journalism, the book offers a unique interdisciplinary understanding of historical and contemporary media representations of madness"--Provided by publisher.

This book will be the first to focus exclusively on inpatient therapeutic groupwork in acute psychiatry, from a multi-disciplinary perspective. All authors are active groupwork practitioners, who provide vivid case material providing unique insights into the group process. Writers make the argument for the importance of therapeutic groupwork in acute inpatient settings. They describes survey data that show an absence of therapeutic activity on wards and the need for a 'culture of participation'. They describes some national schemes designed to improve the situation, such as the Star Wards initiative. Two authors look the state of research on therapeutic groupwork in inpatient settings, and suggest how the evidence base might be strengthened. The book will be of great value to any mental health professional, whether qualified or in training. Although reflecting experience in British clinical settings, the issues raised have a wider interest for those working to achieve excellent acute inpatient psychiatric settings in other countries.

The Sociology of Mental Illness is a comprehensive collection of readings designed to help students develop a nuanced and sophisticated appreciation of the most important, heated--and fascinating--controversies in the field.
Drawing primarily from sociological sources, the text features both classical and contemporary selections that cover the full range of sociological topics, perspectives, and debates, including the social construction of mental illness, the social origins of mental illness, and contemporary mental health treatment. This rich, varied assortment gives students a "roadmap" to the evolution and development of sociological research over time and insight into key controversies in the field.
Selections include such classical readings as Scheff's original statement of labeling theory, contemporary reports on the prevalence of mental illness in countries around the world, and recent analyses of the changing treatment system. The readings are organized progressively in order to help students recognize the dynamic character of mental health research and the important role that controversies play in advancements in the field; this organization also gives students the tools they need to formulate their own views and opinions on crucial matters.
A versatile, engaging text, The Sociology of Mental Illness is ideal for undergraduate and graduate courses in the sociology of mental illness.

This anthology answers an increasing need to understand design that supports the daily life of people with dementia. This need parallels an increasing interest in design for life environments and technology among architects, designers, engineers, social scientists and those responsible for housing, social and healthcare planning. As the number of people afflicted by this syndrome increases, the importance of well-designed technological applications to improve their well-being and those of their relatives and carers also grows. The aim of this book is to support the emerging research and development around this topic, which has stressed innovation, participation in the design process, as well as technical competence and the physical environment. However, the main focus is learning to understand the person affected by dementia as well as his or her subjective needs and desires.

This book will be the first to focus exclusively on inpatient therapeutic groupwork in acute psychiatry, from a multi-disciplinary perspective. All authors are active groupwork practitioners, who provide vivid case material providing unique insights into the group process. Writers make the argument for the importance of therapeutic groupwork in acute inpatient settings. They describes survey data that show an absence of therapeutic activity on wards and the need for a 'culture of participation'. They describes some national schemes designed to improve the situation, such as the Star Wards initiative. Two authors look the state of research on therapeutic groupwork in inpatient settings, and suggest how the evidence base might be strengthened. The book will be of great value to any mental health professional, whether qualified or in training. Although reflecting experience in British clinical settings, the issues raised have a wider interest for those working to achieve excellent acute inpatient psychiatric settings in other countries.

This is the second title in the Groupwork Monographs Series, themed anthologies of papers published over the years in Groupwork each dedicated to one area of groupwork practice. Titles will include Groupwork and Women, Social Action Groupwork, and Groupwork Relations.Books in the series are designed to be useful to students, practitioners, teachers and trainers, and researchers alike. All are invited to sample a pool of knowledge that has accumulated within the pages of Groupwork over almost two decades.

Social work practice involves working with and supporting people with mental health problems in many settings and across the life span. Growing as a reflective and informed practitioner is central to one's development as a student social worker and as a registered social worker. With a focus on legislation, policy and practice, this book draws on excerpts from seminal writing, journal articles, policy papers, government initiatives, statistics and user perspectives and invites readers to deepen their appreciation and understanding of social work practice in the mental health context.

Madness in Buenos Aires : Patients, Psychiatrists and the Argentine State, 1880-1983 examines the interactions between psychiatrists, patients, and their families, and the national state in modern Argentina. This book offers a fresh interpretation of the Argentine state's relationship to modernity and social change during the twentieth century, while also examining the often contentious place of psychiatry in modern Argentina. Drawing on a number of previously untapped archival sources, Jonathan Ablard uses the experience of psychiatric patients as a case study of how the Argentine state developed and functioned over the last century and of how Argentines interacted with it. Ablard argues that the capacity of the Argentine state to provide social services and professional opportunities and to control the populace was often constrained to an extent not previously recognized in the scholarly literature. These limitations, including a shortage of hospitals, insufficient budgets, and political and economic instability, shaped the experiences of patients, their families, and doctors and also influenced medical and lay ideas about the nature and significance of mental illness. Furthermore, these experiences, and the institutional framework in which they were imbedded, had a profound impact on how Argentine psychiatrists discussed, not only mental illness, but also a host of related themes, including immigration, poverty, and the role of the state in mitigating social problems. Copublished with Ohio University Press

In some countries, they call them the "abandonados," the abandoned ones. They're the impoverished mentally ill and mentally disabled patients being warehoused in psychiatric asylums that are more run-down, more uncaring than the most brutal American prisons. Confined in cage-like cells, tied to beds soiled with human waste, medicated to the point of senselessness, or wandering naked in unheated and garage-like wards, they live in what can only be called the shadows, their plight unseen and too easily ignored by the rest of the human family.

Working first as a journalist, later as a volunteer for the human rights organization Mental Disability Rights International, photographer Eugene Richards gained access to psychiatric institutions in Mexico, Argentina, Armenia, Hungary, Paraguay, and Kosovo. His wrenchingly intimate images reveal the often inhumane treatment suffered by the mentally disabled. Offered little that would qualify as effective care, patients are denied even the most basic human amenities: privacy, protection from harm, clean clothing. Accompanying the book, A Procession of Them, is a DVD of a short film of the same name. Directed and narrated by Richards, this unique and expressionistic film speaks of the chaos, claustrophobia, and loneliness of these living hells.

Making us face some hard truths, A Procession of Them drives home the point that when it comes to the plight of the mentally disabled, "no one much cares." As Richards concludes, it's "as if there is a kind of worldwide agreement that once people are classified as mentally ill or mentally retarded, you're free to do to them what you want."

Following extensive research in the UK, Bruce Cohen allows mental health users to tell their own stories (or 'narratives') of illness and recovery. Institutional and home treatment care is covered alongside controversial self-coping techniques such as drug-taking, spiritualism, alternative healing, sleep and watching television.

Integrated care is receiving a lot of attention from clinicians, administrators, policy makers, and researchers. Given the current healthcare crises in the United States, where costs, quality, and access to care are of particular concern, many are looking for new and better ways of delivering behavioral health services. Integrating behavioral health into primary care medical settings has been shown to: 1) produce healthier patients; 2) produce medical savings; 3) produce higher patient satisfaction; 4) leverage the primary care physician s time so that they can be more productive; and 5) increase physician satisfaction. For these reasons this is an emerging paradigm with a lot of interest and momentum. For example, the President s New Freedom Commission on Mental Health has recently endorsed redesigning the mental health system so that much of this is integrated into primary care medicine.

Yet there are few resources to assist all those that are interested in moving toward integrated care. This has been a major impediment to more widespread adoption of integrated care. The two co-editors of this proposed volume have produced some of the key books in this area: Dr. James (along with co-editor Ray Folen) has recently produced The Primary Care Consultant which is a good resource that helps define the unfortunately usually misunderstood and neglected consultation liaison function of the integrated care behavioral provider. Dr. O Donohue has co-written a book A Primer of Integrative Behavioral Care (Prometheus Press, in press) that is designed to serve as a general introduction to integrated case; as well as co-edited some more specific titles on medical cost offset, integrated care and substance abuse, and Behavioral Integrative Care (2005, Brunner Routledge). Please see our enclosed vitas for more information.

What these books fail to do is to provide very concrete practice guidelines and other associated practical tools for the practicing integrative care behavioral health professional. This book is designed to fill this important gap. All chapters will be designed to provide useful materials to understand this quite different mode of practice. None of the chapters will be academically oriented, although all information will be evidenced based. As such it will reach a wide audience and have no direct competitors. We believe because of the editors profile in this area, the excellent reputations of the chapter authors, and the practicality of this book it will sell very well."