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Books > Social sciences > Psychology > Social, group or collective psychology
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The First Resort - The History of Social Psychiatry in the United States (Paperback)
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The First Resort - The History of Social Psychiatry in the United States (Paperback)
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Social psychiatry was a mid-twentieth-century approach to mental
health that stressed the prevention of mental illness rather than
its treatment. Its proponents developed environmental explanations
of mental health, arguing that socioeconomic problems such as
poverty, inequality, and social isolation were the underlying
causes of mental illness. The influence of social psychiatry
contributed to the closure of psychiatric hospitals and the
emergence of community mental health care during the 1960s. By the
1980s, however, social psychiatry was in decline, having lost
ground to biological psychiatry and its emphasis on genetics,
neurology, and psychopharmacology. The First Resort is a history of
the rise and fall of social psychiatry that also explores the
lessons this largely forgotten movement has to offer today. Matthew
Smith examines four ambitious projects that investigated the
relationship between socioeconomic factors and mental illness in
Chicago, New Haven, New York City, and Nova Scotia. He contends
that social psychiatry waned not because of flaws in its preventive
approach to mental health but rather because the economic and
political crises of the 1970s and the shift to the right during the
1980s foreclosed the social changes required to create a more
mentally healthy society. Smith also argues that social psychiatry
provides timely insights about how progressive social policies,
such as a universal basic income, can help stem rising rates of
mental illness in the present day.
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