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Health and Suffering in America - The Context and Content of Mental Health Care (Hardcover)
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Health and Suffering in America - The Context and Content of Mental Health Care (Hardcover)
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Health and Suffering in America analyzes how we came to see various
forms of suffering as "mental illness," and argues that social and
historical dynamics, not scientific discovery, gave us this notion.
Robert Fancher argues that the beliefs of mental health
professionals have less to do with science than with the
professions' own values and ideologies. The image we have of mental
health care hides vast realms of unexamined assumptions. In effect,
the author maintains that "mental health" consists of mental health
professionals' ideas about how people ought to live and act, not
discoveries about human nature. The body of the book consists of
detailed analyses and critiques of four infl uential American
cultures of therapy: psychoanalysis, behaviorism, cognitive
therapy, and biological therapy. Fancher emphasizes how heavily
their concepts and methods are determined by their cultures rather
than by empirical data. Furthermore, our notions of mental health
are not scientifi c discoveries, but moral ideals. Yet mental
health workers often fail to understand this. As a result, they
misunderstand their own authority and, worse, fail to subject their
moral ideals to appropriate moral and cultural criticism. The new
introduction by the author explores how the rise of managed health
care coalesces with insistence on parity for mental health
problems, supported by continuing claims that mental health care is
science-based.
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