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This book explores how people encounter, understand, live with and
respond to health risks associated with social economic and
political inequality. Complementing a traditional public health
approach, it moves beyond a focus on categories of morbidity and
their structural causes. Instead the books’ focus is on everyday
understandings and actions for people living in unequal social
conditions. Making use of a variety of case studies related to
physical and mental health, the authors emphasise interpersonal
relationships, biographical meanings and the daily tactics of
‘getting by’. These are recurrently linked to the social
structural aspects of particular times and places. The book: ·
Draws upon, applies and extends the biopsychosocial approach, which
is well known to students of public health. · Respects and gives
due weight to the experience in context of people who live with
health inequalities, in domestic and local settings. · Explores
notions of personal agency and the contingencies of everyday life,
in order to offer a focused psychosocial corrective to a public
health tradition dominated by top down reasoning. This is an
important read for all those seeking to understand the complexities
of health inequalities holistically in their studies, research and
practice. The book brings together thinking in the fields of public
health, sociology, mental health and social policy.
A classic and long-trusted resource that provides short summaries
of all the key theories, concepts and terminology associated with
mental health. Each entry is neatly summarised and thoroughly
referenced giving the reader an immediate and thorough entry point
to the subject. Structured into four sections, the text starts with
entries related to Mental Health and Mental Abnormality, before
moving onto Mental Health Services and Society. The new edition
offers: 70 concise chapters including new entries on social
networks and loneliness Updates across all chapters to align with
contemporary, critical debates in mental health Appropriate
consideration of the intersection of Covid-19 and mental health An
essential guide for students of mental health studies, health,
nursing, social work, education, psychology, counselling and
psychotherapy.
Originally published in 1983, fifteen well-known psychologists and
psychotherapists write about their personal interests to give the
reader a vivid picture of the complexities of psychotherapy in
Britain at the time. They explore aspects of the interaction and
intersection of the psychological and psychotherapeutic worlds,
paying particular attention to the practical and theoretical
controversies involved in this overlap. The first half of the book
concerns itself with problems of theory and practice in psychology
and psychotherapy, while the second half deals with professional
conflicts and political issues impinging upon the practice of
psychotherapy by psychologists. Areas of concern and controversy
that are scrutinised include the problematic relationship between
academic psychology and psychotherapy; doubts and certainties in
psychotherapy; the psychology of helping; the relevance of the
psychodynamic tradition; inter-professional disputes; women and
psychotherapy; and social class issues in psychotherapy.
This book explores how people encounter, understand, live with and
respond to health risks associated with social economic and
political inequality. Complementing a traditional public health
approach, it moves beyond a focus on categories of morbidity and
their structural causes. Instead the books’ focus is on everyday
understandings and actions for people living in unequal social
conditions. Making use of a variety of case studies related to
physical and mental health, the authors emphasise interpersonal
relationships, biographical meanings and the daily tactics of
‘getting by’. These are recurrently linked to the social
structural aspects of particular times and places. The book: ·
Draws upon, applies and extends the biopsychosocial approach, which
is well known to students of public health. · Respects and gives
due weight to the experience in context of people who live with
health inequalities, in domestic and local settings. · Explores
notions of personal agency and the contingencies of everyday life,
in order to offer a focused psychosocial corrective to a public
health tradition dominated by top down reasoning. This is an
important read for all those seeking to understand the complexities
of health inequalities holistically in their studies, research and
practice. The book brings together thinking in the fields of public
health, sociology, mental health and social policy.
Riven by poor governance and outright corruption, the British
Psychological Society (BPS) may now be in terminal decline.
Individual members have left it in despair and some groups (for
example clinical, educational and organisational psychologists)
have already organised themselves outside of the Society, in
protest against its mismanagement and distorted priorities.
Onlookers are bemused by a simple fact: a psychological
organisation has demonstrated total incompetence at understanding
itself. Accordingly, today, the BPS is neither a learned nor a
learning organisation. This book describes this organisational
crisis. It offers a critical account of the Society’s recent
history, which has mostly been hidden from public view, due to a
lack of suitable democratic structures to ensure proper public
scrutiny. Though it has charitable status, its governance has
lacked independent trustees. Instead, priorities in the
organisation have been compromised repeatedly by conflicts of
interest, with an oligarchy of recycled names losing sight of the
Society’s shortcomings. In more recent times, these problems have
been amplified by a managerial culture with little respect for
academic integrity. These weak governance arrangements have led to
policy capture by some interest groups which have led to public
safety being threatened by the production of poor psychological
advice to those on the outside. Those ordinary members opposing
this skewed and risky advice have been suppressed by those at the
top of the organisation. This important book aims to provide a
platform for ordinary members whose criticisms have thus far been
suppressed. By promoting the voices of these objectors and exposing
the cracks within the organisation, it attempts to bring truth to
power.
This is the first dedicated text to explain and explore the utility
of critical realism for psychologists, offering it as a helpful
middle ground between positivism and postmodernism. By introducing
its basic concepts, Pilgrim explains critical realism to
psychologists and shows how the interface between the natural and
social worlds, and the internal and external, can be used to
examine human life. This both/and aspect of human life is important
in another sense: we are both determined and determining beings,
making choices but within the material constraints of both our
bodies and the social context of our unique existence. The book
offers an exploration of academic and applied psychology with that
inward and outward curiosity in mind, beginning with the premise
that both inner and outer reality are the legitimate interest of
psychologists. In doing so, it shows how critical realism endorses
the remaining advantages of positivism and postmodernism, while
discarding their philosophical errors. A range of case studies are
presented to show how psychologists can use critical realism when
working with real life problems, as researchers or practitioners.
Child sexual abuse is a major public policy challenge. Many child
protection measures were beginning to reduce its occurrence.
However, that progress was impeded by online grooming, the
downloading of indecent images of children and even their abuse
online in real time. This now places major demands on national and
international policing. The book brings together groundbreaking
case studies from a wide range of settings. As well as family
members and those near the home, offenders can also be found in
religious, sporting and childcare settings. This extensive picture
is drawn deliberately in order to highlight a split in the academic
analysis of child sexual abuse. The mainstream or orthodox view,
defended by the author, is that child sexual abuse is an
under-reported crime. However, a minority view, presented but
criticised, is that it is a moral panic created by public hysteria,
child protection experts and campaigning politicians. By the end of
the book, this division of academic opinion and its implications
for public policy are explored in detail. The book is essential
reading for anyone interested in preventing child sexual abuse and
the dilemmas of responding to both victims and perpetrators. It
will be of particular use to practitioners in social work, the
police and in the mental health professions.
The emergence of Thatcherism around 1980, which ushered in a period
of neo-liberalism in British politics that still resonates today,
led musicians, like other artists, to respond to their context of
production. This book uses the early work of one of these
musicians, Elvis Costello, to explore the relationship between
popular music and politics in one historical period. It is not a
biography but an exploration of the interaction between a creative
musician's works and their context of constraint and opportunity.
Pilgrim and Ormrod unpack the political meaning of Thatcherism and
deal with matters arising in that political context about
Costello's life but which had resonance for many others at the time
(and still do). These topics include the politics of race, class,
gender and ageing, emphasising the recurring theme of nostalgia in
modern and post-modern life. Throughout the book examples are
provided of Costello's songs and how they work musically to
illustrate or stimulate the contextual discussion. The book will be
of significant interest to musicologists, sociologists and social
psychologists.
David Pilgrim PhD is Professor of Health & Social Policy in the
Department of Sociology, Social Policy and Criminology at the
University of Liverpool.
This is the first dedicated text to explain and explore the utility
of critical realism for psychologists, offering it as a helpful
middle ground between positivism and postmodernism. By introducing
its basic concepts, Pilgrim explains critical realism to
psychologists and shows how the interface between the natural and
social worlds, and the internal and external, can be used to
examine human life. This both/and aspect of human life is important
in another sense: we are both determined and determining beings,
making choices but within the material constraints of both our
bodies and the social context of our unique existence. The book
offers an exploration of academic and applied psychology with that
inward and outward curiosity in mind, beginning with the premise
that both inner and outer reality are the legitimate interest of
psychologists. In doing so, it shows how critical realism endorses
the remaining advantages of positivism and postmodernism, while
discarding their philosophical errors. A range of case studies are
presented to show how psychologists can use critical realism when
working with real life problems, as researchers or practitioners.
Mental health is very complicated and much of it remains inherently
or contingently mysterious. And yet, if we were to take the
rhetoric of the American Psychiatric Association, the World Health
Organization or (even more dubiously) the drug companies seriously,
we should all believe in a confident version of scientific
incrementalism (our knowledge is constantly refining and our
interventions are becoming more effective with the passing years).
This book steers a middle way between psychiatric positivism and
the nihilism of the recent French poststructuralist tradition.
The emergence of Thatcherism around 1980, which ushered in a period
of neo-liberalism in British politics that still resonates today,
led musicians, like other artists, to respond to their context of
production. This book uses the early work of one of these
musicians, Elvis Costello, to explore the relationship between
popular music and politics in one historical period. It is not a
biography but an exploration of the interaction between a creative
musician's works and their context of constraint and opportunity.
Pilgrim and Ormrod unpack the political meaning of Thatcherism and
deal with matters arising in that political context about
Costello's life but which had resonance for many others at the time
(and still do). These topics include the politics of race, class,
gender and ageing, emphasising the recurring theme of nostalgia in
modern and post-modern life. Throughout the book examples are
provided of Costello's songs and how they work musically to
illustrate or stimulate the contextual discussion. The book will be
of significant interest to musicologists, sociologists and social
psychologists.
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 sixth edition include:
*Brand new chapter on aging and older people *Updated material on
social class, ethnicity, user involvement, young people and
adolescence *New coverage on prisons legalism and the rise of
digital mental health management and delivery A classic in its
field, this well-established textbook offers a rich, contemporary
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. This classic text book has for
many years provided the definitive sociological lens with which to
understand the range of conceptual approaches to understanding
mental 'illness' in the historical journey from madness to
emotional health and the complex interdisciplinary challenges of
providing appropriate care or treatment to human distress and
suffering. This updated edition continues to provide illuminating
insights and clarifications not only for students but for academic
researchers and scholars at all levels. Gillian Bendelow, Professor
in Sociology of Health and Medicine, School of Applied Social
Science, University of Brighton A Sociology of Mental Health and
Illness is a sociological classic - for three decades now it has
been essential reading for all sociologists (and other social
scientists) wishing to learn more about mental (ill-)health and
society, be they students or professional teachers and researchers.
It has also long been a beacon, and will continue to guide, mental
health practitioners keen to better understand and engage with the
social dimensions of their work. A Sociology of Mental Health and
Illness is an incomparable resource. Professor Martyn Pickersgill,
University of Edinburgh, UK The relationship between sociology and
mental health has been well documented over the years. Social
factors such as poverty, social stress, socioeconomic
disadvantages, inequality, social exclusion have been implicated
for increased rates of mental health problems. Unfortunately,
psychiatry has not engaged sufficiently with sociology. "A
Sociology of Mental Health and Illness" has covered this disparity.
The sixth edition is a most welcome addition updating social trends
and new sociological material relevant to mental health, more
emphasis on service users' participation and the emerged evidence
base. It is a classic that should be an essential reading for all
mental health professionals. Nick Bouras, Emeritus Professor of
Psychiatry, King's College London, Institute of Psychiatry,
Psychology and Neuroscience Anne Rogers is Professor of Medical
Sociology & Health Systems Implementation at the University of
Southampton. David Pilgrim is Visiting Professor of Clinical
Psychology at the University of Southampton.
Originally published in 1983, fifteen well-known psychologists and
psychotherapists write about their personal interests to give the
reader a vivid picture of the complexities of psychotherapy in
Britain at the time. They explore aspects of the interaction and
intersection of the psychological and psychotherapeutic worlds,
paying particular attention to the practical and theoretical
controversies involved in this overlap. The first half of the book
concerns itself with problems of theory and practice in psychology
and psychotherapy, while the second half deals with professional
conflicts and political issues impinging upon the practice of
psychotherapy by psychologists. Areas of concern and controversy
that are scrutinised include the problematic relationship between
academic psychology and psychotherapy; doubts and certainties in
psychotherapy; the psychology of helping; the relevance of the
psychodynamic tradition; inter-professional disputes; women and
psychotherapy; and social class issues in psychotherapy.
Identity politics have taken a strong hold on modern society, in
particular online on social media platforms. But to what extent
have they contributed to human flourishing? Have they changed the
world for the better, and to what extent? David Pilgrim explores
identity politics as a 'curate's egg': good and bad in parts. The
good, that they shine light on topics that may previously have been
neglected. The bad, their tendency towards absolutism and premature
certainties. The world is nuanced and contradictory, and our
awareness of it is highly partial. Identity politics are an
inadequate response to that complexity and mystery of life. They
take away the need to give free expression to all views, including
those we may not only disagree with but might also find offensive.
Pilgrim re-establishes a realist objection to strong social
constructivist arguments within social science about gender,
sexualities, and putative moral panics. This accessible book is a
must-read for anyone with an interest in contemporary policy
formation or reform. It will appeal to students and professionals
from the fields of sociology, politics, social policy, social work,
philosophy, mental health, and public health.
Child sexual abuse is a major public policy challenge. Many child
protection measures were beginning to reduce its occurrence.
However, that progress was impeded by online grooming, the
downloading of indecent images of children and even their abuse
online in real time. This now places major demands on national and
international policing. The book brings together groundbreaking
case studies from a wide range of settings. As well as family
members and those near the home, offenders can also be found in
religious, sporting and childcare settings. This extensive picture
is drawn deliberately in order to highlight a split in the academic
analysis of child sexual abuse. The mainstream or orthodox view,
defended by the author, is that child sexual abuse is an
under-reported crime. However, a minority view, presented but
criticised, is that it is a moral panic created by public hysteria,
child protection experts and campaigning politicians. By the end of
the book, this division of academic opinion and its implications
for public policy are explored in detail. The book is essential
reading for anyone interested in preventing child sexual abuse and
the dilemmas of responding to both victims and perpetrators. It
will be of particular use to practitioners in social work, the
police and in the mental health professions.
The SAGE Handbook of Mental Health and Illness is a landmark
volume, which integrates the conceptual, empirical and
evidence-based threads of mental health as an area of study,
research and practice. It approaches mental health from two
perspectives - firstly as a positive state of well-being and
personal and social functioning and secondly as psychological
difference or abnormality in its social context. Unique features
include: - a broad and inclusive view of the field, providing depth
and breadth for the reader - a team of international,
multi-disciplinary editors and contributors, and - discussion of
the many of the unresolved debates in the field about constructs
and causes. The Handbook will be an invaluable resource for
postgraduate students, academics and researchers studying mental
health in disciplines such as psychiatry, clinical psychology,
social work, occupational therapy, nursing and sociology.
A classic and long-trusted resource that provides short summaries
of all the key theories, concepts and terminology associated with
mental health. Each entry is neatly summarised and thoroughly
referenced giving the reader an immediate and thorough entry point
to the subject. Structured into four sections, the text starts with
entries related to Mental Health and Mental Abnormality, before
moving onto Mental Health Services and Society. The new edition
offers: 70 concise chapters including new entries on social
networks and loneliness Updates across all chapters to align with
contemporary, critical debates in mental health Appropriate
consideration of the intersection of Covid-19 and mental health An
essential guide for students of mental health studies, health,
nursing, social work, education, psychology, counselling and
psychotherapy.
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
The second edition of this acclaimed book offers a critical
analysis of the transition from institutional to community care for
people with mental health problems. Despite the almost complete
abandonment of the old Victorian asylum system, the powerful
cultural legacy of segregation remains potent in modern thought.
Rogers and Pilgrim analyse the impact of new policies introduced by
the Labour government since it came to power in 1997, identifying
both the processes and causes of policy change and assessing its
value in the context of longer term debates about madness and
distress.
For most of us, the term 'recovery' in mental health implies hope
and normality for those suffering from emotional distress. It is
understandable why recovery has therefore become a significant goal
for mental health services.
But what does recovery mean for those who are struggling to see it
through? Is the emphasis on recovery always a positive thing? This
book takes a critical sociological look at personal and public
assumptions and understandings. In particular:
- It explores what the recovery movement signifies today, offering
readers a critical, reflexive view of its scientific, policy and
political consequences.
- It considers what recovery means from social, medical and patient
perspectives, and the implications of these conflicting views,
- It reveals some of the risks and benefits for people with mental
health problems encountering a system that expects them to recover.
Offering a comprehensive and thought-provoking overview of the
concept of recovery from mental illness, this book is a must-have
for students studying mental health across a range of subjects,
including Sociology, Social Work, Psychology and Nursing.
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