The world of mental illness is typically framed around symptoms and cures, where every client is given a label. In this challenging new book, Professor Bernard Guerin provides a fresh alternative to considering these issues, based in interdisciplinary social sciences and discourse analysis rather than medical studies or cognitive metaphors. A timely and articulate challenge to mainstream approaches, Guerin asks the reader to observe the ecological contexts for behavior rather than diagnose symptoms, to find new ways to understand and help those experiencing mental distress. This book shows the reader: how we attribute ‘mental illness’ to someone’s behavior why we call some forms of suffering ‘mental’ but not others what Western diagnoses look like when you strip away the theory and categories why psychiatry and psychology appeared for the first time at the start of modernity the relationship between capitalism and modern ideas of ‘mental illness’ why it seems that women, the poor and people of Indigenous and non-Western backgrounds have worse ‘mental health’ how we can rethink the ‘hearing of voices’ more ecologically how self-identity has evolved historically how thinking arises from our social contexts rather than from inside our heads. Offering solutions rather than theory to develop a new ‘post-internal’ psychology, How to Rethink Mental Illness will be essential reading for every mental health professional, as well as anyone who has either experienced a mental illness themselves, or helped a friend or family member who has.

Eric Maisel invites depression sufferers and their service providers to consider whether human sadness has been monetised into the disease of depression and asks readers to consider the personal implications of this 50 year cultural shift from human problem to medical ailment.

Mental health laws exist in many countries to regulate the involuntary detention and treatment of individuals with serious mental illnesses. 'Rights-based legalism' is a term used to describe mental health laws that refer to the rights of individuals with mental illnesses somewhere in their provisions. The advent of the United Nations Convention on the Rights of Persons with Disabilities makes it timely to rethink the way in which the rights of individuals to autonomy and liberty are balanced against state interests in protecting individuals from harm to self or others. This collection addresses some of the current issues and problems arising from rights-based mental health laws. The chapters have been grouped in five parts as follows: - Historical Foundations - The International Human Rights Framework and the United Nations Convention on the Rights of Persons with Disabilities - Gaps Between Law and Practice - Review Processes and the Role of Tribunals - Access to Mental Health Services Many of the chapters in this collection emphasise the importance of moving away from the limitations of a negative rights approach to mental health laws towards more positive rights of social participation. While the law may not always be the best way through which to alleviate social and personal predicaments, legislation is paramount for the functioning of the mental health system. The aim of this collection is to encourage the enactment of legal provisions governing treatment, detention and care that are workable and conform to international human rights documents.

Developed from the author’s long teaching career, How to Rethink Human Behavior aims to cultivate practical skills in human observation and analysis, rather than offer a catalogue of immutable ‘facts’. It synthesizes key psychological concepts with insights from other disciplines, including sociology, social anthropology, economics, and history. The skills detailed in the book will help readers to observe people in their contexts and to analyze what they observe, in order to make better sense of why people do what they do, say what they say, and think what they think. These methods can also be applied to our own thoughts, talk and actions - not as something we control from ‘within’ but as events constantly being shaped by the idiosyncratic social, cultural, economic and other contexts in which our lives are immersed. Whether teaching, studying, or reading for pleasure, this book will help readers learn: How to think about people with ecological or contextual thinking How your thinking is a conversation with other people How to analyze talk and conversations as social strategies How capitalist economies change how you act, talk and think in 25 ways How living in modern society can be linked to generalized anxiety and depression How to Rethink Human Behavior is important interdisciplinary reading for students and researchers in all fields of social science, and will especially appeal to those interested in mental health. It has also been written for the general reading public who enjoy exploring new ideas and skills in understanding themselves and other people.

“Superb… a nuanced account of biological psychiatry.” —Richard J. McNally In Mind Fixers, “the preeminent historian of neuroscience” (Science magazine) Anne Harrington explores psychiatry’s repeatedly frustrated efforts to understand mental disorder. She shows that psychiatry’s waxing and waning theories have been shaped not just by developments in the clinic and lab, but also by a surprising range of social factors. Mind Fixers recounts the past and present struggle to make mental illness a biological problem in order to lay the groundwork for creating a better future.

For most of us the words madness and psychosis conjure up fear and images of violence. Using short stories, the authors consider complex philosphical issues from a fresh perspective. The current debates about mental health policy and practice are placed into their historical and cultural contexts.

Focuses on a shift away from traditional clinical preoccupations towards new priorities of supporting the patient.

In Blaming the Brain Elliott Valenstein exposes the many weaknesses inherent in the scientific arguments supporting the widely accepted theory that biochemical imbalances are the main cause of mental illness. He lays bare the commercial motives of drug companies and their huge stake in expanding their markets. This provocative book will force patients, practitioners, and prescribers alike to rethink the causes of mental illness and the methods by which we treat it.

In 1963, President John F. Kennedy delivered an historic speech on mental illness and retardation. He described sweeping new programs to replace "the shabby treatment of the many millions of the mentally disabled in custodial institutions" with treatment in community mental health centers. This movement, later referred to as "deinstitutionalization," continues to impact mental health care. Though he never publicly acknowledged it, the program was a tribute to Kennedy's sister Rosemary, who was born mildly retarded and developed a schizophrenia-like illness. Terrified she'd become pregnant, Joseph Kennedy arranged for his daughter to receive a lobotomy, which was a disaster and left her severely retarded. Fifty years after Kennedy's speech, E. Fuller Torrey's book provides an inside perspective on the birth of the federal mental health program. On staff at the National Institute of Mental Health when the program was being developed and implemented, Torrey draws on his own first-hand account of the creation and launch of the program, extensive research, one-on-one interviews with people involved, and recently unearthed audiotapes of interviews with major figures involved in the legislation. As such, this book provides historical material previously unavailable to the public. Torrey examines the Kennedys' involvement in the policy, the role of major players, the responsibility of the state versus the federal government in caring for the mentally ill, the political maneuverings required to pass the legislation, and how closing institutions resulted not in better care - as was the aim - but in underfunded programs, neglect, and higher rates of community violence. Many now wonder why public mental illness services are so ineffective. At least one-third of the homeless are seriously mentally ill, jails and prisons are grossly overcrowded, largely because the seriously mentally ill constitute 20 percent of prisoners, and public facilities are overrun by untreated individuals. As Torrey argues, it is imperative to understand how we got here in order to move forward towards providing better care for the most vulnerable.

One in five U.S. adults experiences a mental illness within a given year. With more than 550,000 people working to support this underserved community, the mental healthcare system has grappled with inadequacies and shortcomings in safety, quality, and care delivery. There is a wide range of problems, from access-to-care issues and errors, to complications stemming from poor care. Our country is also on an unsustainable path as our healthcare expenditure keeps growing. To add to all of this, we are facing a rampant epidemic of burnout among healthcare workers. Modern advancements introduced with many promises—such as electronic medical records, newer medications, or advanced treatments—have created unique challenges when ushered into a highly regulated healthcare system. What does it take to provide patients with everything they need—the right quality of care, at the right time, and at the right cost—to keep them healthy? Which process steps add value? Which steps are wasteful? A widely accepted fact is that a conservative 30-50% of every step in the mental healthcare process does not help patients feel better or stay better. When considering delays in care, workarounds, excessive documentation, and an overuse of auditing, the care system has moved highly skilled clinicians away from providing value, as administrative tasks continue to encroach on their time. There is a clear need to rethink and redesign the system of care. This book is a primer for understanding the current state of the mental health system and the performance improvement skills and leadership acumen needed to address existing challenges. Sheppard Pratt, the award-winning, leading institution for mental healthcare in America, provided the focus on mental healthcare and became the laboratory for this body of work over the course of eight years. It hired a seasoned systems thinker with improvement expertise to work with mental health professionals and solve some of their most complex and chronic problems. The book is a result of the collaboration between a practicing psychiatrist in a leadership role and the systems engineer. Working together, they demonstrate how to think about redesigning care and redefining the nature of work to enhance value for both the people served and the healthcare workforce. They crafted a multi-pronged approach towards culture change at Sheppard Pratt, including implementing a course on "Learning to Improve," which introduced staff to a performance improvement methodology. There are several vignettes interwoven throughout the book that describe the complexities and constraints of the system. Solving some of these challenges creates a new paradigm of work while minimizing waste and enhancing value.