People with mental disorders often suffer the worst conditions of life.This book is the first comprehensive survey of the mental health/human rights relationship. It examines the relationships and histories of mental health and human rights, and their interconnections with law, culture, ethnicity, class, economics, biology, and stigma.

The nearly forgotten story of Soviet dissidents It has been nearly three decades since the collapse of the Soviet Union—enough time for the role that the courageous dissidents ultimately contributed to the communist system's collapse to have been largely forgotten, especially in the West. This book brings to life, for contemporary readers, the often underground work of the men and women who opposed the regime and authored dissident texts, known as samizdat, that exposed the tyrannies and weaknesses of the Soviet state both inside and outside the country. Peter Reddaway spent decades studying the Soviet Union and got to know these dissidents and their work, publicizing their writings in the West and helping some of them to escape the Soviet Union and settle abroad. In this memoir he captures the human costs of the repression that marked the Soviet state, focusing in particular on Pavel Litvinov, Larisa Bogoraz, General Petro Grigorenko, Anatoly Marchenko, Alexander Podrabinek, Vyacheslav Bakhmin, and Andrei Sinyavsky. His book describes their courage but also puts their work in the context of the power struggles in the Kremlin, where politicians competed with and even succeeded in ousting one another. Reddaway's book takes readers beyond Moscow, describing politics and dissident work in other major Russian cities as well as in the outlying republics.

What madness meant was a fiercely contested question in Soviet society. State of Madness examines the politically fraught collision between psychiatric and literary discourses in the years after Joseph Stalin's death. State psychiatrists deployed set narratives of mental illness to pathologize dissenting politics and art. Dissidents such as Aleksandr Vol'pin, Vladimir Bukovskii, and Semen Gluzman responded by highlighting a pernicious overlap between those narratives and their life stories. The state, they suggested in their own psychiatrically themed texts, had crafted an idealized view of reality that itself resembled a pathological work of art. In their unsanctioned poetry and prose, the writers Joseph Brodsky, Andrei Siniavskii, and Venedikt Erofeev similarly engaged with psychiatric discourse to probe where creativity ended and insanity began. Together, these dissenters cast themselves as psychiatrists to a sick society. By challenging psychiatry's right to declare them or what they wrote insane, dissenters exposed as a self-serving fiction the state's renewed claims to rationality and modernity in the post-Stalin years. They were, as they observed, like the child who breaks the spell of collective delusion in Hans Christian Andersen's story "The Emperor's New Clothes." In a society where normality means insisting that the naked monarch is clothed, it is the truth-teller who is pathologized. Situating literature's encounter with psychiatry at the center of a wider struggle over authority and power, this bold interdisciplinary study will appeal to literary specialists; historians of culture, science, and medicine; and scholars and students of the Soviet Union and its legacy for Russia today.

Consideration of ethics has established a firm place in the affairs of psychiatrists. An increased professional commitment to accountability, together with a growing "consumer" movement has paved the way for a creative engagement with the ethical movement. Psychiatric Ethics has carved out a niche for itself as a major comprehensive text and core reference covering the many complex ethical dilemmas which face clinicians and researchers in their everyday practice. This new edition takes a fresh look at recent trends and developments at the interface between ethics and psychiatric practice.For this edition, Sydney Bloch and Paul Chodoff are joined by Stephen Green, a clinical professor in ethics and psychiatry at Georgetown University, in leading 29 of the finest scholars in the field from around the world. Eleven new contributors join the team of authors. They include Drs. Beauchamp, Gutheils, Sabin, McGuffin, Szmulter, Gabbard and Holmes. Since the second edition, the editors have observed several emerging aspects of psychiatric practice requiring coverage. As a result, six new chapters have been added covering the ethical aspects of community psychiatry, managed care, psychiatric genetics, resource allocation, codes of ethics and boundary violations. All others chapters have been fully revised and updated.The book will continue to be essential reading for psychiatrists and other mental health professionals, as well as of interest to ethicists, policy makers, managers and lawyers.

"In the decade since the American Psychiatric Association condemned the use of psychiatric institutions for the suppression of political dissent, the practice has continued to spread in the Union of Soviet Socialist Republics. Alexander Podrabinek wrote this account after working as a medical assistant and pursued his research while undergoing police harrassment. He has since been arrested and is in exile in Russia. The manuscript was smuggled out, translated, and published in this country. Podrabinek recounts the historical absence of a civil liberties tradition in Russia, asserting that compulsory psychiatric treatment was not needed in Czarist or early Communist times as liquidation was more efficient. Nonetheless, shortly after the revolution of 1917, punitive hospitalizations began, and a network of "special psychiatric hospitals" developed to confine thousands of dissidents and "socially dangerous individuals." Punitive Medicine contains many quotations from former inmates or "patient-prisoners," photographs of hospitals and ex-inmates, and also pictures"--

V. The Legal Context