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.

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.

“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.

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.

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

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

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.